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腭裂修补的主要目的是关闭裂隙,增加软腭长度,重建腭帆提肌,以获得正常的语言效果。同时,尽量减少手术创伤,以免术后影响颌骨发育。使用硬腭粘骨膜瓣后推增加软腭长度,这在鼻腔粘膜延长上是不够的。有时还可形成瘘。另外,由于广泛分离了粘骨膜,故对颌骨发育影响较大。为了解决上述问题,作者应用“T”型颊粘膜肌瓣修补腭裂,效果良好。
The main purpose of cleft palate repair is to close the fissure, increase the length of the soft palate, reconstruction of the palatal saber, in order to obtain the normal language effect. At the same time, minimize surgical trauma, so as to avoid postoperative impact on jaw development. The use of hard palate mucoperiosteal flap push back to increase the length of the soft palate, which is not enough in the nasal mucosa to extend. Fistulas can sometimes form. In addition, due to the widespread separation of mucoperiosteal, it has a greater impact on the development of the jaw. In order to solve the above problems, the author applied “T” buccal mucosal muscle flap repair cleft palate, the effect is good.