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单侧唇腭裂患儿的颅面发育

Craniofacial development in children with unilateral cleft lip and palate.

作者信息

Doğan Servet, Onçağ Gökhan, Akin Yalçin

机构信息

Ege University School of Dentistry, Department of Orthodontics, Bornova, Izmir, Turkey.

出版信息

Br J Oral Maxillofac Surg. 2006 Feb;44(1):28-33. doi: 10.1016/j.bjoms.2005.07.023. Epub 2005 Nov 18.

Abstract

Unilateral cleft lip and palate is the most common cleft in humans. We investigated the craniofacial morphology of Turkish children with unilateral complete cleft lip and palate who had operations to close the cleft lip when they were 3 months old and to close the palate at 12 months. They were not given orthopaedic or orthodontic treatment. We compared 42 patients with unilateral complete cleft lip and palate (UCCLP) with 45 control children without UCCLP at mean ages of 13 and 15 years. The children with UCCLP had considerable morphological deviations compared with the matched children without clefts. They had significantly shorter and more posteriorly positioned maxillas (p<0.01). There was also an increase in cranial base angle (p<0.05), mandibular plane and gonial angle (p<0.01). There was a reduction in the posterior facial height (p<0.05) and an increase in the anterior facial height (p<0.01). The profile of the soft tissue was more convex (p<0.001) and the upper lip was thinner than in the children in the control group (p<0.01), and their noses were relatively further backwards and downwards (p<0.01).

摘要

单侧唇腭裂是人类最常见的腭裂类型。我们对土耳其单侧完全性唇腭裂儿童的颅面形态进行了研究,这些儿童在3个月大时接受了唇裂修复手术,在12个月大时接受了腭裂修复手术。他们未接受矫形或正畸治疗。我们将42名单侧完全性唇腭裂(UCCLP)患者与45名无UCCLP的对照儿童在平均年龄13岁和15岁时进行了比较。与匹配的无腭裂儿童相比,UCCLP儿童存在相当大的形态学偏差。他们的上颌明显更短且位置更靠后(p<0.01)。颅底角(p<0.05)、下颌平面角和下颌角(p<0.01)也有所增加。面后部高度降低(p<0.05),面前部高度增加(p<0.01)。软组织轮廓更凸(p<0.001),上唇比对照组儿童更薄(p<0.01),且他们的鼻子相对更向后下方(p<0.01)。

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