McNamara分析法评价改良鼻牙槽骨矫形术对单侧完全性唇腭裂患者替牙列期颌骨发育的影响  

Long-term effect on the growth of maxillary and mandible after nasoalveolar molding( modified figueroa) in unilateral complete cleft lip/palate infants in mixed dentition--A McNamara cephalometric analysis

作　　者：邰怡 韩旻轩 TAI Yi;HAN Minxuan(Malo Clinic,Xuanwu District,Nanjing 210005,China)

机构地区：[1]南京市玄武区马泷口腔门诊部,江苏南京210005 [2]南京医科大学附属口腔医院正畸科,江苏南京210029

出　　处：《口腔医学》2021年第3期226-230,共5页Stomatology

基　　金：国家自然科学基金(81500874)。

摘　　要：目的初步探讨改良鼻牙槽矫形术对单侧完全性唇腭裂患者替牙列期颌骨发育的影响。方法选择56名单侧完全性唇腭裂患者,依据其在唇腭裂修复手术前是否进行过改良鼻牙槽骨矫形术分为矫治组与对照组,矫治组26人,对照组30人。选用McNamara头影测量分析法评价改良鼻牙槽骨矫形治疗对于单侧完全性唇腭裂患者替牙列中期的颌骨发育的影响。结果矫治组中,上颌突度(A-NP)、SNA、ANB值明显高于对照组,上下颌长度差值(MXMD-DF)小于对照组,差异有统计学意义。其余测量值两组未显示出明显差异。结论经过改良鼻牙槽骨矫形治疗的单侧唇腭裂患者,其替牙列期的上颌骨具有更好的矢状向生长量,而对于下颌骨生长和(牙合)关系没有显著影响。Objective To evaluate whether nasoalveolar molding(NAM,modified Figueroa)has a significant long-term effect on the growth of maxillary and mandible in unilateral complete cleft lip/palate infants(UCLP).Methods The sample consisted of 26 UCLP infants who were treated with NAM(NAM group)and 30 UCLP without NAM(CRT group).The lateral cephalometric radiographs of all infants were obtained.McNamara cephalometric analysis was used to measure and evaluate the data.Results In mixed dentition,the variables(A-NP、SNA and ANB)of molding group was significantly higher than those of control group(P<0.05).The MXMD-DF variable of molding group were significantly lower than that of control group(P<0.05).The other variables of two groups were not significantly different.Conclusion The growth of maxilla is better in the age of mixed dentition in UCLP infants with NAM than those without it.NAM has no significant effect on the growth of mandible and occlusion.

关 键 词：改良鼻牙槽骨矫形术 McNamara头影测量分析法 单侧完全性唇腭裂 颌骨发育 

分 类 号：R783.5[医药卫生—口腔医学] G353.1[医药卫生—临床医学]