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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.

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/4305/11540197/9b7db1621bcf/CCD-15-213-g001.jpg

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