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双侧完全性唇腭裂中前颌骨的早期骨科稳定术联合塞莱斯尼克唇修复术

Early orthopaedic stabilization of the praemaxilla in complete bilateral cleft lip and palate in combination with the Celesnik lip repair.

作者信息

Hotz M, Perko M, Gnoinski W

出版信息

Scand J Plast Reconstr Surg Hand Surg. 1987;21(1):45-51. doi: 10.3109/02844318709083579.

DOI:10.3109/02844318709083579
PMID:3589579
Abstract

Co-ordination of maxillary orthopaedics with two-stage lip surgery according to the Celesnik principle for complete BCLP is described, and the results of the procedure are analyzed at the 10 to 15 year age level. Taking advantage of the effects of growth within the first 6 to 8 months of the patient's life, orthopaedics and concomitant surgery achieve a considerable degree of alignment and stabilization of the praemaxilla within the alveolar arch without reverting to any active orthopaedic retrusion. Around age 10 the praemaxilla has assumed a normal sagittal position relative to the anterior cranial base. Due to relatively short and retropositioned mandibles all cases in the sample investigated display rather receding 'Class II type' profiles in early adolescence.

摘要

描述了根据Celesnik原则对完全性双侧唇腭裂进行上颌骨矫形与两阶段唇手术的协调配合,并在10至15岁年龄段分析了该手术的结果。利用患者生命最初6至8个月内的生长效应,矫形与同期手术在牙槽弓内实现了前颌骨相当程度的排列和稳定,而无需进行任何主动的矫形后缩。在10岁左右,前颌骨相对于前颅底已处于正常的矢状位。由于下颌骨相对短且后缩,所研究样本中的所有病例在青春期早期均呈现出较为后缩的“II类”面型。

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