NEJM:粘膜下腭裂-病例报道

2020-05-28 MedSci原创 MedSci原创

粘膜下腭裂通常是由于腭板与鼻中隔在硬腭层面的不完全融合以及软腭的腭肌与硬腭后缘的不正常附着所引起的。

患者为一名25岁的男子,因儿童时期出现的鼻音过重和鼻腔食物反流而到耳鼻喉科就诊。他没有耳部反复感染的病史,也没有生长或语言发育迟缓的病史。

体格检查发现沿硬腭中线有双裂小舌和黏膜下缺损,与黏膜下腭裂一致。鼻咽镜检查发现咽喉瓣关闭不完全。硬腭后部触诊无切迹,也没有其他颅面异常。

粘膜下腭裂通常是由于腭板与鼻中隔在硬腭层面的不完全融合以及软腭的腭肌与硬腭后缘的不正常附着所引起的。

该患者拒绝手术治疗,被转诊接受言语和语言治疗。

原始出处:

Omar Bargas,et al.Submucosal Cleft Palate.N Engl J Med 2020;https://www.nejm.org/doi/full/10.1056/NEJMicm1913924

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    2020-11-17 guoyibin
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    2020-05-28 旺医

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