腭裂整复术中肌肉功能性重建的研究进展

摘要

腭裂是口腔颌面部常见的先天性疾病之一，影响患者的饮食、语音和听力等重要的生理功能。行软腭内成形术重建腭咽肌肉，可以提高术后腭咽闭合率，改善患者术后的听力和语言能力。目前，腭裂整复时重建腭咽肌肉功能性已被大多数外科医生所认同，主要分歧在于术中肌肉解剖的程度、重建方式和肌肉功能性重建对腭咽功能、语音和听力的影响。本文就软腭内成形术与肌肉解剖、软腭内成形术与软腭功能、软腭内成形术与听力和软腭内成形术与术后腭瘘等研究进展作一综述。%Cleft palate is one of the common congenital anomalies in the craniofacial region. This anomaly affects multiple functions including food intake, speech, and hearing. Reconstruction of the palatal muscle can improve the velopharyngeal function, speech, and hearing. At present, most surgeons recognize velar muscle reconstruction as an indispensable step in palatoplasty. However, the degree of palatal muscle dissection, as well as the methods of palatal muscle reconstruction and their relationship with velopharyngeal function, speech, and hearing, all remain unclear. In this paper, present a comprehensive review of the above issues.