Klippel-Feil综合征合并特纳综合征的管理：一例报告

Management of Klippel-Feil syndrome combined with Turner syndrome: a case report.

作者信息

Park Jae Hyun, Tai Kiyoshi, Sato Yasumori

机构信息

Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, USA.

出版信息

Int J Orthod Milwaukee. 2013 Spring;24(1):37-42.

PMID:23729137

Abstract

A 12-year-old female with Klippel-Feil syndrome (KFS) combined with Turner syndrome (TS) and a submucous cleft palate (CP) was presented. The patient reportedly had TS and had received growth hormone (GH) therapy. Because of her skeletal Class III pattern with a steep mandibular plane angle, facial asymmetry, and fused cervical vertebrae, the effects of the GH on her craniofacial complex needed to be considered at the start of orthopedic/orthodontic treatment. To manage submucous CP with severe maxillary deficiency, a rigid external distraction (RED) device was used. The total active treatment time was 34 months including distraction osteogenesis (DO). Treatment improved both her occlusion and facial appearance.

摘要

本文报告了一名12岁女性，患有Klippel-Feil综合征（KFS）合并特纳综合征（TS）及腭裂（CP）。据报道，该患者患有TS并接受过生长激素（GH）治疗。由于其骨骼Ⅲ类错牙合畸形、下颌平面角陡峭、面部不对称以及颈椎融合，在开始正畸/正颌治疗时，需要考虑GH对其颅面复合体的影响。为治疗严重上颌骨发育不全的腭裂，使用了坚固外部牵张（RED）装置。包括牵张成骨（DO）在内的总积极治疗时间为34个月。治疗改善了她的咬合关系和面部外观。