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对于腭裂患者来说,通过手术方法恢复正常的语言功能是治疗的主要目的。但是由于腭裂患者的具体条件和术者所采用的手术方法的差异,在临床上常可发现,腭裂虽经手术修复,但患者的发音、语言功能仍不满意。为了改进腭咽闭合不全,改进发音功能。我们采用的“岛状瓣”与“板间劈开”后推法较简单、安全、易掌握,在腭裂术后2—3年便可进行,又便于术后语言功能的训练。此外,双侧“岛状瓣”是组织较厚、硬的腭部粘骨膜瓣,术后收缩较小,可获得较可靠的软腭延伸。而且即使这次手术恢复语言功能不满意时,仍可继续应用咽部组织瓣再行修复。
For patients with cleft palates, the primary goal of treatment is to restore normal language function through surgical procedures. However, due to the specific conditions of patients with cleft palate and surgical methods used by the difference, clinically often found that although the cleft palate after surgical repair, but the patient's pronunciation, language function is still not satisfied. In order to improve velopharyngeal insufficiency, improve pronunciation function. We use the “island flap” and “split between the plate” pushback method is relatively simple, safe, easy to grasp, 2-3 years after the surgery can be carried out after cleft palate, but also facilitate postoperative language training. In addition, the bilateral “island flap” is a thick, hard palatal mucoperiosteal flap with less postoperative contraction and more reliable soft palate extension. And even if the operation is not satisfied with the language recovery function, you can continue to use pharyngeal flap re-repair.