不同术式的双侧牙槽嵴裂植骨术对唇、颊龈沟深度的影响  

Sulcus evaluation after repairing bilateral alveolar clefts with bone graft in different techniques

作　　者：翦新春[1] 左军[1] 尹兵[1] 邹智[1] 

机构地区：[1]中南大学湘雅医院口腔颌面外科,长沙410008

出　　处：《中华整形外科杂志》2004年第4期282-284,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　研究不同术式的双侧牙槽突裂植骨术对唇、颊龈沟深度的影响。方法　对我科 1992年 4月至 2 0 0 2年 3月间采用 :①提袋手柄式瓣牙槽突裂修复术 ;②双颊瓣牙槽突裂修复术 ;③双颊瓣加鼻中隔犁骨凿断牙槽突裂修复的 4 2例牙槽突裂患者进行分析。结果　将术后唇颊龈沟变浅分为Ⅳ级 ,结果 4 2例中 ,0级 2 0例 ,占 4 7 6 % ;Ⅰ级 10例 ,占 2 3 8% ;Ⅱ级 10例 ,占 2 3 8% ;Ⅲ级2例 ,占 4 7%。采用提袋手柄式瓣和双颊瓣加犁骨凿断牙槽突裂修复术的 6例中 ,唇颊龈沟变浅 2 3者有 4例 ,唇颊龈沟消失者 2例 ,可见这两种术式均可使唇颊龈沟变浅。结论　三种术式均有使唇颊龈沟变浅之可能 。Objective To evaluate the sulcus depth changes of bilateral alveolar clefts after bone grafting with different techniques. Methods Forty two patients with bilateral alveolar clefts were treated in the department of Oral and Maxillofacial Surgery of Xiangya Hospital, Central South University, including three bilateral alveolar clefts with bilateral cleft lips and thirty nine bilateral alveolar clefts with bilateral complete cleft lip and cleft palate. Three techniques were used to repair the bilateral alveolar clefts, named: bucket handle mucosal flap, bilateral buccal mucosal flaps and bilateral buccal mucosal flaps with premaxillary separation and bone grafting. Postoperatively, the depth of the sulcus was evaluated with the following four grades: 0) no change, Ⅰ) one third shallow,Ⅱ) two thirds shallow, Ⅲ) disappear. Results\ Forty two bilateral alveolar clefts were repaired with the above mentioned techniques with the results: Grade 0 in 20 patients (47.6%), gradeⅠin 10 patients (23.8%), gradeⅡin 10 patients (23.8%), grade Ⅲ in 2 patients (4.7%). In 6 patients with the bucket handle mucosal flap technique and the technique of the bilateral buccal mucosal flaps with the premaxillary bone graft, the depth of the sulcus was reduced to two thirds in 4 patients (66.7%), and the sulcus totally disappeared in 2 patients (33.3%). Conclusions\ The above mentioned techniques could reduce the depth of the sulcus, therefore, the surgeons should notice this complication and prevent it during the operation.

关 键 词：术式 双侧牙槽嵴裂 植骨术 唇 颊龈沟 骨移植 

分 类 号：R782.2[医药卫生—口腔医学]