赵振民 李森恺 李养群 杨明勇 穆兰花 黄渭清 100041 北京，中国医学科学院中国协和医科大学整形外科医院 中华整形烧伤外科杂志 1998 0 0 3


    关键词：颊脂垫；腭裂 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 介绍颊脂垫瓣移转的应用原理及用以腭裂修复的实践。方法 将颊脂垫瓣移植于硬腭裂隙的口腔侧创面，或充填于腭部的口腔与鼻腔侧组织瓣之间，尤其是硬软腭交界处。颊脂垫不需用皮片覆盖，可以自行上皮化。结果 共治疗腭裂6例，术后颊脂垫完全成活，无腭瘘形成，无颊间隙感染发生。2周后，颊脂垫自行上皮化。结论 颊脂垫血供丰富，易于成活，可为Ⅱ期愈合的创面提供肉芽组织再生床，改善软硬组织血供，以促进伤口的愈合。使通过常规的手术方法不能或难以修复的大的裂隙或缺损得以修复。

    The application of thepedicled buccal fat pad graft in cleft palate repair Zhao Zhenmin,Li Senkai,LiYangqun,et al.Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing100041

    【Abstract】 Objective The purpose of this paper is to provide theexperience in using the pedicled buccal fat pad (BFP) graft in cleft palate repair whenhealing by secondary intention may need to be considered due to the width of the cleft;thequalitative or quantitative tissue constraints,the dead cavity between the oral and nasallayers or single layer closure of the hard palate with the vomer and marginal pedicledmucosoperiosteal flap.Methods The body and buccal extension of BFP isgently torn out from its bed and advanced into the palate vault around the posterioraspect of the maxilla to cover the raw surface of the hard palate cleft and /or fill thedead cavity between the oral and nasal tissue layers,specifically in the conjunction ofthe hard and soft palate.Results Six cleft palates were repaired with theBFP graft.The postoperative course was uneventful.The BFP graft is viable without theoccurrence of fistula or infection. Conclusion The pedicled BFP graft hasprovided an excellent soft tissue support for secondary epithelialization when primarydehiscence has or would have otherwise thwarted ultimate closure of the palatal defect.Thepedicled BFP graft permits closure of palatal defects that could not be repaired byconventional procedures.

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