Mølsted K, Kjaer I, Dahl E
Department of Orthodontics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Denmark.
Cleft Palate Craniofac J. 1993 Nov;30(6):569-73. doi: 10.1597/1545-1569_1993_030_0569_sositm_2.3.co_2.
The literature has been focused on differences in craniofacial form and dimension in cleft lip and palate patients. No attention has been given to possible alterations in the spheno-occipital synchondrosis although the synchondrosis is regarded as an important maturity and growth center. The purpose of the present investigation was to examine if the spheno-occipital synchondrosis in children born with major complete clefts differs on lateral radiographs from that of children born with minor incomplete clefts. Fifty-seven three-month-old children with complete clefts of the lip, alveolus and palate and 42 three-month-old children with minor incomplete clefts of the lip were included in the study. The results of the comparison showed that children with complete major clefts had a broader spheno-occipital synchondrosis compared to children with a minor incomplete cleft of the lip, and that the distance from the superior part of the synchondrosis to the sella point was shorter in children with complete clefts. These findings could be related to a defect or a delay in maturity in the early development of the cartilaginous cranial base in children with major clefts.
文献一直聚焦于唇腭裂患者颅面形态和尺寸的差异。尽管蝶枕软骨结合被视为一个重要的成熟和生长中心，但尚未有人关注其可能存在的改变。本研究的目的是检查患有主要完全性腭裂的儿童与患有轻微不完全性腭裂的儿童相比，其蝶枕软骨结合在侧位X线片上是否存在差异。本研究纳入了57名3个月大的唇、牙槽突和腭裂完全性腭裂患儿以及42名3个月大的唇轻微不完全性腭裂患儿。比较结果显示，与唇轻微不完全性腭裂患儿相比，完全性主要腭裂患儿的蝶枕软骨结合更宽，且完全性腭裂患儿蝶枕软骨结合上部至鞍点的距离更短。这些发现可能与主要腭裂患儿软骨性颅底早期发育中的缺陷或成熟延迟有关。
