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犬支柱骨承载牵引法联合镍钛记忆合金弹簧的颅骨外固定器治疗单侧唇腭裂伴严重面部骨骼发育不全

Canine pillar bone bearing traction method of skull external fixator combined with nickel-titanium memory alloy spring for unilateral cleft lip and palate with severe facial skeletal hypoplasia.

作者信息

Wang Xin

机构信息

Department of Oral, Cangzhou Medical College, Cangzhou, China.

出版信息

Afr Health Sci. 2024 Sep;24(3):345-352. doi: 10.4314/ahs.v24i3.38.

Abstract

BACKGROUND

For unilateral cleft lip and palate severe midfacial skeletal dysplasia, external skull fixator combined with nickel titanium memory alloy spring was used to treat canine pillar bone bearing traction.

METHODOLOGY

Patients (n = 200) with unilateral cleft lip and palate and severe midfacial skeletal hypoplasia who were treated in our hospital within three years were divided into control group (treated with trans suture traction osteogenesis) while the observation group was treated with skull external fixator combined with nickel titanium memory alloy spring supporting force traction of canine bone.

RESULTS

After applying significantly different traction forces to the maxillary tissues on both sides of the patient, the patient was treated with appropriate traction correction, orthodontic treatment and moderate traction on the facial arch to effectively reduce the recurrence of the disease after surgery. Compared with the control group, the curative effect in all aspects was better and the asymmetry rate was lower.

CONCLUSION

Canine strut bone traction method of external skull fixation combined with nickel-titanium memory alloy spring was applied for severe facial skeletal dysplasia caused by unilateral cleft lip and palate. For this purpose, reasonable and scientific treatment methods were provided for early correction and treatment of the disease.

摘要

背景

对于单侧唇腭裂严重的面中骨骼发育不良,采用颅外固定器结合镍钛记忆合金弹簧进行犬支柱骨承载牵引治疗。

方法

选取我院三年内收治的200例单侧唇腭裂且面中骨骼发育严重不全的患者,分为对照组(采用经缝牵引成骨治疗),观察组采用颅外固定器结合镍钛记忆合金弹簧对犬骨进行支撑力牵引治疗。

结果

对患者两侧上颌组织施加明显不同的牵引力后,对患者进行适当的牵引矫正、正畸治疗以及对面弓进行适度牵引,有效降低了术后疾病复发率。与对照组相比,各方面疗效更佳,不对称率更低。

结论

颅外固定结合镍钛记忆合金弹簧的犬支柱骨牵引法应用于单侧唇腭裂所致严重面部骨骼发育不良,为此病的早期矫治提供了合理、科学的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb7/12327142/8265e1d181c6/AFHS2403-0345Fig1.jpg

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