METHOD OF SURGICAL TREATMENT OF CONGENITAL HARD AND SOFT PALATE CLEFT

摘要

FIELD: maxillofacial surgery.;SUBSTANCE: cleft edges are freshened and Langebeck incision and incisions in anterior and middle portion of hard and soft palate are performed. Muco-periosteum flaps are detached from palatine and alveolar outgrowths of upper jaws and horizontal plates of palatine bones. Muco-periosteum flaps are formed and mobilized in anterior and middle portions of hard palate. Muco-periosteum flaps are separated from nasal mucosa in the region of hard and soft palate borders in forward direction. Titanium nickelide tissue made from thread having diameter 50-60 μm and mesh size 10 to 1000 μm is placed between muco-periosteum flaps and bone part of hard palate, width of the tissue being equal to summary width of muco-periosteum flaps. Titanium nickelide tissue is installed in anterior and middle portion on one side below bone part of hard palate and another part of the tissue is attached to the region of palatine mucosa and nose borders. Finally additional fixation of muco-periosteum flaps is accomplished with the aid of iodoform strips and removable protective plate.;EFFECT: prevented necrosis of flaps and reduced recurrence risk.;3 dwg