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截骨术式腭裂修复术对人类牙颌面复合体生长的影响。

Influence of cleft palate closure by osteotomy technique on growth of the dentomaxillary complex in human beings.

作者信息

Wynn S K

出版信息

Ann Plast Surg. 1979 Aug;3(2):129-36. doi: 10.1097/00000637-197908000-00007.

DOI:10.1097/00000637-197908000-00007
PMID:543643
Abstract

Properly done, osteotomy cleft palate closure in human beings reproduces a normal dentomaxillary complex in patients with an incomplete cleft palate and in those with a narrow unilateral complete lip and palate cleft. In wider complete clefts, the dentomaxillary complex is influenced by the constrictive action of the lip muscle during closure rather than by the osteotomy procedure. Plaster casts of osteotomy surgical cases late postoperatively demonstrate the normal growth pattern achieved. Variations in cleft palate osteotomy have been worked out for every type of cleft palate.

摘要

操作得当的话,人类腭裂骨切开术式腭裂修复术能使不完全腭裂患者以及单侧唇腭裂且裂隙较窄的患者重建正常的牙颌面复合体。在较宽的完全性腭裂病例中,牙颌面复合体在修复过程中受到唇部肌肉收缩作用的影响,而非骨切开术的影响。术后晚期的骨切开术手术病例的石膏模型显示出已实现的正常生长模式。针对每种腭裂类型,都已制定出腭裂骨切开术的变体术式。

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