黏膜下腭裂的诊断及治疗

Research progress on diagnosis and treatment for submucous cleft palate

黏膜下腭裂作为腭裂的一种特殊类型,主要临床表现为两侧悬雍垂分叉、硬腭后缘V形骨质缺损、软腭肌肉中线不连续呈透亮影的三联征及腭咽闭合不全、中耳炎等,现存在诊断延误、疗效不佳等问题,需要引起临床注意。本文就其病理病因,临床表现、诊断、分类及治疗方面作一简要综述。

Submucous cleft palate(SMCP)is a special type of cleft palate,presenting the classic clinical features which are a bifid uvula,a midline transluscent zone(zonapellucida)of the soft palate,and a palpable bony notch within the posterior hard palate.Abnormal insertion of the levator palatini muscle causes velopharyngeal insufficiency(VPI),otitis media and so on.There are always late discovery of SMCP and we observed that the VPI incidence after palatoplasty for SMCP patients was higher than that of other cases of cleft palate.So much attention should be paid to SMCP.This article makes a brief summary of the pathological causes,clinical manifestations,diagnosis and treatment.