组织工程与重建外科杂志2018，Vol.14Issue(2)：83-86,4.
两种术式对大龄腭裂患儿术后瘘发生率及语音清晰度改善的影响
Effects of Two Kinds of Operation on the Incidence of Postoperative Fistula and Speech Intelligibility in Older Children with Cleft Palate
任旭辉 1张红闯 2张阳 2成雨生 2张扬 2万延俊2
作者信息
- 1. 221004江苏省徐州市 徐州医科大学口腔医学院
- 2. 221002江苏省徐州市 徐州市第一人民医院口腔科
- 折叠
摘要
Abstract
Objective To explore the effects of two kinds of operation (levator veli palatini retropositioning & levator veli palatini retropositioning combined with buccal fat pad flap and pharyngeal flap) on the incidence of fistula and speech intelligibility in older children with cleft palate. Methods Sixty cases with cleft palate(4 to 9 years old)were divided into 2 groups randomly, and were treated with levator veli palatini retropositioning (group A) and levator veli palatini retropositioning combined with buccal fat pad flap and pharyngeal flap(Group B)respectively.The incidence of palatal fistula and speech intelligibility in the 2 groups were observed and compared. Results The incidence of fistula in group A was higher than in group B (P<0.05). The speech intelligibility was improved in both group A and group B (P<0.05). The speech intelligibility and scar formation in group B was both better than in group A (P<0.05).Conclusion For older children with cleft palate, levator veli palatini retropositioning combined with buccal fat pad flap and pharyngeal flap can reduce the incidence of palatal fistula effectively, and also can obtain better speech intelligibility. Since this method can avoid bone exposure, so as to reduce scar formation and the effect on maxillary growth, it is a functional cleft palate repair method and worthy to be recommended.关键词
腭帆提肌重建术/带蒂颊脂垫瓣/咽后壁瓣/语音清晰度/腭瘘Key words
Levator veli palatini retropositioning/Buccal fat pad flap/Pharyngeal flap/Speech intelligibility/Palatal fistula分类
医药卫生引用本文复制引用
任旭辉,张红闯,张阳,成雨生,张扬,万延俊..两种术式对大龄腭裂患儿术后瘘发生率及语音清晰度改善的影响[J].组织工程与重建外科杂志,2018,14(2):83-86,4.
