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[单侧完全性唇腭裂患者一期腭裂修复术后下颌骨的形态及空间位置]

[Morphology and spatial position of the mandible in complete unilateral cleft lip and palate individuals after one-stage repair of the cleft].

作者信息

Fudalej Piotr, Obłoj Barbara, Dudkiewicz Zofia

机构信息

Klinika Chirurgii Dzieci i Młodziezy, Centrum Leczenia Wad Twarzoczaszki, Instytut Matki i Dziecka, ul. Kasprzaka 17a, 01-211 Warszawa, Poland.

出版信息

Med Wieku Rozwoj. 2006 Jul-Sep;10(3 Pt 2):875-84.

Abstract

AIM

To compare the size and spatial position of the mandible in unilateral cleft lip and palate (UCLP) individuals treated with one-stage repair of the lip and palate, with normal individuals.

MATERIAL AND METHODS

25 UCLP children aged 9-11 years, treated during the first year of life (average--9 months) compared with 25 subjects with normal morphology craniofacial skeleton. The measurements included: anterior and posterior facial height, mandibular plane angle, mandibular ramus, corpus and total length, Sella-Nasion-point B and Sella-Nasion-Pogonion angles. The difference between the groups was assessed by the T test for independent samples.

RESULTS

The mandibular anterior surface was retruded (SNB and SNPog angles were approximately 3 degrees less than in controls). The other variables measured in the cleft group showed no difference in comparison to the controls. In the cleft group, standard deviation was higher for most measurements.

CONCLUSIONS

Growth of the mandible in the UCLP subjects treated with a one-stage repair is close to normal. However, final verification of the mandibular growth will be possible after attainment of maturity.

摘要

目的

比较唇腭裂一期修复术治疗的单侧唇腭裂(UCLP)患者与正常个体下颌骨的大小和空间位置。

材料与方法

选取25名9至11岁的UCLP儿童,这些儿童在出生后第一年内(平均9个月)接受治疗,并与25名颅面骨骼形态正常的受试者进行比较。测量项目包括:面部前后高度、下颌平面角、下颌升支、下颌体及全长、蝶鞍 - 鼻根点 - B点角和蝶鞍 - 鼻根点 - 颏前点角。两组间差异采用独立样本t检验进行评估。

结果

下颌前表面后缩(SNB角和SNPog角比对照组小约3度)。腭裂组测量的其他变量与对照组相比无差异。在腭裂组中,大多数测量值的标准差更高。

结论

接受一期修复术治疗的UCLP患者下颌骨生长接近正常。然而,下颌骨生长的最终验证要在成年后才能进行。

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