自制矫治器在Ⅲ度唇腭裂治疗中的应用

The application of a self-made appliance in the treatment of Ⅲ degree lip and palate cleft

目的 为了在术前矫正双侧唇裂过度突出的前颌骨 ,避免术中犁骨截断术 ,提高双侧唇裂的手术效果。方法 用直径 1.0mm钢丝自制“M”形矫治器 ,对过度突出的前颌骨进行术前矫正。结果 12例伴有前颌骨过度突出的双侧唇裂 ,经术前矫治 1～ 2个月后 ,效果满意。结论 自制矫治器临床效果好 ,其作用符合生理解剖特点 ,造价低廉 ,方法简便 ,值得推广。

Objective To correct the excessivelly protrude maxilla in bilateral cleftlip patients before operation and to avoid vomer osteotomy during operation and thas improving the effects of bilateral cleftlip operation. Methods We made a“M”shaped appliance with 1mm diameter steel wire to correct the excessivelly protrudet maxilla before oprtation. Results 12 patients who suffered bilateral cleftlip with excessivelly protrudet maxilla have undergone correction for 1～2 month before operation. The effects of operation were satisfactory. Conclusion The self-made appliance give a very good clinical effects. It is not only cheap and convenience but also accords with physiologic and anatomy characteristics and deserves popularizing.