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单侧唇腭裂（D型）病例中的鼻软骨塑形：一例报告

Nasal Cartilage Molding in a Case of Unilateral Cleft Lip and Alveolus (Type D): A Case Report.

作者信息

Taori Kushal P, Niranjane Priyanka P, Daigavane Pallavi

机构信息

Orthodontics and Dentofacial Orthopaedics, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Dec 23;15(12):e50998. doi: 10.7759/cureus.50998. eCollection 2023 Dec.

DOI:10.7759/cureus.50998
PMID:38259383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10802890/
Abstract

Nasal cartilage is asymmetric in individuals with cleft lips and has a depressed nasal dome and medial and lateral crus of the nose on the affected cleft side which can be corrected before cheiloplasty by taking advantage of circulating maternal estrogen. This case report presents pre-surgical nasal cartilage molding in a patient with unilateral cleft lip and alveolus using the Sawangi Pre-surgical Nasal Cartilage Molder appliance. The appliance is made from 0.8 mm stainless-steel round wire and has three components, namely, a rectangular frame, a force-generating component, and a swan-shaped wire framework with a soft liner for nasal asymmetry correction.

摘要

唇裂患者的鼻软骨不对称，患侧鼻穹窿、鼻内侧脚和外侧脚凹陷，可在唇裂修复术前利用母体循环雌激素进行矫正。本病例报告介绍了一名单侧唇裂和牙槽突裂患者使用Sawangi术前鼻软骨成型器进行术前鼻软骨塑形的情况。该器械由0.8毫米不锈钢圆丝制成，有三个部件，即一个矩形框架、一个力产生部件和一个带有用于矫正鼻不对称的软衬里的天鹅形钢丝框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/dad87f7f6098/cureus-0015-00000050998-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/2632368c785f/cureus-0015-00000050998-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/16cceb72ec68/cureus-0015-00000050998-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/a160d09a542f/cureus-0015-00000050998-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/641f3b1fcea8/cureus-0015-00000050998-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/ea63d442c188/cureus-0015-00000050998-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/6ad771c2b355/cureus-0015-00000050998-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/fc364b7178ae/cureus-0015-00000050998-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/922bdc35abd3/cureus-0015-00000050998-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/dad87f7f6098/cureus-0015-00000050998-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/2632368c785f/cureus-0015-00000050998-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/16cceb72ec68/cureus-0015-00000050998-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/a160d09a542f/cureus-0015-00000050998-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/641f3b1fcea8/cureus-0015-00000050998-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/ea63d442c188/cureus-0015-00000050998-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/6ad771c2b355/cureus-0015-00000050998-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/fc364b7178ae/cureus-0015-00000050998-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/922bdc35abd3/cureus-0015-00000050998-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcf6/10802890/dad87f7f6098/cureus-0015-00000050998-i09.jpg

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本文引用的文献

1
Changes in nasal symmetry after presurgical nasoalveolar molding in infants treated with complete unilateral cleft lip and palate: A follow-up study.完全性单侧唇腭裂婴儿术前鼻牙槽骨塑形术后鼻对称性的变化：一项随访研究。
Dent Res J (Isfahan). 2022 Nov 17;19:95. eCollection 2022.
2
Epidemiology and clinical profile of individuals with cleft lip and palate utilising specialised academic treatment centres in South Africa.南非利用专业学术治疗中心的唇腭裂个体的流行病学和临床特征。
PLoS One. 2019 May 9;14(5):e0215931. doi: 10.1371/journal.pone.0215931. eCollection 2019.
3
A New Classification System for Unilateral Cleft Lip and Palate Infants to assist Presurgical Infant Orthopedics.
一种用于单侧唇腭裂婴儿的新分类系统，以辅助术前婴儿正畸治疗。
J Clin Pediatr Dent. 2015 Spring;39(3):231-4. doi: 10.17796/1053-4628-39.3.231.
4
Current status of presurgical infant orthopaedic treatment for cleft lip and palate patients: A critical review.唇腭裂患儿术前整形外科治疗的现状：批判性综述。
Indian J Plast Surg. 2014 Sep-Dec;47(3):293-302. doi: 10.4103/0970-0358.146573.
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Presurgical nasoalveolar moulding treatment in cleft lip and palate patients.唇腭裂患者的术前鼻牙槽塑形治疗
Indian J Plast Surg. 2009 Oct;42 Suppl(Suppl):S56-61. doi: 10.4103/0970-0358.57188.
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The progressive changes of nasal symmetry and growth after nasoalveolar molding: a three-year follow-up study.鼻牙槽塑形术后鼻对称性和生长的渐进性变化：一项三年随访研究。
Plast Reconstr Surg. 2004 Sep 15;114(4):858-64. doi: 10.1097/01.prs.0000133027.04252.7a.
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Nasoalveolar molding for infants born with clefts of the lip, alveolus, and palate.用于唇、牙槽突及腭裂婴儿的鼻牙槽塑形。
Clin Plast Surg. 2004 Apr;31(2):149-58, vii. doi: 10.1016/S0094-1298(03)00140-8.
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Preoperative columella lengthening in bilateral cleft lip and palate.双侧唇腭裂术前鼻小柱延长术
Plast Reconstr Surg. 1993 Dec;92(7):1422-3.
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Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report.新生儿早期先天性耳廓畸形的非手术矫正：初步报告。
Plast Reconstr Surg. 1984 Jan;73(1):38-51. doi: 10.1097/00006534-198401000-00009.
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Nonsurgical correction of cleft lip nasal deformity in the early neonate.新生儿早期唇裂鼻畸形的非手术矫正
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