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修复腭裂的最终目的是恢复病人正常发音,这是多年来修复腭裂的主要研究课题。归纳起来可以分为三个阶段:(1)单纯缝合裂隙阶段;(2)延长软腭阶段;(3)注重腭咽闭合阶段——功能恢复阶段。为了达到良好的长度,恢复正常的腭咽解剖结构和生理功能,我们在临床实践中发现凿断翼钩和剪断腭腱膜的常规手术步骤不能完全达到上述目的。因此,我们在临床实践中大胆开展了保留翼钩和腭腱膜的腭裂修复手术,自1978年10月至1981年11月共作27例。本文就此报告我们的不成熟的经验。
The ultimate goal of repairing cleft palate is to restore the patient's normal pronunciation, which is the main research topic for repairing cleft palates over the years. To sum up can be divided into three stages: (1) simple suture fracture stage; (2) extend the soft palate stage; (3) pay attention to velopharyngeal closure stage - functional recovery stage. In order to achieve good length and restore the normal velopharyngeal anatomy and physiological functions, we found in clinical practice, conventional surgical procedures to chisel the wing hook and cut the palatal aponeurosis can not fully achieve the above objectives. Therefore, in our clinical practice, we boldly carried out cleft palate repair surgery to retain the patellar and palatal aponeurosis. From October 1978 to November 1981, we performed a total of 27 cases. This article reports on our immature experience.