Yen Stephen, Hammoudeh Jeffrey, Edwards Sean P, Urata Mark
Division of Dentistry, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS 116, Los Angeles, CA 90027, USA.
Division of Oral and Maxillofacial Surgery, Department of Plastic and Reconstructive Surgery, Children's Hospital Los Angeles, MS 96, CA 90275, USA.
Oral Maxillofac Surg Clin North Am. 2020 May;32(2):249-267. doi: 10.1016/j.coms.2020.01.013.
Preparation and planning for orthognathic surgery in late adolescence depends on the complexity of unresolved problems with which the patient presents. Different strategies are presented to address these unresolved problems in the adult patient with cleft lip and palate. Different surgical and orthodontic treatments are presented to correct the class III malocclusion in patients with cleft lip and palate in ranges that are analogous to the envelope of discrepancy. For complex cases, the principles of achievability, stability, and esthetics should guide the decision-making process for planning the preparation for orthognathic surgery.
青春期后期正颌手术的准备和规划取决于患者所呈现的未解决问题的复杂性。本文提出了不同的策略来解决成年唇腭裂患者的这些未解决问题。本文还介绍了不同的手术和正畸治疗方法，以矫正唇腭裂患者的III类错牙合畸形，其范围类似于差异范围。对于复杂病例，可实现性、稳定性和美观性原则应指导正颌手术准备规划的决策过程。
