CAJ | 학술논문

为了提高腭裂术后的腭咽闭合率，笔者在建立术中鼻咽侧壁松弛切口，将完全性腭裂的口、鼻腔裂隙分别变为不完全性腭裂的基础上，应用Furlow反向双Z的切口设计形式，增加软腭的长度。同时兼顾Sommerlad的腭帆提肌解剖技术，最大限度地重建腭帆提肌的解剖关系。包括在小于和等于18个月患者中的腭帆提肌解剖术及大于18个月患者的软腭肌肉瓣与口腔黏膜分离并完成二次旋转术等。拓宽了反向双Z和腭帆提肌重建技术在腭裂患者中的应用，并实现对腭裂的精准外科治疗。
위료제고악렬술후적악인폐합솔，필자재건립술중비인측벽송이절구，장완전성악렬적구、비강렬극분별변위불완전성악렬적기출상，응용Furlow반향쌍Z적절구설계형식，증가연악적장도。동시겸고Sommerlad적악범제기해부기술，최대한도지중건악범제기적해부관계。포괄재소우화등우18개월환자중적악범제기해부술급대우18개월환자적연악기육판여구강점막분리병완성이차선전술등。탁관료반향쌍Z화악범제기중건기술재악렬환자중적응용，병실현대악렬적정준외과치료。
Lateral?relaxing?incision?was?carried?out?at?the?lateral?nasopharynx?wall?to?transform?a?complete?cleft?into?an?incomplete?form?and?to?extend?the?soft?palate?with?Furlow’s?double-opposing?Z-plasty.?This?procedure?involving?Sommerlad’s?levator?veli?palatini?dissection?was?performed?to?enhance?velopharyngeal?functions?after?cleft?palate?is?repaired.?Thus,?the?velar?muscular?sling?is?fully?restored.?Individualized?surgical?protocols?are?designed?for?approximately?18-month-old?patients.?With?this?treatment?protocol,?the?application?of?double-opposing?Z-plasty?and?the?reconstruction?of?levator?veli?palatini?are?broadened.?Therefore,?cleft?palate?can?be?precisely?and?surgically?managed.