Müllerová Z, Smahel Z
Acta Chir Plast. 1989;31(3):181-91.
An assessment of X-ray cephalometric studies was carried out in 32 boys and 25 girls with complete unilateral cleft lip and palate aged ten years and operated upon with the technique of primary bone grafting, as well as in 30 boys and 25 girls with the same type of cleft treated with the same methods, but without bone grafting. Individuals with primary osteoplasty had a deficiency of vertical growth of the upper face and a more marked retroinclination of upper incisors. We failed to disclose any other significant differences. Both series had a markedly deficient anterior growth of the maxilla. Thus the introduction of the method of primary bone grafting did not result in an improved development of the upper jaw, just on the contrary some parameters were suggestive that it exerted an adverse effect. Therefore it was not possible to advocate the use of this surgical procedure in the treatment of clefts.
对32名10岁接受一期植骨技术手术的单侧完全性唇腭裂男孩和25名女孩以及30名接受相同治疗方法但未植骨的同类型腭裂男孩和25名女孩进行了X线头影测量研究评估。接受一期骨成形术的个体上颌面部垂直生长不足，上颌切牙后倾更明显。我们未发现任何其他显著差异。两组上颌前部生长均明显不足。因此，一期植骨方法的引入并未使上颌发育得到改善，恰恰相反，一些参数表明它产生了不利影响。因此，在腭裂治疗中无法提倡使用这种手术方法。
