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目的:探讨软腭后推结合带蒂颊脂垫转移修复腭裂的效果。方法:对裂隙较大或复裂病例采用软腭后推术后,遗留的腭前部创面用带蒂颊脂垫的颊突及体部转移覆盖,碘纺纱条打包固定,术后预防感染处理。结果:5例病人,术后颊脂垫完全成活,无复裂,无颊间隙感染。随访3～6月无复裂,发音改善。结论:颊脂垫血供丰富,带蒂转移结合软腭后推可修复裂隙较大的腭裂或复裂后局部可利用组织较少的腭裂。
Objective: To explore the effect of soft palate push combined with pedicle buccal fat pad transfer to repair cleft palate. Methods: After the soft palate was retrofitted to patients with large or complex fractures, the remaining palatal frontal wounds were covered with buccal processes and body transitions of the pedicle buccal fat pad. The iodine-spun yarns were packed and fixed, and postoperative infection prevention . Results: In 5 patients, the buccal fat pad survived completely without any rupture and no buccal space infection. Follow-up 3 to 6 months without rupture, pronunciation improved. Conclusion: The buccal fat pad is rich in blood supply, pedicled transfer combined with the soft palate push back can repair cleft cleft palate or less cleft locally available cleft palate.