鼻侧Medpor假体置入矫正单侧唇裂术后患侧上颌骨发育不足

Clinical study on maxillary skeletal discrepancy recorrection through paranasal Medpor prosthesis implantation in secondry deformity of unilateral cleft lip patients

目的:探讨鼻侧Medpor假体置入治疗单侧唇裂术后患侧上颌骨发育不足的疗效。方法:对2007年8月～2010年12月收治的16例单侧唇裂术后患侧上颌骨发育不足的患者,根据其解剖特点,选择Medpor假体置入来矫正患侧上颌骨发育不足,进行总结以评价其手术疗效。结果:术后随访所有患者3～6个月,切口瘢痕不明显,并发症少,患侧上颌骨发育不足得到矫正,患侧鼻翼塌陷畸形矫正良好,术后未见感染及假体外露。结论:畸形矫正的关键是以病理解剖为基础,最大程度地恢复其正常解剖位置及关系,鼻侧Medpor假体置入可以充分矫正唇裂术后患侧上颌骨发育不足,患侧鼻翼塌陷畸形得到矫正,效果稳定。

Objective To explore the effect of the Maxillary skeletal discrepancy correction in secondry deformity of unilateral cleft lip patients by Medpor prosthesis implantation.Methods According to the local anatomy characteristic,we use Medpor prosthesis implantation to rectify the Maxillary skeletal discrepancy in16 patients,summarize and evaluate the effect postoperation.Results All of patients be followed up from 3months to 6months,no evident incision scar,less complications,no infections and no prosthesis exposed postoperation,the Maxillary skeletal discrepancy of the patients be fully corrected.Conclusions Correction of the deformity muse be based on pathoanatomy and anastateits anatomy relationship in great degree,paranasal Medpor prosthesis implantation can rectify the nasal ala collapse,and have a stable effect with follows up.