Roy Andree-Anne, Rtshiladze Michael Alexander, Stevens Kyle, Phillips John
Department of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.
Craniofacial Unit, Department of Plastic and Reconstructive Surgery, Sydney Children's Hospital, Randwick, High Street, Sydney, New South Wales 2031, Australia.
Clin Plast Surg. 2019 Apr;46(2):157-171. doi: 10.1016/j.cps.2018.11.002. Epub 2019 Feb 6.
Cleft orthognathic surgery is an important component of a comprehensive cleft care plan. Applying combined orthodontic and orthognathic treatment principles to a cohort of patients with cleft lip and palate raises many challenges not encountered in conventional orthognathic care. Cleft patients share a commonality in their midfacial anatomy that is characterized by a 3-dimensionally deficient maxilla. The residual sequelae of multiple previous surgeries along with dental differences and unhealed fistulae are considerations when embarking on treatment. This article describes many of these challenges and highlights approaches that are used to address the specific needs of this special group of patients.
唇腭裂正颌外科手术是综合唇腭裂治疗方案的重要组成部分。将正畸和正颌联合治疗原则应用于唇腭裂患者群体，会带来许多传统正颌治疗中未遇到的挑战。唇腭裂患者在面中部解剖结构上有一个共同特点，即上颌骨三维发育不足。在开始治疗时，需要考虑之前多次手术留下的后遗症、牙齿差异以及未愈合的瘘管等因素。本文描述了其中的许多挑战，并重点介绍了用于满足这一特殊患者群体特定需求的方法。
