Global Smile Foundation, Norwood, MA, USA.
Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA, USA.
Cleft Palate Craniofac J. 2023 Nov;60(11):1494-1498. doi: 10.1177/10556656221104028. Epub 2022 Jul 27.
Congenital clefts of the lip and/or palate are among the most common craniofacial malformations. Patients with bilateral cleft of the lip often present with projected premaxilla. Premaxillary setback with a vomerine ostectomy posterior to the vomero-premaxillary suture, bilateral cleft lip repair, bilateral gingivoperiosteoplasties, and primary cleft lip rhinoplasty are achieved in a single-stage surgery that provides a valuable alternative to patients, especially in the outreach settings. In this article, we present a case report of a patient born with a bilateral cleft of the lip and a protruded premaxilla. He had collapsed secondary palatine shelves requiring intraoperative manual expansion to ensure access to the vomer bone.
先天性唇裂和/或腭裂是最常见的颅面畸形之一。双侧唇裂患者常表现为上颌前突。通过在正中缝后进行犁骨截骨术使前颌骨后退，同时进行双侧唇裂修复、双侧牙龈骨膜瓣成形术和一期唇裂鼻整形术，可以实现这一目标，为患者提供了一种有价值的选择，尤其是在偏远地区。本文报告了一例双侧唇裂伴上颌前突的患者。他的腭中隔二次骨板塌陷，需要术中手动扩张以确保能够接触到犁骨。
