国际口腔医学杂志 ›› 2016, Vol. 43 ›› Issue (1): 95-.doi: 10.7518/gjkq.2016.01.023

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单侧完全性唇裂鼻底修复的临床研究进展

李海鹏1 王予江1 宁文杰2 朱志农1 郭美玲3   

  1. 1.南昌大学附属口腔医院口腔颌面外科 南昌 330006;2.石家庄市第四医院护理部 石家庄 050000;3.南昌大学附属口腔医院口腔综合门诊 南昌 330006
  • 收稿日期:2015-07-14 修回日期:2015-10-08 出版日期:2016-01-01 发布日期:2016-01-01
  • 通讯作者: 王予江,教授,博士,Email:wang9jiang@sina.com
  • 作者简介:李海鹏,硕士,Email:181860457@qq.com

Clinical research progress on nasal floor repair of unilateral complete cleft lip

Li Haipeng1, Wang Yujiang1, Ning Wenjie2, Zhu Zhinong1, Guo Meiling3   

  1. 1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Nanchang Medical University, Nanchang 33 0006, China; 2. Dept. of Nursing, The Forth Hospital of Shijiazhuang, Shijiazhuang 050000, China; 3. Dept. of General Dentistry, The Affiliated Stomatological Hospital of Nanchang Medical University, Nanchang 330006, China
  • Received:2015-07-14 Revised:2015-10-08 Online:2016-01-01 Published:2016-01-01

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。

关键词: 单侧完全性唇裂, 术前正畸, 鼻底修复

Abstract:

Separation of the complete unilateral cleft lip and maxilla maxillary lateral fissure, contralateral mandibular rotation to the contralateral, and ipsilateral maxillary hypoplasia and relocation result in increased ipsilateral nostril flats, too-wide nasal floors, a collapsed nose, and nose base and sinking external rotation deformities. Most unilateral complete cleft lips are associated with the alveolar cleft and palate, and the nasal floor completely disappears. Nasal floor repair of unilateral complete cleft lips includes orthodontic treatment before surgery and surgery of the nasal floor. Simple preoperative orthodontics can reduce the nasal floor fracture gap and shorten the operation time. The rotating propulsion method presents simple operation procedures, less postoperative bleeding, a smooth early postoperative ride, and mucosal flap at the cleft lip edge. During the repair and restoration of the nasal bottom, all exposed wounds are eliminated and all useful organizations are retained. Using the mucosal flap of the inferior turbinate to repair the nasal floor of unilateral complete cleft lips can effectively increase the amount of tissue and reduce surgical tension; furthermore, wound healing and reduced complications are ensured. The benefits of orthodontic treatment before surgery require further study in China, and the therapeutic effects obtained from such a procedure are not stable. Therefore, new approaches should be continually explored to compensate for the deficiencies of traditional methods.

Key words: unilateral complete cleft lip, preoperative orthodontic, nasal floor repair

中图分类号: 

  • R 782.2+1
[1] 郭培珠 冯云霞 任娟. 手术优先治疗骨性错牙合畸形的研究进展[J]. 国际口腔医学杂志, 2016, 43(1): 43-.
[2] 董瑞, 李灵, 李杨综述 石冰审校. 唇腭裂婴儿术前正畸的研究进展[J]. 国际口腔医学杂志, 2008, 35(3): 338-338~340.
[3] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): -.
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