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用游离骨膜移植修复青少年上颌齿槽裂是一种新方法。其目的在于:1.上颌弓的稳定;2.上颌犁骨成形;3.支持塌陷的鼻翼;4.修补口鼻瘘;5.为牙齿萌出增加间隙,并支撑裂隙边缘的牙齿,以利正畸。手术方法:(1)在裂隙上1.5cm龈唇沟处作横行切口,使唇粘膜呈袖口状,以利于以后伤口的关闭。(2)用骨膜剥离器在裂隙侧和健侧把复盖在上颌骨的粘骨膜掀起,仔细剥离靠近裂隙边缘的部分骨膜,然后向内翻转、缝合以形成裂隙的鼻腔衬里。(3)在胫骨前面中份作6～7 cm的垂直切口,用骨膜分离器从胫骨表面剥离,切取
Free periosteal graft repair of the maxillary crenation is a new method. The purpose is to: 1. The stability of the maxillary arch; 2. The formation of the maxillary vault; 3. Supporting the collapse of the nose; 4. Repair mouth and nose fistula; 5. For the eruption of teeth to increase the gap, and support the edge of the fracture of the teeth, abnormal. Surgical methods: (1) in the fissure 1.5cm gingival sulcus at the transverse incision made the mucosa was cuff-like, in order to facilitate the closure of the wound later. (2) The periosteum covering the maxillary bone is lifted off with the periosteal stripper on the side of the crevice and the contralateral side, and part of the periosteum near the edge of the crevice is carefully peeled off, then turned inward to be sutured to form a nasal lining of the crevice. (3) in the front of the tibia for 6 ~ 7 cm vertical incision, periosteal separator peeled off from the tibia surface, cut