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唇腭裂患者的正颌外科治疗

Orthosurgical Management of a Patient with Cleft Lip and Palate.

作者信息

Martires Sergio, Kamat Nandini V, Dhupar Vikas

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Goa Dental College and Hospital, Bambolim, Goa, India.

Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.

出版信息

Contemp Clin Dent. 2020 Apr-Jun;11(2):171-178. doi: 10.4103/ccd.ccd_200_18. Epub 2020 Aug 7.

DOI:10.4103/ccd.ccd_200_18
PMID:33110333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7583545/
Abstract

A 31-year-old male patient reported with a chief complaint of a forwardly placed lower jaw. Oral examination revealed Angle's Class III relationship bilaterally and cephalometrically; the patient presented with a small-sized retrognathic maxilla and normal mandible. Orthosurgical treatment was carried out with 4 mm of maxillary advancement and 4 mm of mandibular setback to achieve ideal overjet, overbite, and intercuspation of teeth. The ANB angle showed a drastic change from -9.5° to 1° and a successful conversion of the skeletal profile from Class III to Class I. Orthosurgical treatment can thus be an effective means of treating a patient with cleft lip and palate but requires a detailed understanding of the case and a sound diagnosis to attain a successful outcome.

摘要

一名31岁男性患者因下颌前突为主诉前来就诊。口腔检查双侧及头影测量显示安氏III类关系；患者上颌后缩且尺寸较小，下颌正常。进行了正颌外科治疗，上颌前徙4mm，下颌后退4mm，以实现理想的覆盖、覆合及牙齿尖窝关系。ANB角从-9.5°急剧变化至1°，骨骼侧貌成功从III类转变为I类。因此，正颌外科治疗可以是治疗唇腭裂患者的有效手段，但需要对病例有详细了解并做出准确诊断才能取得成功结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/0f723f4e2fe3/CCD-11-171-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/e6bbacde218b/CCD-11-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/bb22199f409a/CCD-11-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/6da2cec91fa4/CCD-11-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/28e494019fef/CCD-11-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/bfe46bcfdb21/CCD-11-171-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/0f723f4e2fe3/CCD-11-171-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/e6bbacde218b/CCD-11-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/bb22199f409a/CCD-11-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/6da2cec91fa4/CCD-11-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/28e494019fef/CCD-11-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/bfe46bcfdb21/CCD-11-171-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/7583545/0f723f4e2fe3/CCD-11-171-g006.jpg

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本文引用的文献

1
Functional needs of subjects with dentofacial deformities: A study using the index of orthognathic functional treatment need (IOFTN).牙颌面畸形患者的功能需求：一项使用正颌功能治疗需求指数（IOFTN）的研究。
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Late maxillary protraction in patients with unilateral cleft lip and palate: a retrospective study.
单侧唇腭裂患者的晚期上颌前牵引：一项回顾性研究。
Cleft Palate Craniofac J. 2014 Jan;51(1):e1-e10. doi: 10.1597/12-099. Epub 2012 Dec 13.
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Maxillary advancement using distraction osteogenesis with intraoral device.上颌骨采用口内装置的牵引成骨术进行前徙。
Angle Orthod. 2010 Nov;80(6):1165-75. doi: 10.2319/011510-29.1.
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Psychological issues in cleft lip and cleft palate.唇腭裂的心理问题
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Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: effects on speech and velopharyngeal function.上颌骨牵引与正颌手术治疗唇腭裂患者：对语音和腭咽功能的影响。
Int J Oral Maxillofac Surg. 2010 Jul;39(7):633-40. doi: 10.1016/j.ijom.2010.03.011. Epub 2010 Apr 22.
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Cleft maxillary distraction versus orthognathic surgery--which one is more stable in 5 years?上颌骨腭裂牵张成骨术与正颌外科手术——哪种方法在5年内更稳定？
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun;109(6):803-14. doi: 10.1016/j.tripleo.2009.10.056. Epub 2010 Mar 17.
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Facial soft tissue profile following bimaxillary orthognathic surgery.双颌正颌手术后的面部软组织轮廓
Angle Orthod. 2008 Jan;78(1):50-7. doi: 10.2319/122206-525.1.
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Comparison of treatment outcome and stability between distraction osteogenesis and LeFort I osteotomy in cleft patients with maxillary hypoplasia.上颌骨发育不全的腭裂患者中，牵张成骨与LeFort I截骨术治疗效果及稳定性的比较。
J Craniofac Surg. 2007 Sep;18(5):1209-15. doi: 10.1097/scs.0b013e31814b2b8c.
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Speech outcome and velopharyngeal function in cleft palate: comparison of Le Fort I maxillary osteotomy and distraction osteogenesis--early results.腭裂患者的语音结果和腭咽功能：Le Fort I型上颌骨截骨术与牵张成骨术的比较——早期结果
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