重复颊瓣成功减轻了一名腭裂患者的鼻音过重。

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-06-01 Epub Date: 2023-01-02 DOI:10.1177/10556656221149520

Jackson Green, Austin Lignieres, Chioma G Obinero, Phuong D Nguyen, Matthew R Greives

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引用次数: 0

摘要

手术治疗可能会导致咽喉发育不全（VPI），进而导致发音过低和反流。在本病例中，一名曾使用双侧颊骨瓣进行CP修复的患者因发音过高和VPI（通过言语检查和影像学评估）就诊。3 个月后，她再次接受了双侧颊瓣腭部延长术，并进行了瓣蒂分离。分离术后三个月，她的发音过低评分从中度改善为轻度，后间隙也有所减小。这项研究认为，颊瓣可以第二次用于因 VPI 而需要进行腭翻修的患者。

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Repeat Buccal Flaps Successfully Reduce Hypernasality in a Patient with Cleft Palate.

Surgical intervention can contribute to the development of velopharyngeal insufficiency (VPI) leading to hypernasality and regurgitation. In this case, a patient with a history of bilateral buccal flaps used for her primary CP repair presented to clinic with hypernasality and VPI as assessed by speech exam and imaging. She underwent repeat bilateral buccal flap palatal lengthening with division of the pedicles 3 months later. Three months after her division, her hypernasality score improved from moderate to mild and her posterior gap decreased. This study concluded buccal flaps can be used a second time for patients needing palatal revisions for VPI.

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.