Horswell B B, Levant B A
University of Connecticut Health Center, Farmington.
Cleft Palate J. 1988 Apr;25(2):114-21.
Sixteen individuals with complete unilateral cleft lip and palate (UCLP) were evaluated for determination of several craniofacial dimensional means and growth rates. Each had undergone primary lip and palatal closure and alveolar bone grafting. Serial cephalographs from ages 8 to 18 years, taken every 2 years, were utilized for determination of six cephalometric dimensions: anterior cranial base, upper and lower facial heights, posterior nasomaxillary height, maxillary horizontal length, and mandibular length. These were then compared to published cephalometric standards of a nonclefted group. All dimensions, except mandibular length, were smaller in the UCLP group. The horizontal maxillary length was the most diminished in mean length and growth rate; it appears to be most affected in UCLP. The remaining dimensions and growth rates are affected by UCLP, but to a lesser degree. These findings indicated that individuals with unilateral cleft lip and palate are primarily and adversely affected by clefting (and the surgery as described) in the horizontal maxilla, both in dimension and growth rate.
对16名单侧完全性唇腭裂（UCLP）患者进行评估，以确定几个颅面尺寸均值和生长速率。每位患者均接受了一期唇腭裂修复术和牙槽骨移植术。利用从8岁至18岁每2年拍摄一次的系列头颅侧位片，测定六个头影测量尺寸：前颅底、面高（上、下）、鼻上颌后份高度、上颌水平长度和下颌长度。然后将这些尺寸与已发表的非腭裂组头影测量标准进行比较。除下颌长度外，UCLP组的所有尺寸均较小。上颌水平长度在平均长度和生长速率方面减小最为明显；在UCLP中似乎受影响最大。其余尺寸和生长速率也受到UCLP的影响，但程度较小。这些发现表明，单侧唇腭裂患者在水平上颌骨的尺寸和生长速率方面，主要受到腭裂（以及所述手术）的不利影响。
