青春期早期唇腭裂继发上颌发育不足的治疗及其长期稳定性的临床研究进展

Clinical and research progress on the treatment effect and the long term stability of cleft lip and palate patients with maxillary hypoplasia during prepuberty

上颌前方牵引技术和牵张成骨技术前移上颌骨,是目前常用的治疗青春期早期唇腭裂继发上颌发育不足患者的2种方法。上颌前方牵引技术的疗效主要与其牵引时机、牵引装置相关,而关于其治疗后的长期稳定性尚存在争议。牵张成骨技术的疗效主要与其不同的牵张方式有关,包括面罩式牵引、坚固外固定牵引和内置式牵引3种,而有关该治疗技术的长期稳定性也与其牵张方式相关。现本文就这2种常用治疗技术的疗效及其长期稳定性的临床研究进展作一综述。

Maxillary protraction and distraction osteogenesis are commonly used in cleft lip and palate patients with maxillary hypoplasia during prepuberty.The effect of the former one is dealing with the timing and the appliance selected while the latter one is associated with the types of distraction osteogenesis including face mask distraction,rigid external distraction and internal distraction.The long term stability of both treatment techniques is still under controversy.This paper reviews the effect and long term stability of the maxillary protraction and distraction osteogenesis.