先天性隐性腭裂的诊断与治疗

Diagnosis and treatment of congenital recessive cleft palate

目的 诊断与治疗先天性隐性腭裂患者。方法 纵行剖开软腭的膜性粘连 ,口腔侧硬腭粘膜瓣后推 ,鼻腔侧软腭粘膜瓣Z字成形 ,腭帆提肌吊带重建 ,颊肌粘膜瓣移转修复硬腭裂隙及腭部创面 ,以恢复软腭的解剖学长度和生理性动度。结果 共治疗 12例患者 ,均得到成功的修复 ,发音效果满意。结论 我们介绍的诊断依据和手术方法对隐性腭裂患者的诊断和治疗是行之有效的 ,具有推广价值。

Objective\ To explore an effective method to diagnose and treat the congenital recessive cleft palate. Methods\ For the treatment of congenital recessive cleft palate, an operation was designed to recover the anatomic length and function mobility of the soft palate. The operation procedure includes incising vertically the midline mucous membrane of the soft palate, creating and pushing back the mucosal flap of the hard palate, making Z-plasty on the nasal mucosa, reconstructing the sling of the levator veli palatini muscle and repairing the palatal defects with the buccinator muscularis mucosae flap. 12 cases of congenital recessive cleft palate have treated with this method. Results\ All of the 12 cases obtained good results. Their pronunciation improved obviously. Conclusion\ The method is effective for diagnosis and treatment of congenital recessive palate, which is worthy of further application. \;