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通过新生儿术前鼻牙槽塑形和手术修复对单侧唇腭裂进行综合治疗的方法。

A Comprehensive Approach to Unilateral Cleft Lip and Palate Management through Presurgical Nasoalveolar Molding and Surgical Repair in a Neonate.

作者信息

Yadav Lucky, Mattu Navraj, Mehra Pravesh, Jain Pooja

机构信息

Department of Dental and Oral Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.

出版信息

Contemp Clin Dent. 2024 Jul-Sep;15(3):213-216. doi: 10.4103/ccd.ccd_12_24. Epub 2024 Sep 25.

DOI:10.4103/ccd.ccd_12_24
PMID:39512286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11540197/
Abstract

This case report details the successful application of nasoalveolar molding (NAM) in a 4-day-old neonate with a complete unilateral cleft lip and palate, showcasing a comprehensive treatment approach involving presurgical NAM and subsequent surgical repair. The NAM technique, pioneered by Barry H. Grayson, utilizes a specialized appliance to shape the alveolar ridge and nasal cartilage concurrently. The case demonstrates favorable outcomes, with the alveolar segments brought closer to normalcy after approximately 4 months of NAM. The patient underwent further surgical repair, as per the protocol emphasizing the interdisciplinary approach in cleft management.

摘要

本病例报告详细介绍了鼻牙槽骨塑形（NAM）在一名4天大的单侧完全性唇腭裂新生儿中的成功应用，展示了一种包括术前NAM和后续手术修复的综合治疗方法。由巴里·H·格雷森开创的NAM技术，使用一种特殊装置同时塑造牙槽嵴和鼻软骨。该病例显示了良好的效果，经过约4个月的NAM治疗后，牙槽骨段更接近正常状态。根据强调腭裂管理中跨学科方法的方案，该患者接受了进一步的手术修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4305/11540197/097d181072ed/CCD-15-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4305/11540197/9b7db1621bcf/CCD-15-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4305/11540197/097d181072ed/CCD-15-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4305/11540197/9b7db1621bcf/CCD-15-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4305/11540197/097d181072ed/CCD-15-213-g002.jpg

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本文引用的文献

1
Effectiveness of presurgical orthodontics in cleft lip and palate patients with alveolar bone grafting: A systematic review.术前正畸在唇腭裂牙槽骨植骨患者中的有效性：一项系统评价。
J Stomatol Oral Maxillofac Surg. 2021 Feb;122(1):13-17. doi: 10.1016/j.jormas.2020.07.010. Epub 2020 Aug 15.
2
Assessment of Treatment Outcome of Presurgical Nasoalveolar Molding in Patients With Cleft Lip and Palate and Its Postsurgical Stability.唇腭裂患者术前鼻牙槽塑形治疗效果及其术后稳定性评估
Cleft Palate Craniofac J. 2020 Jun;57(6):700-706. doi: 10.1177/1055665620906293. Epub 2020 Mar 1.
3
Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: A Preliminary Study.
采用菲格罗亚鼻牙槽塑形技术对单侧唇腭裂患者进行术前鼻牙槽塑形治疗：一项初步研究。
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Presurgical nasoalveolar molding in unilateral cleft lip and palate.单侧唇腭裂的术前鼻牙槽塑形
Contemp Clin Dent. 2015 Oct-Dec;6(4):567-9. doi: 10.4103/0976-237X.169865.
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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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Presurgical nasoalveolar molding in infants with cleft lip and palate.唇腭裂婴儿的术前鼻牙槽塑形
Cleft Palate Craniofac J. 1999 Nov;36(6):486-98. doi: 10.1597/1545-1569_1999_036_0486_pnmiiw_2.3.co_2.