皮罗序列征患儿腭裂的改良手术治疗:12例临床分析

Modified palatoplasty for children of Pierre Robin sequence with cleft palate:clinical analysis of 12 consecutive cases

目的 :探讨治疗皮罗序列征患儿腭裂安全、有效的功能性外科方案。方法 :选择12例重度皮罗序列征腭裂患儿,腭裂修复术前,为纠正重度缺氧,均实行下颌骨牵张成骨。采用软腭不后退腭帆提肌重建的改良手术进行腭裂修复。结果:12例患皮罗序列征的腭裂患儿,经软腭不后退提肌重建的改良手术后,随访10～12个月,均获得了腭咽闭合功能恢复又不造成呼吸困难的临床效果。结论:对皮罗序列征的腭裂患儿进行腭裂修复手术,有别于一般的腭裂修复手术,应防止腭瓣后徙引起的呼吸窘迫。

PURPOSE:To explore a safe,effective and functional surgical treatment for children of Pierre Robin sequence(PRS)with cleft palate.METHODS:Twelve children of PRS with cleft palate underwent mandibular distraction osteogenesis before cleft palate surgery in order to correct severe hypoxia.A modified palatoplasty was then performed,the palatal flaps on both sides were not elevated in the anterior portions to prevent soft palate backward moving,and the levator veli palatini was repositioned simultaneously.RESULTS:All children achieved velopharyngeal closure without dyspnea after follow-up of 10-12 months.CONCLUSIONS:Measures should be taken to avoid backward movement of the soft palate,which may result in dyspnea of children with PRS in palatoplasty.