单侧完全性唇裂鼻底修复的临床研究进展

发布时间：2018-06-07 06:12

本文选题：单侧完全性唇裂 + 术前正畸　；参考：《国际口腔医学杂志》2016年01期

【摘要】：单侧完全性唇裂裂隙侧上颌骨与前颌骨分离,健侧前颌骨前端向健侧旋转,患侧上颌骨发育不足和外移,加重了患侧鼻孔扁平、鼻底过宽、鼻翼塌陷、鼻翼基部外旋和下沉畸形。大部分单侧完全性唇裂皆伴牙槽突裂及腭裂,鼻底完全消失。单侧完全性唇裂鼻底修复有单侧完全性唇裂术前正畸治疗和单侧完全性唇裂鼻底修复的手术治疗。术前正畸可缩小鼻底裂隙间隙,缩短手术时间,手术方法简单。后者有旋转推进法:手术操作简单,术中、术后出血少,术后早期渡过平稳;唇裂裂缘黏膜瓣修复:在修复鼻底和恢复鼻底形态的同时,消灭了所有裸露创面,保留了所有可利用的组织,操作进一步简化,手术时间短,术中、术后出血少。下鼻甲黏膜瓣修复完全性唇裂鼻底裂隙:可有效地增加组织量、减少术区张力、保证伤口愈合、减少并发症,安全的闭合鼻底。术前的正畸治疗在中国还处于积累和总结经验的阶段,治疗效果还不稳定;因此,需要人们不断去探索寻找新的突破口,以弥补传统整复方法的不足。
[Abstract]:The unilateral complete cleft lip is separated from the maxillofacial bone with the anterior maxilla, the front of the anterior jaw is rotated to the healthy side, the lateral maxilla is inadequately developed and removed. The lateral nostrils are flattened, the nasal floor is too wide, the nasal alar collapses, the base of the nose is rotated and deformed. Most unilateral complete cleft lip is accompanied by alveolar cleft and cleft palate, and the nasal floor completely vanishes. Unilateral complete cleft lip nasal bottom was used to repair the surgical treatment of unilateral complete cleft lip and unilateral complete cleft lip nasal floor repair. Preoperative orthodontic orthodontic can narrow the gap of the nasal floor, shorten the operation time, and the operation method is simple. The latter has a rotating propulsion method: the operation is simple, the operation, postoperative bleeding are less, and the early crossing smooth after operation; Repair of cleft lip mucous flap: at the same time of repairing the nasal floor and restoring the shape of the nasal floor, all the bare wounds were eliminated and all the available tissues were preserved. The operation was further simplified, the operation time was short, and the bleeding was less during the operation. The inferior turbinate mucosa flap was used to repair the complete cleft lip nose bottom: it could effectively increase the tissue volume and reduce the tension of the area. It proves that the wound healing, the reduction of complications and the safe closure of the nasal bottom. The orthodontic treatment in China is still in the stage of accumulation and experience, and the effect of the treatment is still unstable. Therefore, people need to explore new breakthrough to make up for the shortcomings of the traditional method.
【作者单位】：南昌大学附属口腔医院口腔颌面外科;石家庄市第四医院护理部;南昌大学附属口腔医院口腔综合门诊;
【分类号】：R782.21

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