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提肌重建联合“Z”成形及颊粘膜瓣转移术在幼儿腭裂修复中的初步应用
引用本文:柯昌能,郭小宝,唐世杰,朱镇森. 提肌重建联合“Z”成形及颊粘膜瓣转移术在幼儿腭裂修复中的初步应用[J]. 中国美容医学, 2009, 18(4): 472-474
作者姓名:柯昌能  郭小宝  唐世杰  朱镇森
作者单位:汕头大学医学院第二附属医院唇腭裂中心暨整形烧伤科,广东,汕头,515041
摘    要:目的:探讨提肌重建联合“Z”成形及颊粘膜瓣转移术在幼儿腭裂修复中的应用效果。方法:观察5例年龄2~3岁的完全性腭裂患儿应用提肌重建联合“Z”成形及颊粘膜瓣转移修复腭裂后的近期效果,比较术前、术后软腭的长度,观察伤口的愈合情况。结果:松弛切口骨面无过多裸露的情况下,软腭较术前延长1cm以上,松弛切口6天内基本愈合,无腭漏出现。结论:提肌重建联合“Z”成形及颊粘膜瓣转移术不但避免了松弛切口骨面的过多裸露,而且充分延长了软腭,加快了松弛切口愈合,在幼儿腭裂修复中有一定的应用价值。

关 键 词:腭裂  手术治疗  腭帆提肌

Primary application of velator muscle reconstruction combined with the Z plasty and buccal mucosal flap in child patients with cleft palate
KE Chang-neng,GUO Xiao-bao,TANG Shi-jie,ZHU Zhen-sen. Primary application of velator muscle reconstruction combined with the Z plasty and buccal mucosal flap in child patients with cleft palate[J]. Chinese Journal of Aesthetic Medicine, 2009, 18(4): 472-474
Authors:KE Chang-neng  GUO Xiao-bao  TANG Shi-jie  ZHU Zhen-sen
Affiliation:Centre of the Cleft Lip and Palate & Burn and Plastic Unit;the Second Affiliated Hospital of the Medical School of Santou University;Shantou 515041;Guangdong;China
Abstract:Objective To observe the effect of primary application of velator muscle reconstruction combined with the Z plasty and buccal mucosal flap in child patients with cleft palate.Methods Velator muscle reconstruction combined with the Z plasty and buccal mucosal flap was applied to five child patients with cleft palate;the length of soft palate was messured before and after operation,wound healing was observed.Results Without much exposure of palate bone surface,the length of soft palate was extended more 1 cm ...
Keywords:cleft palate  operational treatment  velator muscle reconstruction  
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