A procedure combining double opposing Z-plasty with buccal flap and skin graft for a cleft palate patient with short palate

被引：1

作者：

Kobayashi, Shinji ^{[1
]}

Yasumura, Kazunori ^{[1
]}

Mizuno, Yuki ^{[2
]}

Suzuki, Mayumi ^{[2
]}

Hirakawa, Takashi ^{[3
]}

Satake, Toshihiko ^{[4
]}

Yabuki, Yuichiro ^{[4
]}

Maegawa, Jiro ^{[4
]}

机构：

[1] Kanagawa Childrens Med Ctr, Dept Plast & Reconstruct Surg, Yokohama, Kanagawa, Japan

[2] Kanagawa Childrens Med Ctr, Dept Speech Therapy, Yokohama, Kanagawa, Japan

[3] Hirakawa Orthodont Clin, Yokohama, Kanagawa, Japan

[4] Yokohama City Univ Med, Dept Plast & Reconstruct Surg, Yokohama, Kanagawa, Japan

来源：

JPRAS OPEN | 2021年 / 29卷

关键词：

Cleft palate; Short soft palate; Buccal musculomucosal flap; Randall classification; Double opposing Z-plasty; Furlow palatoplasty;

D O I：

10.1016/j.jpra.2021.04.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Cleft palate patients with a short palate are sometimes encountered and it is difficult to achieve effective primary palatoplasty and good speech in these cases. Our purpose was to establish an effective palatoplasty for a cleft palate patient with Randall type III short palate. Buccal musculomucosal flap on the nasal side and skin graft on the oral side were performed, along with double opposing Z-plasty. Speech improved postoperation. This procedure brought the nasopharyngeal area closer to the normal anatomical state. In terms of disadvantages, the procedure is rather complicated and depends on the engraftment rate. (c) 2021 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

引用

页码：55 / 59

页数：5

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