应用牙间牵引成骨辅助唇腭裂牙槽植骨术前治疗1例报告  

Inter-dental distraction osteogenesis before bone grafting for alveolar cleft: one case report

作　　者：唐艳梅[1] 陶丽[1] 聂萍[1] 张剑飞[1] 沈国芳[1] 朱敏[1] 

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

出　　处：《中国口腔颌面外科杂志》2014年第6期569-572,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：对于牙槽裂隙过宽(大于1个尖牙宽度)、裂隙两侧骨端错位、重叠或存在垂直落差的情况,直接植骨难度大、成功率低。牙间牵引成骨技术能有效减小牙槽裂隙宽度,获得新生软硬组织,为牙槽裂辅助治疗提供了一种新途径。牙间牵引成骨器的设计多样化,应结合病例难易程度选择不同固位方式,在保证牵引方向的同时,力求加力简便有效,牵引器稳固舒适。In patients with alveolar cleft, when both sides of the cleft are overlapped, dislocated or vertically displaced, it is hard for surgeons to achieve success in bone grafting. Inter-dental distraction osteogenesis is effective in narrowing wider alveolar cleft with new bone as well as obtaining soft tissues. It provides a brand new way assisting alveolar cleft treatment. As regard to the design, individual device is recommended for each patient according to the real complexity of the clefts. Apart from the distraction direction, surgeons should also consider the efficiency of the force and the comfort of the distractor.

关 键 词：牙槽裂 牙间牵引成骨术 骨-牙支持式牙间牵引器 牙槽裂植骨 

分 类 号：R782.2[医药卫生—口腔医学]