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目的:对鼻内镜应用于成人腭裂修补的疗效进行评价。方法:应用鼻内镜及影像显示系统,在两侧鼻腔内设计和制作合适的鼻黏骨膜瓣,然后将松解的两块黏骨膜在口腔侧正中相对缝合,从而修复腭裂的鼻腔侧。结果:所有患者术后3个月复查,11例患者中9例愈合良好,2例双侧腭黏骨膜瓣在硬腭前端出现分离,但是由于鼻黏骨膜瓣愈合良好而未穿孔,继续随访6个月,腭裂完全修复,勿需行Ⅱ期手术。结论:鼻内镜下经鼻腔能够制作出松解度好、具有良好血供的鼻黏骨膜瓣,从而用于腭裂的修复。手术操作简单,疗效满意。
Objective: To evaluate the efficacy of endoscopic sinus surgery in adult cleft palate repair. Methods: Nasal endoscope and video display system were used to design and fabricate appropriate nasal mucoperiosteal flap on both sides of the nasal cavity. Then, two loose mucoperiosteal membranes were sutured in the middle of the oral cavity to repair nasal cavity side of cleft palate. Results: All patients were reviewed 3 months after operation. Among the 11 patients, 9 cases healed well and 2 cases of bilateral palatal mucoperiosteal flap separated at the front of the hard palate. However, due to good healing of nasal mucoperiosteal flap without perforation, 6 cases were followed up Month, complete repair of cleft palate, do not need to line Ⅱ surgery. CONCLUSION: Nasal endoscopic nasal mucosa flap can be produced with nasal mucoperiosteal flap with good release and good blood supply for the repair of cleft palate. Surgical operation is simple, the effect is satisfactory.