Heliövaara Arja, Ranta Reijo, Rautio Jorma
Cleft Center, Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Acta Odontol Scand. 2003 Dec;61(6):363-6. doi: 10.1080/00016350310007374.
Ninety-three girls with cleft palate (53 submucous cleft palate (SMCP) and 40 isolated cleft palate (ICP)), mean age 6.2 years (range 5.5-7.5), were compared retrospectively from lateral cephalograms. Forty-three patients with SMCP had had surgical treatment at the mean age of 3.4 years (range 0.9-6.8), 10 of the SMCP patients were unoperated. Twenty-six patients with ICP had clefts of the hard and soft palate, and 14 had clefts of the soft palate only. Palatal closure of ICP had been done at the mean age of 1.5 years (range 1.0-2.1). The skeletal craniofacial morphology was similar in SMCP and ICP. The maxilla and mandible were well related to each other but slightly retrusive in relation to the cranial base. The slight skeletal retrusion was significantly more masked by soft tissue in patients with SMCP. The patients with SMCP showed higher values for soft tissue maxillary and mandibular prominence.
对93名腭裂女童(53名黏膜下腭裂(SMCP)和40名单纯腭裂(ICP))进行回顾性比较,这些女童平均年龄6.2岁(范围5.5 - 7.5岁),数据来自头颅侧位片。43名SMCP患者平均在3.4岁(范围0.9 - 6.8岁)时接受了手术治疗,10名SMCP患者未接受手术。26名ICP患者硬腭和软腭均有裂隙,14名仅软腭有裂隙。ICP患者的腭部闭合手术平均在1.5岁(范围1.0 - 2.1岁)时完成。SMCP和ICP患者的颅面骨骼形态相似。上颌骨和下颌骨相互关系良好,但相对于颅底略后缩。SMCP患者中,软组织对轻微骨骼后缩的掩盖作用更为明显。SMCP患者的软组织上颌和下颌突出度值更高。