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使用定制上颌夹板稳定牙槽骨移植

Alveolar Bone Graft Stabilization with Custom Maxillary Splints.

作者信息

Kim Erinn N, Graham Emily M, Tuncer Fatma B, Yamashiro Duane K, Siddiqi Faizi A, Gociman Barbu R

机构信息

Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.

Drs. Erinn N. Kim and Emily M. Graham contributed equally to this work.

出版信息

Plast Reconstr Surg Glob Open. 2020 Nov 24;8(11):e3214. doi: 10.1097/GOX.0000000000003214. eCollection 2020 Nov.

DOI:10.1097/GOX.0000000000003214
PMID:33299691
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7722544/
Abstract

For secondary alveolar bone grafting in cleft patients, the success of bone graft take is dependent upon creating an ideal environment for both bony and soft tissue healing. This is particularly challenging in patients with existing fistulas, wide clefts, and bilateral alveolar clefts, where large soft tissue mobilization is required to get a tensionless repair, and micro-motion around the bone graft is significantly higher. Herein we describe our method for manufacture and placement of a custom postoperative maxillary splint following secondary alveolar bone grafting. Our splint encompasses the palate and alveolus to stabilize the maxillary arch and protect the incision lines during healing. We find our splint to be a useful adjunct to facilitate postoperative healing following secondary alveolar bone grafting.

摘要

对于腭裂患者的二期牙槽骨植骨，骨移植成活的成功取决于为骨组织和软组织愈合创造理想的环境。这对于存在瘘管、宽腭裂和双侧牙槽裂的患者尤其具有挑战性，在这些情况下，需要进行大范围的软组织松动以实现无张力修复，并且骨移植周围的微动明显更高。在此，我们描述了二期牙槽骨植骨后定制上颌术后夹板的制作和放置方法。我们的夹板覆盖腭部和牙槽，以稳定上颌牙弓并在愈合过程中保护切口线。我们发现我们的夹板是促进二期牙槽骨植骨术后愈合的有用辅助工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/7722544/07d9d339bcd8/gox-8-e3214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/7722544/e95ec23db504/gox-8-e3214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/7722544/07d9d339bcd8/gox-8-e3214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/7722544/e95ec23db504/gox-8-e3214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/7722544/07d9d339bcd8/gox-8-e3214-g002.jpg

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本文引用的文献

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POSTOPERATIVE FIXATION AFTER REPOSITIONING OF PREMAXILLA IN A PATIENT WITH BILATERAL CLEFT LIP AND PALATE - CASE REPORT.双侧唇腭裂患者上颌前骨复位术后的固定——病例报告
Acta Chir Plast. 2018 Spring;59(3-4):157-162.
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Incidence of Palatal Fistula at Time of Secondary Alveolar Cleft Reconstruction.继发牙槽嵴裂修复时腭瘘的发生率。
Cleft Palate Craniofac J. 2018 Aug;55(7):999-1005. doi: 10.1597/16-179. Epub 2018 Feb 22.
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Alveolar Bone Grafting and Cleft Lip and Palate: A Review.牙槽骨移植与唇腭裂：综述
脱矿骨基质、骨形态发生蛋白和冻干骨碎片在牙槽嵴裂修复中的早期疗效结果
Plast Reconstr Surg Glob Open. 2024 Feb 6;12(2):e5600. doi: 10.1097/GOX.0000000000005600. eCollection 2024 Feb.
Plast Reconstr Surg. 2016 Dec;138(6):1287-1295. doi: 10.1097/PRS.0000000000002778.
4
Stabilization of premaxilla repositioned during secondary bone grafting in complete bilateral cleft lip and palate patients.双侧完全性唇腭裂患者二期植骨术中重新定位的前颌骨的稳定。
J Craniofac Surg. 2014 Jul;25(4):1554-7. doi: 10.1097/SCS.0000000000000865.
5
Secondary bone grafting for alveolar cleft in children with cleft lip or cleft lip and palate.唇裂或唇腭裂患儿牙槽嵴裂的二期骨移植
Cochrane Database Syst Rev. 2011 Jun 15(6):CD008050. doi: 10.1002/14651858.CD008050.pub2.
6
Stabilization of a mobile premaxilla by cementing a bite splint with 1-stage bilateral alveolar bone grafting.通过用1期双侧牙槽骨移植固定咬合夹板来稳定活动的前上颌骨。
J Craniofac Surg. 2008 Nov;19(6):1705-7. doi: 10.1097/SCS.0b013e31818ac210.
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A successful algorithm for limiting postoperative fistulae following palatal procedures in the patient with orofacial clefting.腭裂患者腭部手术后减少吻合口瘘的成功算法。
Plast Reconstr Surg. 2008 Aug;122(2):544-554. doi: 10.1097/PRS.0b013e31817d6223.
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The biology of bone graft repair.骨移植修复的生物学
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Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment.通过二期植骨及后续正畸治疗消除残留牙槽裂。
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