Oyama Tomoki, Yoshimura Yuki, Onoda Motohiro, Hosokawa Ko, Kanomi Ryuzo
Department of Plastic Surgery, Kobe Children's Hospital, Kobe, Japan.
J Craniofac Surg. 2008 Nov;19(6):1705-7. doi: 10.1097/SCS.0b013e31818ac210.
This study describes a method for stabilizing maxillary segments by performing bilateral alveolar bone grafting with an acrylic splint with a flat undersurface to reduce the occlusal pressure to the premaxilla. After premaxilla repositioning and bilateral alveolar bone grafting, the splint was attached to the maxillary teeth with glass ionomer cement. In 6 bilateral cleft cases, premaxilla repositioning and bilateral alveolar bone grafting were performed in 1-stage manner, and successful results were obtained. This easy and cost-effective procedure enabled rigid fixation of the insecure premaxilla with no complications during the treatment period.
本研究描述了一种通过使用具有平坦底面的丙烯酸夹板进行双侧牙槽骨移植来稳定上颌节段的方法,以降低对上颌前部的咬合压力。在上颌前部重新定位和双侧牙槽骨移植后,用玻璃离子水门汀将夹板固定在上颌牙齿上。在6例双侧唇腭裂病例中,上颌前部重新定位和双侧牙槽骨移植采用一期手术方式进行,并取得了成功的结果。这种简单且经济有效的手术方法能够对上颌前部不稳定部位进行坚固固定,且在治疗期间无并发症发生。