SU1309966A1 - Method of treatment of palate non-symphysis - Google Patents

Abstract

To prevent the formation of scars on the hard palate (TH), a cut is made along the edge of the soft palate (MD) defect from the top of the tongue ahead. The income to the border of the MN and TH, the incision line is smoothly transferred to the oral surface of the palate with a maximum distance of 3-4 mm from the edge of the defect at the level of 6-L6 teeth, then also smoothly passes again to the edge of the defect and extends the incision edges of the defect in the area of the alveolar process. Similarly, doing the other side. The mucous-periosteal cover is detached from the nasal surface of the palatine processes of the upper jaw, and in the widest part of the TN defect with the addition of a strip of mucoperiosteal cover from the oral cavity. The detachment is carried out as widely as possible. MN tissues are separated from the posterior edge of the TH. The edge of the detached mucous-periosteal cover is sshchivayut throughout the defect of TN and MN. Then sew the muscles and mucosa MN for Shvekendieku or Frolova. MH is extended according to Schönborn-Rosenthal. The wound surface on the TH, facing the oral cavity, is covered with free skin or mucosal autograft. sl with about with g G 05 05

Description

FIELD OF THE INVENTION The invention relates to medicine, namely, maxillofacial surgery.

The purpose of the invention is to prevent the formation of scars on the hard palate.

The method is carried out as follows.

A cut is made along the edge of the soft palate defect from the top of the tongue forwards. The income to the border of soft and hard palate, the incision line is smoothly transferred to the oral surface of the palate with a maximum distance of 3-4 mm from the edge of the defect at the level of the teeth, then also smoothly passes again to the edge of the defect and extends the incision to the place where the edges touch. defect in the area of the alveolar process. Similarly, doing the other side. A curved raspator and a smoothing head exfoliate the mucous membrane of the endosteal cover from the nasal surface of the palatine processes of the upper jaw, and in the widest part of the defect of the hard palate with the addition of a strip of mucoperiosteal cover from the oral cavity. The detachment is carried out as widely as possible. The tissue is separated from the soft palate tissue from the posterior edge of the hard. The edges of the detached mucous-periosteal cover are sutured with catgut throughout the defect of the hard and soft palate. Then, the muscles and the mucous membrane of the soft palate are sutured according to Swedish or Frolova. The elongation of the soft palate is performed according to Schönbor nu Rosentale. The wound surface formed in the hard palate facing the oral cavity is covered with free autograft of the skin or mucous membrane. The autograft is covered with iodoform tampons, which are pressed with a protective plate.

Example. Patient P., 6 liters, with a diagnosis of left-sided through non-union of the sky. Defect width at 6.16 teeth 11 mm. Operated. Exfoliate the mucous membrane with the periosteum on the nasal surface of the palatine processes of the upper th

crumples all over the hard palate, peel the soft palate tissues from the rear edges of the hard palate fragments. Flap stitches are pulled out of catgut stitches.

along the line of the defect and then the nasal mucosa is sutured within the soft palate. The sutures are applied to the muscles of the soft palate according to Schwekendieck, the mucous membrane of the soft palate is sutured from the side of the oral cavity. The lengthening of the soft palate is achieved according to the method of Schönborn-Rosenthal. Then, a strip of mucous membrane is excised on the right cheek, the wound is wounded, and the trans plantation is placed on the wound surface of the nasal mucosto-periosteal flaps facing the cavity. The graft is pressed with an iodoform pad and a protective plate.

When viewed through the month after surgery, a soft and thin scar along the graft borders is determined.

The proposed method allows to prevent the formation of scars rather extensive in area on the palatal surface of the alveolar process, which can have an adverse effect on the growth of the upper jaw and the teething process, and the use of more elastic and periosteal cover from the side the nose will allow to close more extensive defects up to 12 mm and more, without increasing the area of the wound with oral

parties.

Claims (1)

Invention Formula The method of treating non-palatal sky by moving soft tissues towards the defect with subsequent stitching, characterized in that, in order to prevent the formation of scars on the hard palate, the mucous-periosteal layer is removed on the nasal surface of the palatine processes, and the wound surface facing the oral cavity epithelizes with autograft.