PDF(Pubmed)
Abstract：
BACKGROUND: Anterior palatal repair performed during cleft lip repair using a vomerine flap may assist in recruiting additional soft tissue for subsequent completion of palatoplasty, especially in patients with a wide cleft. We present our early.
RESULTS: in the hope of triggering a re-evaluation of this technique regarding its advantages for maxillary growth through further studies of patients with a wide cleft.
METHODS: A retrospective analysis of patients with complete unilateral and bilateral cleft lip and palate was performed, including cleft and palatal measurements taken during initial surgery (lip repair together with anterior palate repair) and upon completion of palatoplasty.
RESULTS: In total, 14 patients were included in this study, of whom nine (63.3%) had unilateral cleft lip and palate and five (37.5%) had bilateral cleft. All patients had a wide cleft palate. Lip and anterior palate repair was done at a median age of 3 months, while completion of palatoplasty was done at a median age of 10.5 months. Measurements taken upon completion of palatoplasty showed significant cleft width reduction in the mid-palate and intertubercle regions; however, the palatal arch distances at nearby landmarks showed non-significant marginal changes.
CONCLUSIONS: Anterior palate repair using a vomerine flap significantly reduced the remaining cleft width, while the palatal width remained. Further research is warranted to explore the long-term effects of this technique in wide cleft patients in terms of facial growth.
RESULTS: in the hope of triggering a re-evaluation of this technique regarding its advantages for maxillary growth through further studies of patients with a wide cleft.
METHODS: A retrospective analysis of patients with complete unilateral and bilateral cleft lip and palate was performed, including cleft and palatal measurements taken during initial surgery (lip repair together with anterior palate repair) and upon completion of palatoplasty.
RESULTS: In total, 14 patients were included in this study, of whom nine (63.3%) had unilateral cleft lip and palate and five (37.5%) had bilateral cleft. All patients had a wide cleft palate. Lip and anterior palate repair was done at a median age of 3 months, while completion of palatoplasty was done at a median age of 10.5 months. Measurements taken upon completion of palatoplasty showed significant cleft width reduction in the mid-palate and intertubercle regions; however, the palatal arch distances at nearby landmarks showed non-significant marginal changes.
CONCLUSIONS: Anterior palate repair using a vomerine flap significantly reduced the remaining cleft width, while the palatal width remained. Further research is warranted to explore the long-term effects of this technique in wide cleft patients in terms of facial growth.
摘要：
背景：在唇裂修复过程中使用vomerine皮瓣进行的前腭修复可能有助于募集额外的软组织，以便随后完成腭成形术，尤其是有大面积裂口的病人.我们提出我们的早期。
结果：希望通过对宽裂患者的进一步研究，触发对该技术对上颌骨生长的优势的重新评估。
方法：对单侧和双侧完全性唇腭裂患者进行回顾性分析，包括在初次手术期间（唇修复和前腭修复）和完成pal成形术后进行的left裂和pal裂测量。
结果：总计，14名患者被纳入这项研究，其中9人(63.3%)患有单侧唇腭裂，5人(37.5%)患有双侧唇裂。所有患者均有广泛的腭裂。嘴唇和前腭修复在中位年龄3个月时完成，而完成腭成形术的中位年龄为10.5个月.完成腭成形术后进行的测量显示，中腭和结节间区域的裂隙宽度明显减少；然而，附近地标处的the弓距离显示出无显着的边缘变化。
结论：使用vomerine皮瓣进行的前腭修复显着减少了剩余的裂隙宽度，而腭宽度保持不变。有必要进行进一步的研究，以探索该技术在面部发育方面对广泛c裂患者的长期影响。
结果：希望通过对宽裂患者的进一步研究，触发对该技术对上颌骨生长的优势的重新评估。
方法：对单侧和双侧完全性唇腭裂患者进行回顾性分析，包括在初次手术期间（唇修复和前腭修复）和完成pal成形术后进行的left裂和pal裂测量。
结果：总计，14名患者被纳入这项研究，其中9人(63.3%)患有单侧唇腭裂，5人(37.5%)患有双侧唇裂。所有患者均有广泛的腭裂。嘴唇和前腭修复在中位年龄3个月时完成，而完成腭成形术的中位年龄为10.5个月.完成腭成形术后进行的测量显示，中腭和结节间区域的裂隙宽度明显减少；然而，附近地标处的the弓距离显示出无显着的边缘变化。
结论：使用vomerine皮瓣进行的前腭修复显着减少了剩余的裂隙宽度，而腭宽度保持不变。有必要进行进一步的研究，以探索该技术在面部发育方面对广泛c裂患者的长期影响。
