Double reverse zigzag plasty for cleft palate repair

Double reverse Z-shaped cleft palate repair for the repair of cleft palate. Curing disease: Indication 1. Applicable to unilateral complete or incomplete cleft palate repair in infants from 3 to 14 months. 2, suitable for the repair of submucosal (hidden crack). 3, also applies to 2 cleft palate surgery. Contraindications 1. In addition to the general contraindications for cleft palate surgery, the cleft palate is completely cleft and the cleft is wide. 2, the soft palate is thinner and shorter, and the complete cleft palate is disabled. Preoperative preparation 1. Infants and young children should be observed for 7 days after hospitalization. If there is no abnormality, surgery should be performed. 2, 3 days before surgery, antibiotic eye drops, 3 times / d. 3, infants, children with blood before surgery 150ml, adult 300ml spare. 4, antibiotics can be applied 1d before surgery. 5, fasting in the morning of surgery. Oral cleaning. Appropriate amount of atropine and sleeping pills were given 1 h before surgery. Surgical procedure 1, slit design The slit edge incision hangs from the uvula to the anterior alveolar ridge. The soft palate has double inverted Z-shaped incision on both sides of the oral cavity and nasal cavity surface, and the oral side is I and II valves. The nasal cavity side is III and IV valves. 2, cut the flap The mucosa was cut from the anterior alveolar ridge to the bilateral side of the uvula at the edge of the crevice. The mucosa and muscle layer of the I valve on the side of the open cavity were cut, and the muscle layer of the I valve was turned up. The mucosa of the II valve was cut from the uvula to the wing hook and the flap was turned up. From the anterior uvula to the wing hook, the nasal mucosa was cut to form a III valve, and the IV mucosal muscle flap was formed from the posterior margin of the hard palate to the incision of the flap and the nasal mucosa. 3, Z-shaped cross-sitting 1 Close the nasal side wound surface: the nasal mucosa wound edge on both sides of the hard palate fissure was sutured with 1-0 silk suture, to the posterior margin of the hard palate, the III and IV flaps were sutured, and the IV muscle tip fiber muscle suture was sutured to the I lobe root muscle. on. 2 Close the oral side of the wound: the uvula is sutured. I and II flaps were placed in position. The tip muscle of the I valve was sutured and fixed on the root muscle of the IV valve. Then, the oral mucosa of the cross flap was sutured, and the oral mucosal flap on both sides of the hard palate was sutured. complication 1. Z-shaped mucosal flaps are inadvertently perforated, and the wounds are left behind after suturing the wound, infection, partial re-cracking or perforation. 2. There is tension after the Z-shaped flap is cross-displaced and sutured, resulting in partial cracking of the wound. 3, there is tension after the hard palate crack, the wound partially split, causing mouth and nose. 4. Other complications are the same as general cleft palate surgery.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.