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利用牙槽突粘膜修复腭裂的方法尚无报道。与传统的Wardill法比较,该技术有腭咽闭合好,发音改善好,复裂率低,上颌发育正常等优点。1990年8月~1991年12月作者用此方法治疗患者28例,以传统方法作对照34例,追踪时间4年以上。 手术方法 沿牙槽突颊侧做切口,如切牙已萌出,则沿切牙舌侧作切口,潜行分离并翻起以腭大血管神经束为蒂的粘骨膜瓣。沿腭骨后缘切断肌肉附着,不断翼钩,犁骨和鼻侧粘膜不做潜行分离。软腭部裂缘由硬
The use of alveolar mucosa repair cleft palate method has not been reported. Compared with the traditional Wardill method, this technique has the advantages of good velopharyngeal closure, good pronunciation, low rate of rupture and normal maxillary growth. From August 1990 to December 1991, the author used this method to treat 28 patients, 34 cases were controlled by the traditional method and the follow-up time was more than 4 years. Surgical approach to make an incision along the buccal side of the alveolar bump, such as incisor has erupted, then incision along the lingual incisor, sneak off and turn up the palate large vascular bundle pedicled mucoperiosteal flap. Cut along the posterior edge of the palatal muscle attachment, keep the wing hook, vomer and nasal mucosa do not sneak separation. Soft palate rim by hard