颊脂肪垫在腭裂修复中的新用途-唇腭裂治疗中心-汕头大学医学院第.DOCVIP

颊脂肪垫在腭裂修复中的新用途lungangshi@163.com 手机通讯作者：唐世杰，男，1966年生，湖南人，博士，教授，主任医师，研究方向：唇腭裂基础及临床治疗 E-mail tang2302@163.com 手机【摘要】 目的：探讨腭裂修复术中应用颊脂肪垫Buccal fat pad,BFP）填塞于颊脂肪垫颊脂肪垫瓣填塞于颊脂肪垫腭裂修复 新用途 new application of buccal fat pad in cleft palate repair Shi Lun-gang, Tang Shi-jie, Xie Si-tian, Peng Li-hong, Mao Xiao-yan,Zhu Zheng-sheng, Zhang Wan-cong,He Yun-pu [Abstract] Objective: To explore the application and effect of packing the rear space of transverse lamina of palatine bone using buccal fat pad in cleft palate repair. Method: 140 patients aged from 6 months to 3 years old with only complete or incomplete cleft palate (patients with recessive cleft palate, cleft uvular and syndromic cleft palate were excluded) were selected as research subjects from our cleft lip and palate treatment center from September 2010 to September 2013. The subjects were divided into two groups, the experimental group and the control group, each 70 cases. Both groups received Sommerlad’s method and Bardach two flaps method while the experimental group adopted the application of buccal fat pad to fill the rear space of the transverse lamina of the palatine bone. Follow ups were done 1, 3, 6, 12months post operation. The occurrence rate of cleft palate fistula, the scar contracture, the length and the mobility of soft palate together with the grade of lamprophony were evaluated. Result: There was no cleft palate fistula occurred in the experimental group. Less scar contracture of the soft palate was observed in the experimental group compared to the control group. The length was longer while the mobility of soft palate and the grade of lamprophony were better in the experimental group compared to the control group. Conclusion: The application of packing buccal fat pad in the rear space of the transverse lamina of the palatine bone during cleft palate repair can significantly reduce the occurrence rate of cleft palate fistula, minimize the scar contracture, maintain the leng