国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (2): 237-242.doi: 10.7518/gjkq.2023002

• 综述 • 上一篇    下一篇

Pierre Robin序列征患者腭裂临床治疗的研究进展

石佳鑫(),王淳艺,李精韬()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院口腔颌面外科 成都 610041
  • 收稿日期:2022-07-30 修回日期:2022-11-15 出版日期:2023-03-01 发布日期:2023-03-14
  • 通讯作者: 李精韬
  • 作者简介:石佳鑫，住院医师，硕士，Email：1577896728@qq.com

Research progress on cleft palate repair among patients with Pierre Robin sequence

Shi Jiaxin(),Wang Chunyi,Li Jingtao.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-07-30 Revised:2022-11-15 Online:2023-03-01 Published:2023-03-14
  • Contact: Jingtao. Li

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摘要：

Pierre Robin序列征（PRS）是由小下颌畸形引发，继而导致舌后坠及上气道梗阻的先天性颌面部异常。超过3/4的PRS患者同时伴有腭裂畸形，其通常呈现为宽大的U型裂隙，此外患者常伴有通气功能异常，这些症状给腭裂治疗带来了更大的挑战。目前，对于PRS患者腭裂治疗的模式和预后尚存在诸多争议。本文针对PRS患者腭裂手术时机、术式选择以及术后包括腭瘘发生、语音效果、中耳功能、通气功能及生长发育等效果评估作一综述，以期为进一步提高PRS患者腭裂手术治疗安全性和有效性提供参考。

关键词: 腭裂, 手术治疗, 气道阻塞, 语音, 生长发育

Abstract:

Pierre Robin sequence (PRS) is a congenital maxillofacial anomaly featured by micrognathia, glossoptosis, and upper airway obstruction. Cleft palate occurs in over three-fourth of patients with PRS. The wide U-shape cleft and airway dysfunction bring challenges to clinical management. Currently, disputes exist on the treatment protocol and prognosis of cleft palate in patients with PRS. This review focused on the deformity features, intervention timing, technique selection, and outcome evaluation of cleft palate among patients with PRS to provide reference for the further evolution of the surgical management of PRS-related cleft palate.

Key words: cleft palate, surgical management, airway obstruction, speech, growth

中图分类号: 

  • R 782.2+2
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