牵引成骨术治疗唇腭裂继发颌骨畸形稳定性的研究进展

Skeletal stability of maxillary distraction osteogenesis for patients with cleft lip and palate

牵引成骨术(distraction osteogenesis,DO)在口腔颌面外科的应用越来越广,为唇腭裂继发颌骨畸形治疗提供了新的手段。DO按牵引类型主要分为内置式牵引(intraoral distraction osteogenesis, IDO)和外置式牵引(extraoral distraction osteogenesis, EDO)2种,在大距离前徙上颌骨时,唇腭裂牵引成骨术后的长期稳定性和复发的报道还很少。本文就牵引成骨治疗唇腭裂继发颌骨畸形术后的长期稳定性的临床研究进展作一综述。

Distraction osteogenesis（DO） has become a mainstream surgical technique and is now widely used in patients with oral maxillofacial deformities. It has opened a new perspective for the treatment of patients with cleft lip and palate.Currently, two types of distraction devices have been used for maxillary advancement： intraoral DO and extraoral DO.However, long term stability and recurrence after DO are rarely reported when maxilla was advanced by large distance.This paper reviewed the effect and long term stability of DO for patients with cleft lip and palate.