先天性单侧完全性牙槽突裂患者植骨后上唇高度及鼻翼基底的改变

发布时间：2018-05-26 17:58

本文选题：牙槽突 + 唇裂　；参考：《中国组织工程研究》2017年08期

【摘要】：背景:牙槽突裂植骨是目前常见的修复唇腭裂患者牙槽突骨缺损的方法,但是在国内,关于牙槽突裂植骨对上唇高度改变的研究报道较少。目的:测量牙槽突裂植骨后上唇及鼻翼基底的改变情况。方法:46例确诊为先天性单侧牙槽突裂的患者(平均年龄为9.85岁),这些患者均采用自体髂骨作为供骨源,平均植入骨量为2.98 cm~3。通过统一的照相方法,获得患者的正面照、侧面照及仰头鼻底照。通过对患者面部固定位置的点进行测量,对患者的上唇高度、上唇投影、鼻翼基底植骨前比例指数和植骨后比例指数进行比较。结果与结论:随访时间为6个月,结果显示,上唇高度5组测量数据均显示牙槽突裂植骨后上唇高度显著延长,但差异无显著性意义。上唇投影测量数据显示上唇投影后更加明显,但差异无显著性意义。鼻翼基底4组测量数据中,有3组数据显示牙槽突裂植骨后鼻翼基底显著抬高,且差异有显著性意义。结果提示,在单侧完全性牙槽突裂患者中,通过牙槽突裂植骨可抬高鼻翼基底及延长上唇高度。
[Abstract]:Background: alveolar process bone grafting is a common method to repair alveolar process defects in patients with cleft lip and palate. Objective: to measure the changes of upper lip and alar base of alveolar fissure after bone grafting. Methods 46 patients with congenital unilateral alveolar process fissure (mean age 9.85 years old) were treated with autogenous iliac bone as donor bone with an average bone mass of 2.98 cm ~ (3). Through the unified photographic method, the patient's frontal, lateral and suprahead nose radiography were obtained. The height of upper lip, projection of upper lip, ratio index of alar base before bone grafting and ratio index after bone grafting were compared. Results and conclusion: the follow-up time was 6 months. The results showed that the height of upper lip in all 5 groups was significantly prolonged after alveolar process bone grafting, but there was no significant difference. The upper lip projection data showed that the upper lip projection was more obvious, but there was no significant difference. Of the 4 groups of measurement data of the alar base, there were three groups of data showing significant elevation of the base of the alar after alveolar fissure and bone grafting, and the difference was significant. The results suggest that in patients with unilateral complete alveolar fissure, alveolar process bone graft can elevate the base of nasal alar and prolong the height of upper lip.
【作者单位】：邯郸市中心医院口腔颌面外科;
【基金】：邯郸市科技研究与发展计划项目(1323108087-5)~~
【分类号】：R782.1

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