国际口腔医学杂志

国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (5): 624-629.doi: 10.7518/gjkq.2024073

• 综述 • 上一篇    下一篇

腭裂术后瘘修复的研究进展

徐一尘(),鲁勇()   

  1. 南京大学医学院附属口腔医院（南京市口腔医院）口腔颌面外科 南京 210008
  • 收稿日期:2023-11-26 修回日期:2024-04-10 出版日期:2024-09-01 发布日期:2024-09-14
  • 通讯作者: 鲁勇
  • 作者简介:徐一尘，住院医师，学士，Email：1837992987@qq.com
  • 基金资助:
    江苏省自然科学基金青年项目(BK20210033)

Advances in the reconstruction of palatal fistula after cleft-palate operation

Yichen Xu(),Yong Lu()   

  1. Dept. of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
  • Received:2023-11-26 Revised:2024-04-10 Online:2024-09-01 Published:2024-09-14
  • Contact: Yong Lu
  • Supported by:
    Natural Science Foundation of Jiangsu Province(BK20210033)

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摘要：

腭瘘是腭裂术后的并发症之一，影响患者的口腔卫生、语言功能及心理健康。腭瘘的影响因素和修复方法，如何在修复的同时降低其复发率以及恢复生理功能和美观，是腭瘘修复的研究重点。本文着重叙述了可能导致腭瘘发生的相关因素，如腭裂类型、腭裂宽度、修复术式，以及修复时患者年龄等；进而讨论了腭瘘修复的外科手段，对各种组织瓣的应用进行了分析比较；最后介绍了使用新型材料，包括脱细胞真皮基质、引导组织再生膜、胶原膜和新微创方法修复腭瘘的效果。

关键词: 腭裂, 腭瘘, 分类, 影响因素, 修复方式

Abstract:

Postoperative fistula is one of the complications of cleft-palate repair, affecting oral hygiene, function of language, and mental health. The factors affecting palatal fistula, reconstruction methods, how to reduce its recurrence rate during repair, and how to restore physiological function and aesthetics have become the focus of research on palatal-fistula repair. This article focuses on the factors contributing to the occurrence of palatal fistula, including cleft-palate type, cleft-palate width, reconstructive procedures, and age at the time of repair. Surgical techniques for palatal fistula repair are discussed. Novel materials such as acellular dermal matrix, guided tissue-regeneration membrane, collagen membrane, and minimally invasive approaches to repairing palatal fistula are introduced.

Key words: cleft palate, palatal fistula, classification, factors, reconstruction

中图分类号: 

  • R782.2+2
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