术前鼻-牙槽骨塑形在双侧完全性唇腭裂患儿治疗中的应用  

Presurgical nasoalveolar molding in the treatment of infants with bilateral complete cleft lip and palate

作　　者：龚昕[1] 钱玉芬[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔正畸科,上海市口腔医学重点实验室,上海200011

出　　处：《上海口腔医学》2009年第6期580-583,共4页Shanghai Journal of Stomatology

摘　　要：目的:探讨双侧完全性唇腭裂婴儿术前鼻-牙槽骨塑形的方法与技术,并进行初步疗效评价。方法:9例双侧完全性唇腭裂婴儿进行术前鼻-牙槽骨塑形治疗。将前颌骨向后移动,排列在两侧牙槽骨之间,使牙槽骨成为较为规则的弧形排列;鼻软骨塑形及鼻小柱延长。采用SPSS15.0软件包对所得数据进行t检验。结果:9例患儿经5个月左右的术前鼻-牙槽骨塑形,前颌骨的前突量从37.64mm减至29.94mm,治疗前、后差异显著(P<0.01),牙槽骨排列成较为规则的弧形;鼻翼塌陷畸形得到改善,鼻尖形态改善,鼻底宽度减小(P<0.05),鼻小柱得到延长,从1.13mm增加至3.78mm(P<0.05)。结论:双侧完全性唇腭裂患儿为了获得较为理想的鼻唇形态及牙槽骨的规则弧形排列,术前鼻-牙槽骨塑形是值得采用的序列治疗方法。PURPOSE：To evaluate the curative effect of presurgical nasoalveolar molding （NAM） in the treatment of infants with bilateral complete cleft lip and palate （BCLP）.METHODS：Nine infants with BCLP were included.Presurgical alveolar molding was used to bring the premaxilla back into proper alignment with the lateral segments in the maxilla arch.Presurgical nasal molding produced tissue expansion of the short columella and corrected the nasal tip cartilages.Up to 5 months of active treatment was needed before lip repair.Student＇s t test was used for data analysis with SPSS 15.0 software package.RESULTS：After presurgical NAM in 9 infants with BCLP,the posterior lateral alveolar segments were aligned while retracting the premaxilla,the premaxilla had been returned from 37.64mm to 29.94mm within the maxillary arch （P〈0.01）.The nasal alar base width was significantly reduced following NAM（P〈0.05）.The columella was nonsurgically lengthened from 1.13mm to 3.78mm（P〈0.05）.CONCLUSION：In order to obtain satisfactory lip-nose configuration for BCLP,presurgical NAM is useful in cleft lip and palate team approach.

关 键 词：双侧完全性唇腭裂 婴儿 鼻-牙槽骨塑形 唇腭裂序列治疗 

分 类 号：R782.2[医药卫生—口腔医学]