REMEDY velopharyngeal failure caused by the shortening of the soft palate

摘要

1.method u0443u0441u0442u0440u0430u043du0435u043du0438u00a0 u043du0435u0431u043du043e - u0433u043bu043eu0442u043eu0447u043du043eu0439 failure caused by u0443u043au043eu0440u043eu0447u0435u043du0438u0435u043c u043cu00a0u0433u043au043eu0433u043e sky, including u0432u044bu043au0440u0430u0438u0432u0430u043du0438u0435 and mobilization of u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043du043eu0433u043e flap, you u043fu0440u0435u043fu0430u0440u043eu0432u044bu0432u0430u043du0438u0435 u0441u043eu0441u0443u0434u0438u0441u0442u043e - nerve bundles, cutting off u043cu00a0u0433u043au043eu0433u043e sky from the rear u043au0440u0430u00a0 bone fragments of the sky, u0440u0435u0442u0440u043eu0442u0440u0430u043du0441u043fu043eu0437u0438u0446u0438u044e u043cu00a0u0433u043au043eu0433u043e heaven down and u043au0437u0430u0434u0438 for u043cu0435u0449u0435u043du0438u0435 defect between u043cu00a0u0433u043au0438u043c and strong the skystitching and closure of the wound u0442u0443u0440u0443u043du0434u043eu0439 and a single u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, u0432u044bu043au0440u0430u0438u0432u0430u044eu0442 and u043eu0442u0441u0435u043fu0430u0440u043eu0432u044bu0432u0430u044eu0442 cheeks u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0435 shreds on the leg thus their reason u00a0u0432u043bu00a0u0435u0442u0441u00a0 u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043du044bu0439 flap, u0432u044bu043fu0440u0435u043fu0430u0440u043eu0432u044bu0432u0430u044eu0442 ends of m.palatopharyngeus on both sides and u0443u0448u0438u0432u0430u044eu0442 between ends of the hooks u043au0440u044bu043bu043eu0432u0438u0434u043du043eu0433u043e inexpressible, falling through the sphenoid bone u0430u043bu043bu043eu0441u0443u0445u043eu0436u0438u043bu044cu043du043eu0439 thread, which mr. u0430u0442u00a0u0433u0438u0432u0430u044eu0442 and further u043fu043eu0434u0448u0438u0432u0430u044eu0442 center to u043du0435u0431u043du043eu043cu0443 u0430u043fu043eu043du0435u0432u0440u043eu0437u0443, capsize at 180 u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0435 rags on a leg of the u0440u0430u043du0435u0432u0443u044e surface u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043d wow flap, mucosal surface in the direction of the cavity u043du043eu0441u043eu0433u043bu043eu0442u043au0438,and u0443u0448u0438u0432u0430u044eu0442 among themselves in the "u043fu043eu0446u0435u043bu0443u0439u043du043eu043c" situation, u0432u044bu043au0440u0430u0438u0432u0430u044eu0442 thin epithelial shreds on the leg with the fold in place of the ruined u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0445 loskutov, uk u043bu0430u0434u044bu0432u0430u044eu0442 u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0435 shreds in the defect between the u043cu00a0u0433u043au0438u043c heaven and fragments of the sky, u043fu043eu0434u0448u0438u0432u0430u044eu0442 to u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043du043eu043cu0443 u043bu043eu0441u043au0443u0442u0443 and u043au0440u0430u00a0u043c mucosa u043cu00a0u0433u043au043eu0433u043e n the eba and the nasal mucosa of the skyput u0430u043bu043bu043eu0441u0443u0445u043eu0436u0438u043bu044cu043du0443u044e thread between u043cu00a0u0433u043au0438u043c heaven and u043eu043fu0440u043eu043au0438u043du0443u0442u044bu043cu0438 u043fu043eu0434u0448u0438u0442u044bu043cu0438 u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu043cu0438 scraps, capsize at 180 thin epithelial shreds, put in u043eu043au043eu043bu043eu0433u043bu043eu0442u043eu0447u043du044bu0435 niche and u0443u0448u0438u0432u0430u044eu0442.;2. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that the length of the leg u0441u043eu0441u0442u0430u0432u043bu00a0u0435u0442 loskutov in 3 / 4 of the width of the u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043du043eu0433u043e flap of u043au0440u044bu043bu043eu0447u0435u043bu044eu0441u0442u043du044bu0445 folds (the length of each u00a0 u0437u044bu043au043eu043eu0431u0440u0430u0437u043du043eu0433u043e flap does not exceed 2 - 2.5 cm, width u0440u0430u0432u043du00a0u0435u0442u0441u00a0 size desired u0443u0434u043bu0438u043du0435u043du0438u00a0 u043cu00a0u0433u043au043eu0433u043e sky (an average of 1.5 - 2 cm, thickness over the entire length of 3 - 4 mm, close to the of the 6 - 7 mm.;3. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that between the surface of the wound in the area of u043au0440u044bu043bu043eu0447u0435u043bu044eu0441u0442u043du043eu0439 folds and u0441u043bu0438u0437u0438u0441u0442u043e - u043du0430u0434u043au043eu0441u0442u043du0438u0447u043du044bu043c flap closure bar u043au043fu0435u0440u0435u0434u0438 on grounds u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044b x and u0434u043bu00a0 u043fu0440u0438u0436u0430u0442u0438u00a0 u0434u0435u044du043fu0438u0442u0435u043bu0438u0437u0438u0440u043eu0432u0430u043du043du043eu0439 loskutov seam surface in place of the fold u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0445 clean rags to u0442u043au0430u043du00a0u043c of u043au0440u044bu043bu043eu0447u0435u043bu044eu0441u0442u043du043eu0439 folds.;4. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that the u00a0u0437u044bu043au043eu043eu0431u0440u0430u0437u043du044bu0435. u0443u0448u0438u0432u0430u044eu0442 between a "u043cu0430u0442u0440u0430u0446u043du044bu043cu0438" seams.