Paulus C, Souchère B, Breton P, Duclos P, Freidel M
Service de Stomatologie, Centre Hospitalier Lyon-Sud.
Rev Stomatol Chir Maxillofac. 1994;95(5):363-8.
In the bilateral total labio-maxillary cleft the premaxilla is sometimes very protrusive at the completion of facial growth. This kind of malposition cannot be treated by orthodontics. Surgical repositioning of the premaxilla with simultaneous bilateral alveolar maxillary bone graft is done before the revision of lip and nose. Its goal is the reconstruction of a solid and harmonious dental and maxillary arch, closure of bucconasal fistulas, improvement of facial profile by closure of nasolabial angle. The authors describe the operation technique and illustrate it by two cases.
在双侧完全性唇腭裂患者中，面部生长发育完成时，前颌骨有时会非常突出。这种错位畸形无法通过正畸治疗。在唇鼻修复术前，需对前颌骨进行手术复位，并同期进行双侧牙槽嵴上颌骨植骨。其目的是重建稳固且协调的牙弓和上颌骨弓，关闭口鼻瘘，通过闭合鼻唇角改善面部轮廓。作者描述了手术技术，并通过两个病例进行说明。
