Hopper Richard A, Al-Mufarrej Faisal
Division of Plastic Surgery, The Craniofacial Center, Seattle Children's Hospital and Regional Medical Center, 4800 Sand Point Way Northeast, Seattle, WA 98105, USA; Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
Division of Plastic Surgery, The Craniofacial Center, Seattle Children's Hospital and Regional Medical Center, 4800 Sand Point Way Northeast, Seattle, WA 98105, USA; Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
Clin Plast Surg. 2014 Apr;41(2):233-40. doi: 10.1016/j.cps.2013.12.006. Epub 2014 Feb 1.
Cleft surgeons seek to provide the best results in the fewest surgeries. Gingivoperiosteoplasty (GPP) is one option to achieve this goal. Although it may normalize early form and function and obviate secondary alveolar bone grafting, it has been associated with iatrogenic dentofacial restriction requiring more extensive treatment later. GPP technique associated with nasoalveolar molding (NAM) uses passive presurgical molding with strict patient-selection criteria. Data on the benefits of NAM-GPP are favorable but long-term outcome studies are required before its final role in cleft care is determined. This article describes the history, technique, perioperative care, and preliminary outcomes of NAM-GPP.
腭裂外科医生力求通过最少的手术获得最佳效果。牙龈骨膜成形术（GPP）是实现这一目标的一种选择。尽管它可能使早期形态和功能正常化，并避免二期牙槽骨移植，但它与医源性牙颌面发育受限有关，这需要后期进行更广泛的治疗。与鼻牙槽塑形（NAM）相关的GPP技术采用被动术前塑形，并设有严格的患者选择标准。关于NAM-GPP益处的数据是有利的，但在确定其在腭裂治疗中的最终作用之前，还需要进行长期疗效研究。本文介绍了NAM-GPP的历史、技术、围手术期护理和初步疗效。
