| 李健学 姚宏 吴国锋 田文艳 马东洋 刘红.新生儿唇腭裂术前矫治方法与技术的临床探讨[J].,2014,14(13):2487-2490 |
| 新生儿唇腭裂术前矫治方法与技术的临床探讨 |
| Clinical study on the presurgical treatment methods for neonatalcleft lip and palate |
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| DOI： |
| 中文关键词: 新生儿 术前矫治 唇腭裂序列治疗 |
| 英文关键词: Infant Presurgical nasal-alveolar process-palate deformity orthodontic therapy Cleft lip and palate teamapproach |
| 基金项目:甘肃省自然科学基金项目(1208RJZA263) |
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| 中文摘要: |
| 目的：评价新生儿唇腭裂术前进行鼻- 牙槽突- 腭畸形矫治方法的疗效。方法：对28 例单双侧唇腭裂新生儿进行术前鼻-
牙槽突- 腭畸形矫治治疗，在面部确定基点，利用数码相机拍射照片，通过image-Pro Plus5.1 软件测量相关距离及角度，测量治疗
前后的鼻小柱倾斜度、鼻小柱长度、鼻孔宽度和鼻孔高度。治疗前后取上颌石膏模型进行牙槽骨裂隙宽度的测量，比较矫治治疗
前后腭部裂隙最大处及牙槽突裂隙的变化。结果：鼻小柱倾斜度平均减小27.11° ，鼻孔宽度平均减小4.39 mm(单)或5.29 mm
(双)，鼻孔高度平均增加2.56 mm(单)或3.57 mm(双)，牙槽突裂隙平均减少3.18 mm，腭部裂隙最大处平均减少5.77 mm。治疗前
后的各项差异均有统计学意义(P<0.05)，鼻塌陷畸形程度也得到显著改善。结论：术前进行鼻- 牙槽突-腭畸形矫治治疗可为唇腭
裂患者手术治疗创造有利条件，提高其整复效果。 |
| 英文摘要: |
| Objective:To investigate the preliminary efficacy of presurgical nasal-alveolar process-palate deformity orthodontic
therapy for the neonatal cleft lip and palate.Methods:Presurgical nasal-alveolar process-palate deformity orthodontic therapy was
performed as presurgical orthodontic treatment in 28 infants(aged 7.98 d) with unilateral and bilateral cleft lip and palate. With determine
basis points in the face, the use of digital cameras to shoot photos and distance and angle measurement by image-Pro Plus5.1 software.
The columella inclination, columella length, nostril width and nostril height was measured before and after treatment. Before and after the
treatment, to take the plaster model, alveolar bone fracture width was measured. The changes of the maxillary palate fissure and the
alveolar process fracture was compared before and after treatment. The data were analyzed by SPSS 15.0.Results:The columella tilt was
decreased about 27.11° ,the nostrils width was decreased about 4.39 mm(single) or 5.29mm(double), nostril height was increased about
2.56 mm (single) or 3.57mm (double), the alveolar process fissure was reduced about 3.18mm. the maxillary palate fissure was reducd
about 5.77 mm. Before and after treatment, measurement items had statistics difference(P<0.05). Deformity of the nasal collapse has also
been significantly improved.Conclusion:Presurgical nasal-alveolar process-palate deformity orthodontic therapy for the neonatal cleft lip
and palate in patients with cleft lip and palate is useful in cleft lip and palate teamapproach. and make it easy for the operation of cleft lip
and palate.,and make it easy to create favorable conditions for subsequent surgical treatment. |
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