口蓋形成術術後の上顎歯槽部,口蓋粘膜の知覚に関する研究第1報知覚閾値の術式別検討

概要

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The purpose of the present study was to assess palatal sensibility in patients with UCLP after two types of palatoplasty; the Kohama Supraperiosteal flap technique (SP technique) and Mucoperiosteal flap technique (MP technique). Thirty-six patients ranging from 11 - 28 years of age (mean age 17.5 years) participated in the present study. 18 patients were operated on by SP technique and 18 by MP technique. Thirty-five normal volunteers were examined as control (mean age 20.4 years). Sensory tests using a Semmes-Weinstein monofilament kitR (Smith & Nephew, Inc., Germantown. WI, USA) were employed on 12 different points of the hard palate. The postoperative sensibility values of patients were significantly different between the SP and MP techniques. The mean postoperative sensibility values for hard palate with SP technique were higher than the mean normal palatal sensibility values (p≦0.05). Mean post operative sensibility values of hard palate with SP technique were lower than those with MP technique (p≦0.05). In conclusion, from these results, it was suggested that palatal sensibility of patients operated on by SP technique is superior compared with that of patients operated on by MP technique.
札幌医科大学の論文
2000-12-01