论文部分内容阅读
目的探讨成人腭裂的临床特点及一种适合成人腭裂特点的改良腭裂修复术。方法选择2008年1月至2012年12月北京大学深圳医院口腔颌面外科收治的20例不完全腭裂成人患者,男13例,女7例,平均年龄为23.2岁。腭裂间隙最宽处距离均值为25.95mm,腭垂根部后中点距咽后壁距离均值为18.3mm。采用改良腭裂修复术,并对其术后的效果进行随访和评估。结果成人腭裂患者,软组织外貌的特点为上唇上部后缩,唇缘处及下唇正常;硬组织特征为上颌骨发育不足、后缩,下颌骨发育及位置相对正常,面中1/3凹陷形成类似于安氏Ⅲ类错(牙合)的外貌特征。腭裂间隙呈宽大的“U”字形,距咽后壁距离长。20例患者均达到一期愈合,无腭瘘、感染的发生,术后测得腭垂根部后中点距咽后壁距离6~10 mm,平均7.95mm,获得满意的效果。结论针对成人腭裂患者特有的临床特点,此改良腭裂修复术既减少了术区的损伤,又能最大限度地恢复软腭的形态和功能。
Objective To investigate the clinical features of adult cleft palate and to explore a modified cleft palate repair that is suitable for adult cleft palate. Methods From January 2008 to December 2012, 20 adult patients with incomplete cleft palate admitted to Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, 13 males and 7 females, with an average age of 23.2 years. The mean distance between the cleft palate cleft and the posterior pharyngeal wall was 25.95mm and 18.3mm respectively. The use of modified cleft palate repair and follow-up of the effect of its assessment. Results In adult patients with cleft palate, the appearance of soft tissue was characterized by upper upper lip retraction, normal lip and lower lip. The hard tissue was characterized by maxillary hypoplasia, constriction, mandibular development and normal position, Similar to the appearance of Class III malocclusion. Cleft palate gap was large “U ” shape, away from the posterior pharyngeal wall length. Twenty patients achieved primary healing without palatal fistula and infection. The mean distance from the posterior pharyngeal wall to the posterior pharyngeal wall was 6 ~ 10 mm (average 7.95 mm) after the operation. Satisfactory results were obtained. Conclusion According to the unique clinical features of adult patients with cleft palate, this modified cleft palate repair not only reduces the damage of the operation area, but also restores the shape and function of the soft palate to the maximum extent.