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由于术者和设备的不同,通常腭裂术后瘘孔发生率为5～20%,瘘孔可严重影响构音、使食物进入鼻腔、诱发中耳炎等。为闭锁瘘孔,以往采用局部粘膜瓣、口唇粘膜瓣及舌瓣等方法,但是因为腭裂术后的瘘孔闭锁术是非常复杂的手术,其复发率也相当高,所以人们极力寻求比较简单并且疗效确切的闭锁方法。作者曾用兔进行移植耳廓软骨闭锁瘘孔的试验,尔后,在临床上也获得良好的效果。对腭裂术后引起瘘孔26例试用耳廓软骨闭锁瘘孔术,年龄1～22岁,平均7.2岁,术后随访期4个月至一年3个月,平均9.6个月。临床上根据瘘孔大小分为Ⅰ型(直径2mm以下)、Ⅱ型(直径2～5mm)、Ⅲ型(直径在5mm以上)等三种类型,分别采用3种不同手术方法。对Ⅰ
Due to the difference between the surgeon and the equipment, the incidence of fistula after cleft palate is usually 5 to 20%. The fistula hole can seriously affect the articulation and make the food enter the nasal cavity and induce otitis media. For the closure of fistula hole, the past, the use of local mucosal flap, lip mucosal flap and tongue flap method, but because the cleft palate after fistula closure surgery is a very complicated operation, the recurrence rate is quite high, so people are trying to find simple and The exact effect of the lock method. The author used rabbit for auricle cartilage transplantation fistula hole test, and later, also achieved good results in the clinic. 26 cases of cleft palate fistula after trial of auricle cartilage atresia fistula, aged 1 to 22 years, mean 7.2 years, followed up for 4 months to 3 months a year, an average of 9.6 months. According to the size of fistula clinically clinically divided into Ⅰ type (diameter 2mm below), Ⅱ type (diameter 2 ~ 5mm), Ⅲ type (diameter 5mm above) and other three types were used in 3 different surgical methods. For Ⅰ