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为了获得腭裂裂隙的双层关闭,采用犁骨瓣修补完全腭裂。然而,有时鼻侧粘膜组织不足,将犁骨瓣缝合于鼻侧粘膜,操作相当困难,裂隙宽时难度更大。作者介绍一种将犁骨瓣固定于裸露硬腭骨边缘的简单而可靠的方法。操作方法是:用2毫升注射器连接22号皮下注射针头,在硬腭裂隙两侧边缘,钻3～4个孔(图1)。因腭骨薄弱,操作应轻柔。固定犁骨瓣的缝合为:从鼻侧到口腔方向穿过骨孔,再由口腔至鼻侧穿过犁骨瓣,在鼻侧打结(图2)。用4/8或5/8
In order to obtain double-cleft palate cleft closure, the use of vomer flap repair complete cleft palate. However, sometimes the nasal mucosa is deficient and suturing the volar lobe to the nasal mucosa, making it considerably more difficult to work with and more difficult to crack wide. The authors describe a simple and reliable method of fixing a vault flap to the edge of a bare palate. How to do this: Connect a 22-gauge hypodermic needle with a 2 ml syringe and drill 3 to 4 holes on both sides of the cleft palate (Figure 1). Due to weak palatal, the operation should be gentle. Stabilization of the vault flap for the suture: from the nasal to the oral direction through the bone hole, and then from the mouth to the nose through the volar flap, tied in the nose (Figure 2). Use 4/8 or 5/8