Nyström M, Ranta R
Department of Pedodontics and Orthodontics, University of Helsinki, Finland.
Cleft Palate J. 1990 Oct;27(4):349-52; discussion 352-3. doi: 10.1597/1545-1569(1990)027<0349:eotamo>2.3.co;2.
The purpose of this study was to compare the influence of two different ages at the time of palatal closure and two surgical methods on the size of the dental arches at the age of 3 years in children, with CP, UCLP, and BCLP. In 88 children the one-stage palatal closure had been performed at the age of 1.8 years and in 92 children at the age of 1.1 years. In both groups palatal surgery had been performed with a V to Y push back procedure (Veau-Wardill-Killner) or with the Cronin modification. Dimensions of the maxillary arch in both groups at age 3 were smaller than in noncleft children, but the timing of palatal closure did not affect arch dimensions in children with CP, UCLP, or BCLP. Arch dimensions at 3 years of age were not related to the method used in palatal closure.
本研究的目的是比较腭裂关闭时两个不同年龄以及两种手术方法对患有腭裂(CP)、单侧完全性唇腭裂(UCLP)和双侧完全性唇腭裂(BCLP)的儿童3岁时牙弓大小的影响。88名儿童在1.8岁时进行了一期腭裂关闭手术,92名儿童在1.1岁时进行了该手术。两组均采用V-Y后推法(Veau-Wardill-Killner)或Cronin改良法进行腭裂手术。两组3岁时上颌牙弓的尺寸均小于非腭裂儿童,但腭裂关闭的时机并未影响患有CP、UCLP或BCLP的儿童的牙弓尺寸。3岁时的牙弓尺寸与腭裂关闭所采用的方法无关。