VAKHRUSHEV SERGEJ GENNADIEVICH,Вахрушев Сергей Геннадиевич (RU),RADKEVICH ANDREJ ANATOLEVICH,Радкевич Андрей Анатольевич (RU),IVANOV VLADIMIR ANATOLEVICH,Иванов Владимир Анатольевич (RU),KOLGA VITALIJ
申请号：
RU2010147403/14
公开号：
RU0002446758C1
申请日:
2010.11.19
申请国别(地区):
RU
年份:
2012
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to maxillofacial surgery, and is intended for surgical treatment of inherent clefts of hard and soft palate with recovery of nasal breathing. Cleft edges are freshened and in region of lateral parts of hard palate mucosa and periosteum are cut. Cuts are made in anterior and medium parts of hard palate to form mucous-periosteal flaps. Mucous-periosteal flaps are detached from palatine and alveolar processes of upper jaws and horizontal plates of palatine bones. Mucous-periosteal flaps are formed and mobilised in anterior and medium parts of hard palate. Vascular-nervous bundles from large palatal canals are brought out and mobilised after resection of their posterior walls. Mucous membrane of lower part of nasal cavity is mobilised, mucous-periosteal flaps are separated from nasal mucosa in region of hard and soft palate border forward. Mucous membrane and submucous layer are cut in retromolar zones to tongue surface of alveolar process of lower jaw and hooks of pterygoid processes of main bone. Soft tissues are separated from the latter in the layer of interfascial space and from internal surface of internal plate of main bone to attachment m. pharingo-palatini, without changing the place of attachment m. tensor veli palatini. In case of insufficient tissue mobility upper poles of tendons of said muscles are cut. In the area of vomer defect, mucosa of vertical plate of ethmoid bone is separated subperiosteally from both sides on 0.4-0.8 cm, and subperiosteally into zone of vomer and hard palate bones defect from lower surface installed is tissue nickelide-titanium implant made from nickelide-titanium thread with 50-60 mcm diameter with cell size 10-1000 mcm, consisting of two parts of L-like shape, fixed to each other in upper part with nickelide-titanium thread. Upper part of implant corresponds to the shape of vomer defect, lower - to total width of mucous-periosteal flaps of hard palate. Flaps of so
