Friede H, Persson E C, Lilja J, Elander A, Lohmander-Agerskov A, Söderpalm E
Department of Orthodontics, University of Göteborg, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1993 Dec;27(4):297-305.
Maxillary morphology and dental occlusion were studied from infancy to age 10 years in 32 patients born with isolated cleft palate. Wardill-Kilner push back repair of the palate had been done at a mean age of 7.5 months. Measurements obtained from casts of the jaws showed that the average maxillary dimensions before as well as after operation were less than those reported for children without clefts. The mean reduction was similar whether the cleft reached into the hard palate or affected the soft palate only. Preoperative anterior maxillary arch width in particular, and also distance from scar line to selected teeth seemed to influence postoperative development of the maxillary dental arch in individual patients.
对32例先天性孤立性腭裂患者从婴儿期到10岁的上颌形态和牙合情况进行了研究。腭裂采用Wardill-Kilner后推修复术，平均手术年龄为7.5个月。从颌骨模型获得的测量结果显示，手术前后的平均上颌尺寸均小于非腭裂儿童的报告值。无论腭裂延伸至硬腭还是仅累及软腭，平均减小幅度相似。术前上颌前牙弓宽度，尤其是瘢痕线到选定牙齿的距离，似乎会影响个别患者上颌牙弓的术后发育。
