Brin I, Bar-Abudi R, Abed Y, Ben-Bassat Y, Harari D, Zilberman Y
Dept. of Orthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem.
Refuat Hapeh Vehashinayim (1993). 2003 Apr;20(2):65-70, 82.
To evaluate the population of cleft patients treated in a Department of Orthodontics and the types of treatment modalities provided.
Demographic, cleft related and treatment related data existing in the patients' files were supplemented by questionnaires. Comparisons were conducted among 3 cleft groups: cleft lip (CL), cleft lip and palate (CLP) and cleft palate (CP).
The response rate was 36% (n = 152). The distribution of the patients in the 3 cleft groups, the sidedness, the male predominance and association with additional anomalies were similar to the reports in the literature. Most of the patients were the 3rd born (or more) and were of normal birth weight. Consanguity in the cleft families was at least 2.5 times more prevalent than that of the Israeli population and 30% reported on additional cleft in the family. Low birth weight and additional anomalies were found mainly in the CP group. Orthodontic involvement spanned 3 developmental periods: immediate postnatal presurgical treatment, phase I between the ages 6-8 years and full orthodontic treatment at a later age. Up to the age of 5 years only one lip operation was performed for 60% of the lip-affected children and one palate operation for 65% of the palate affected patients.
评估在正畸科接受治疗的腭裂患者群体以及所提供的治疗方式类型。
通过问卷调查补充患者档案中现有的人口统计学、腭裂相关及治疗相关数据。在唇裂（CL）、唇腭裂（CLP）和腭裂（CP）这3个腭裂组之间进行比较。
回复率为36%（n = 152）。3个腭裂组患者的分布、裂侧、男性占优势情况以及与其他异常的关联与文献报道相似。大多数患者是第三胎（或更多）且出生体重正常。腭裂家族中的近亲结婚率至少是以色列人群的2.5倍，30%的患者报告家族中有其他腭裂病例。低出生体重和其他异常主要见于CP组。正畸治疗跨越3个发育阶段：出生后立即进行术前治疗、6至8岁之间的第一阶段治疗以及后期的全面正畸治疗。到5岁时，60%受唇裂影响的儿童仅接受了一次唇部手术，65%受腭裂影响的患者仅接受了一次腭裂手术。
