黏膜下腭裂的诊断及治疗

doi:10.7518/gjkq.2018.03.023

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (3): 368-372.doi: 10.7518/gjkq.2018.03.023

• 综述 • 上一篇

黏膜下腭裂的诊断及治疗

史佳虹, 鲁勇

南京大学医学院附属口腔医院口腔颌面外科南京 210008

收稿日期:2017-09-10 修回日期:2018-02-05 发布日期:2018-05-08
通讯作者: 鲁勇,副主任医师,博士,Email：cleft_surgery@sina.com
作者简介:史佳虹,硕士,Email：camillashjh@163.com
基金资助:
江苏省卫生厅医学科研项目（H201239）;南京市医学科技发展项目（YKK15117,QRX11125）

Research progress on diagnosis and treatment for submucous cleft palate

Shi Jiahong, Lu Yong

Dept. of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China

Received:2017-09-10 Revised:2018-02-05 Published:2018-05-08
Supported by:
This study was supported by the Project of Medical Scientific Research of Health Department of Jiangsu Province (H201239) and the Project of Science and Technology Development of Nanjing (YKK15117, QRX11125).

摘要/Abstract

摘要： 黏膜下腭裂作为腭裂的一种特殊类型,主要临床表现为两侧悬雍垂分叉、硬腭后缘V形骨质缺损、软腭肌肉中线不连续呈透亮影的三联征及腭咽闭合不全、中耳炎等,现存在诊断延误、疗效不佳等问题,需要引起临床注意。本文就其病理病因,临床表现、诊断、分类及治疗方面作一简要综述。

关键词: 黏膜下腭裂, 腭咽闭合不全, 三联征诊断

Abstract: Submucous cleft palate (SMCP) is a special type of cleft palate, presenting the classic clinical features which are a bifid uvula, a midline transluscent zone (zonapellucida) of the soft palate, and a palpable bony notch within the posterior hard palate. Abnormal insertion of the levator palatini muscle causes velopharyngeal insufficiency (VPI), otitis media and so on. There are always late discovery of SMCP and we observed that the VPI incidence after palatoplasty for SMCP patients was higher than that of other cases of cleft palate. So much attention should be paid to SMCP. This article makes a brief summary of the pathological causes, clinical manifestations, diagnosis and treatment.

Key words: submucous cleft palate, velopharyngeal insufficiency, triad syndrome diagnosis

中图分类号:

R782.2+2

史佳虹, 鲁勇. 黏膜下腭裂的诊断及治疗[J]. 国际口腔医学杂志, 2018, 45(3): 368-372.

Shi Jiahong, Lu Yong. Research progress on diagnosis and treatment for submucous cleft palate[J]. Inter J Stomatol, 2018, 45(3): 368-372.

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黏膜下腭裂的诊断及治疗

Research progress on diagnosis and treatment for submucous cleft palate

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