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在矫正眶距增宽症的全鼻中隔切除术后的上颌骨生长情况

Maxillary growth following total septal resection in correction of orbital hypertelorism.

作者信息

Lejoyeux E, Tulasne J F, Tessier P L

出版信息

Cleft Palate J. 1986 Dec;23 Suppl 1:27-39.

PMID:3545544
Abstract

A rapid survey of eight cases with orbital hypertelorism did not reveal any evident change in maxillary displacement during facial growth following resection of nasal septum and medial displacement of orbital cavities. Accurate analysis of four cases according to the Ricketts long-term growth forecast showed a reduction of growth in the region of anterior nasal spine and only in the posteroanterior direction. This is not necessarily due to the absence of nasal septum. These patients have such severe deformities and the surgical procedure is so extensive that many factors can be responsible for deficient premaxillary growth. Further studies are needed, particularly in patients who, since 1975, have had the same operative method, but without septal resection, to know whether this more conservative procedure has changed the posteroanterior growth of the premaxilla. However, a nasal bone graft has a good prognosis, even when performed in children.

摘要

对8例眶距增宽症患者的快速调查显示,在鼻中隔切除和眶腔向内移位后,面部生长过程中上颌骨移位未出现明显变化。根据里氏长期生长预测对4例患者进行的精确分析显示,前鼻棘区域仅在前后方向上生长减少。这不一定是由于鼻中隔缺失所致。这些患者畸形严重,手术范围广,许多因素可能导致上颌前部生长不足。需要进一步研究,特别是对自1975年以来采用相同手术方法但未进行鼻中隔切除的患者,以了解这种更保守的手术是否改变了上颌前部的前后生长。然而,即使在儿童中进行鼻骨移植,预后也良好。

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