上海口腔医学 ›› 2019, Vol. 28 ›› Issue (2): 201-203.doi: 10.19439/j.sjos.2019.02.019

• 临床总结 • 上一篇    下一篇

皮罗序列征患儿腭裂的改良手术治疗:12例临床分析

陈晓阳1, 葛婷1, 傅豫川2, 陈传俊1   

  1. 1.安徽医科大学附属第三医院 口腔颌面外科,安徽 合肥 230061;
    2.武汉大学附属口腔医院 唇腭裂中心,湖北 武汉 430072
  • 收稿日期:2018-07-11 修回日期:2018-10-12 出版日期:2019-04-25 发布日期:2019-06-20
  • 通讯作者: 陈传俊,E-mail:827029528qq.com
  • 作者简介:陈晓阳(1967-),男,学士,副主任医师,E-mail:2054524740@qq.com

Modified palatoplasty for children of Pierre Robin sequence with cleft palate:clinical analysis of 12 consecutive cases

CHEN Xiao-yang1, GE Ting1, FU Yu-chuan2, CHEN Chuan-jun1   

  1. 1. Department of Oral and Maxillofacial Surgery, The Third Affiliated Hospital of Medical University. Hefei 230061, Anhui Province;
    2. Cleft Lip and Palate Center, Stomatological Hospital of Wuhan University. Wuhan 430072, Hubei Province, China
  • Received:2018-07-11 Revised:2018-10-12 Online:2019-04-25 Published:2019-06-20

摘要: 目的 探讨治疗皮罗序列征患儿腭裂安全、有效的功能性外科方案。方法 选择12例重度皮罗序列征腭裂患儿,腭裂修复术前,为纠正重度缺氧,均实行下颌骨牵张成骨。采用软腭不后退腭帆提肌重建的改良手术进行腭裂修复。结果 12例患皮罗序列征的腭裂患儿,经软腭不后退提肌重建的改良手术后,随访10~12个月,均获得了腭咽闭合功能恢复又不造成呼吸困难的临床效果。结论 对皮罗序列征的腭裂患儿进行腭裂修复手术,有别于一般的腭裂修复手术,应防止腭瓣后徙引起的呼吸窘迫。

关键词: 皮罗序列征, 腭裂, 小下颌

Abstract: PURPOSE: To explore a safe, effective and functional surgical treatment for children of Pierre Robin sequence (PRS) with cleft palate. METHODS: Twelve children of PRS with cleft palate underwent mandibular distraction osteogenesis before cleft palate surgery in order to correct severe hypoxia. A modified palatoplasty was then performed, the palatal flaps on both sides were not elevated in the anterior portions to prevent soft palate backward moving, and the levator veli palatini was repositioned simultaneously. RESULTS: All children achieved velopharyngeal closure without dyspnea after follow-up of 10-12 months. CONCLUSIONS: Measures should be taken to avoid backward movement of the soft palate, which may result in dyspnea of children with PRS in palatoplasty.

Key words: Pierre Robin sequence, Palate cleft, Micrognathia

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