单侧唇腭裂的牙槽突裂植骨修复术

Implantation and Repair with Bone for Alveolar Process Cleft with Single Chilopalatognathus

目的 :对唇腭裂中牙槽突裂患者应用牙槽突植骨术治疗后进行临床评价。方法 :利用髂骨松质骨移植于唇腭裂患者所形成的口鼻腔瘘之间。结果 :3年来临床应用该方法 ,治疗 2 3例牙槽突裂患者 ,其中 1 4例术后随诊 6个月以上 ,临床观察牙槽突裂已修复 ,X光显示骨密度同正常骨质。结论 :牙槽突植骨术是唇腭裂序列治疗的一个组成部分 ,为恢复上腭牙弓完整性。保证裂隙临近牙的萌出 ,提供稳固的上颌牙弓 ,增加鼻翼高度 ,改善鼻翼外形 。

Objective:To make clinical assessment on implantation and repair with bone for patient who suffered chilopalatognathus combined with alveolar process cleft.Methods:The iliac cancellous bone was implanted at the fistula formed by oral and nasal cavity for chilopalatognathus patients.Results:23 cases were underwent this operation in clinic within 3 years.14 cases among them were followed up more than half year and their alveolar process cleft had been repaired with the normal bone density on X-ray.Conclusion:This method was a part of series treatment of chilopalatognathus to restore the integrity of mandibular dental arch.It could ensure the neighbor tooth growth,supply the steady upper maxillary dental arch,increase the height and improve the outlook of pinna nasi.