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目的:观察颊脂垫瓣填塞腭裂松弛切口对上颌骨发育的影响。方法:选择30例3～4岁(Ⅱ°～Ⅲ°)腭裂患儿,~应用腭裂常规术式进行修补,其中15例术中即刻游离两侧颊脂垫瓣填塞于双侧松驰切口骨组织与黏膜组织暴露面中,定为实验组;另15例采用松弛切口处碘仿纱条填塞固定,定为对照组;随访观察5年,两组分别取X线头影测量和上牙颌模型,进行测量分析。结果:两组腭裂患儿之间的上颌骨发育有明显差异(P<0.05)。结论:颊脂垫瓣填塞腭裂松弛切口为上颌骨正常发育提供了良好条件。
Objective: To observe the effects of buccal fat pad flap and cleft palate on maxillary development. Methods: Thirty patients with cleft palate from 3 to 4 years old (Ⅱ ° ~ Ⅲ °) were selected. The patients were treated with conventional cleft palate repair method. Among them, 15 cases were treated immediately with free bilateral buccal fat pad flap Tissue and mucosal tissue exposed surface, as the experimental group; the other 15 cases with loose incision iodoform gauze packing, as the control group; follow-up observation of 5 years, the two groups were taken by X-ray and upper jaw model , For measurement and analysis. Results: There was a significant difference in maxillary development between the two groups (P <0.05). Conclusion: Buccal fat pad flap palatal loosening incision provides a good condition for the normal development of the maxilla.