Die gestielte Transposition des Musculus digastricus und stylohyoideus zur Behandlung der Velopharynxinkompetenz
作者:
H. Kärcher,
H. Radner,
F. Anderhuber,
期刊:
Cells Tissues Organs
(Karger Available online 1992)
卷期:
Volume 144,
issue 2
页码: 145-151
ISSN:1422-6405
年代: 1992
DOI:10.1159/000147298
出版商: S. Karger AG
关键词: Velopharyngeal incompetence;Pedicled muscle transplantation;Digastric muscle;Stylohyoid muscle
数据来源: Karger
摘要:
The anatomical basis for the application of neurovascular pedicled muscle transfers of the digastric and stylohyoid muscles in the treatment of velopharynx incompetence is described. The fact that the neurovascular pedicle is located in the cranial third of the muscle bellies provides the safety of the operative procedure. The muscles have to be dissected with respect to that. The direction in which the transferred muscles pull is described. The muscle transposition is combined with the classic Wardill-Kilner operation to lengthen the soft palate. The transferred muscles have to avoid scar contraction and shortening of the soft palate and to gain a muscular function of the soft palate. The clinical use is justified in rare cases as demonstrated in one case.
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