双侧唇裂/唇腭裂术后继发畸形的临床分类研究  

Investigation of Clinical Classification of the Secondary Deformities after Prim ary Repair of the Bilateral Cleft Lip/Bilateral Cleft Lip and Cleft Palate.

作　　者：翦新春[1] 粟红兵[1] 尹乒[1] 黄立勋[1] 

机构地区：[1]中南大学湘雅医院口腔颌面外科,湖南长沙410008

出　　处：《口腔医学研究》2003年第5期387-389,共3页Journal of Oral Science Research

摘　　要：目的 :对双侧唇裂 /唇腭裂术后继发畸形进行临床分类研究。方法 :选中南大学湘雅医院口腔颌面外科双侧唇裂 /唇腭裂术后继发畸形患者 5 0例作为研究对象 ,观察鼻部、唇部、牙合/颌骨畸形等 19项内容 ,它们分别是 :鼻尖低平、鼻翼塌陷、双侧鼻孔不对称、鼻堤缺失、鼻小柱短小 ;上唇过紧、上唇过松、人中及唇峰不显、唇珠缺如、口哨畸形、红唇不显 ;前牙反牙合、3|3移位或缺失、牙槽嵴裂、牙弓小、牙列不齐、前牙槽嵴缺失和上颌后缩。结果 :5 0例双侧唇裂 /唇腭裂术后畸形患者均有鼻尖低平、鼻翼塌陷、双侧鼻孔不对称、鼻堤缺失、鼻小柱短小、人中不显、唇峰不显、唇珠缺如。 5 0例患者中 ,4 2例有牙槽嵴裂和牙列不齐 ;33例行加长法Ⅱ期修复双侧唇裂者均有前牙反牙合、牙列不齐和上颌后缩 ;2 8例有口哨畸形存在。结论 :双侧唇裂 /唇腭裂Ⅰ期修复后仍有鼻、唇及牙合或颌畸形存在 ,对这些畸形必须进行Ⅱ期整复治疗。Objective:To investigate deforming characteristics and cl assification of the secondary deformities after primary repair of the bilateral cleft lip and bilateral cleft lip and cleft palate.Methods:Fifty patients with secondary deformities after primary repair of the bilatera l cleft lip and bilateral cleft lip and cleft palate from Department of Oral and Maxillofacial Surgery of Xiangya Hospital,Central South University were observe d their 19 secondary deforming contents on the nose,lip and occlusion and jaw.Th ese contents include flattened nasal tip, displacement of the alar cartilages,as ymmetrical nastrils,no nostril sill, short columella.tight upper lip, loose uppe r lip, no Cupid's bow and Cupid's bow peak, no median tubercle, whistling lip de formity.reversed overbite in the anterior teeth, displaced or missed canines, cl eft alveolar bridge, small dental arch, disorder of the dentition, no anterior a lveolar bridge and retruded anterior maxillae.Results:Fift y patients with the secondary deformities after primary repair of the bilateral cleft lip and bilateral cleft lip and cleft palate all have the deformities of t he flattened nasal tip, displacement of the alar cartilages, asymmetrical nostri ls, no nostril sill, short columella, no Cupid's bow, no Cupid's bow peak and th e whisting lip deformity.Forty-two patients of them have the cleft alveolar brid ge and the disorders of the dentition.Thirty-three patients repaired the bilater al cleft lip and the bilateral cleft lip and cleft palate to use Barcky's method all have reversed overbite in the anterior teeth, the disorder of the dentition and the retruded anterior maxillae.Twenty-eight patents of 50 patients have sho wed the whisting lip deformity.Conclusions:The patients af ter primary repair the bilateral cleft lip and cleft lip and cleft palate presen t the nasal、lip、occlusial and maxillary deformities, which must be managed by using the secondary repair.

关 键 词：双侧唇裂 唇腭裂术 继发畸形 临床分类 研究 

分 类 号：R782.2[医药卫生—口腔医学]