Hellquist R, Skoog T
Scand J Plast Reconstr Surg. 1976;10(3):197-208. doi: 10.3109/02844317609012969.
The influence of infant periosteoplasty upon the growth of the maxilla, its form and size, and the prevalence of malocclusion in the deciduous dentition was investigated. The material consisted of 66 patients with total unilateral clefts of the primary and secondary palate. Thirty-six had periosteoplasty performed in conjunction with cleft-lip and/or palate repair. Thirty patients were operated upon without periosteoplasty and served as controls. Repair of the lip had a notable effect upon the width of the alveolar cleft and palatal cleft, both in the periosteoplasty cases and in the controls, with no certain difference between the groups. Following lip repair, the anterior width of the alveolar arch was slightly reduced. After palatal repair a further reduction was noted in the deciduous dentition, both in the cases treated with periosteoplasty and in the controls, while the posterior width of the palate across the tuberosities increased during growth. In the deciduous dentition, no differences were found in intercanine and intermolar dimensions between the periosteoplasty cases and the controls. Thus, the new bone formed in the cleft area after periosteoplasty does not seem to withstand the contracting forces introduced by palate surgery. An increased length of the buccal alveolar arch on the cleft side, compared with that on the non-cleft side, was found at both the lip repair and the palate repair in the periosteoplasty cases, as well as in the controls. In the deciduous dentition, this difference was negligible. In the deciduous dentition an anterior position of the lateral maxillary segment proved more common in the periosteoplasty cases than in the controls. On the non-cleft side, there was an increased frequency of mesial occlusion and a corresponding decrease of neutral and distal occlusion in the periosteoplasty cases. No increased frequency of anterior crossbite was found even after repeated periosteoplasty, nor was the maxillary dental-arch length unfavourably influenced. Descriptive analysis of occlusion revealed an increase of buccal crossbite in the periosteoplasty cases of a select group of the widest clefts, treated by repeated periosteoplasty. These cases also had the highest total occlusal score according to the numerical classification, while the total occlusal score after one periosteoplasty in patients with less wider clefts was smaller than in the controls. In all patients who had undergone periosteoplasty new bone formed within the alveolar cleft. A good amount of new bone developed in about half the number of cases.(ABSTRACT TRUNCATED AT 400 WORDS)
研究了婴儿骨膜成形术对上颌骨生长、其形态和大小以及乳牙列错牙合患病率的影响。研究材料包括66例原发性和继发性腭裂的单侧完全性腭裂患者。36例患者在唇裂和/或腭裂修复的同时进行了骨膜成形术。30例患者未进行骨膜成形术，作为对照组。唇裂修复对牙槽裂和腭裂的宽度均有显著影响，在骨膜成形术组和对照组中均如此，两组之间无明显差异。唇裂修复后，牙槽弓的前部宽度略有减小。腭裂修复后，在进行骨膜成形术的病例和对照组的乳牙列中，均发现进一步减小，而腭部横跨结节的后部宽度在生长过程中增加。在乳牙列中，骨膜成形术病例和对照组之间的尖牙间和磨牙间尺寸没有差异。因此，骨膜成形术后在腭裂区域形成的新骨似乎无法承受腭裂手术引入的收缩力。在进行骨膜成形术的病例组以及对照组中，在唇裂修复和腭裂修复时，均发现腭裂侧颊侧牙槽弓的长度比非腭裂侧增加。在乳牙列中，这种差异可以忽略不计。在乳牙列中，上颌骨外侧段的前部位置在骨膜成形术病例组中比对照组更常见。在非腭裂侧，骨膜成形术病例组中近中咬合的频率增加，中性和远中咬合相应减少。即使反复进行骨膜成形术，也未发现前牙反牙合频率增加，上颌牙弓长度也未受到不利影响。对咬合的描述性分析显示，在一组经反复骨膜成形术治疗的最宽腭裂的骨膜成形术病例中，颊侧反牙合增加。根据数字分类，这些病例的总咬合评分也最高，而裂隙较窄患者进行一次骨膜成形术后的总咬合评分低于对照组。在所有接受骨膜成形术的患者中，牙槽裂内均形成了新骨。约半数病例中形成了大量新骨。（摘要截断于400字）
