双侧完全性唇腭裂新生儿进行鼻-齿槽塑形治疗的临床研究

›› 2016, Vol. 36 ›› Issue (9): 813-816.

双侧完全性唇腭裂新生儿进行鼻-齿槽塑形治疗的临床研究

顾启慧¹,王宇婷²,侯伟³,韶青华⁴,厉丹丹²,马俊青²,王震东⁵

1. 南京医科大学
2. 江苏省口腔医院
3. j江苏省口腔医院
4. 南京医科大学附属口腔医院
5. 南京医科大学附属口腔医院口腔正畸科

收稿日期:2016-03-17 修回日期:2016-06-05 出版日期:2016-09-28 发布日期:2016-10-06
通讯作者: 王震东 E-mail:834628878@qq.com
基金资助:
国家自然科学基金资助项目;江苏省杰出青年基金资助项目;江苏高校优势学科建设工程资助项目

Clinical study of the effect of presurgical nasal-alveolar molding on the bilateral complete cleft lip infants

Received:2016-03-17 Revised:2016-06-05 Online:2016-09-28 Published:2016-10-06

摘要/Abstract

摘要： ［摘要］目的：观察鼻－齿槽塑形治疗（presurgical nasal- alveolar molding ，PNAM）对双侧完全性唇腭裂婴儿的临床疗效。方法：对20例出生10天-3个月的双侧完全性唇腭裂新生儿进行鼻－齿槽的整形，测量治疗前后的双侧上唇裂隙宽度、前鼻突到唇裂距离、鼻小柱长度、唇裂交角，并用SPSS21.0 软件进行统计分析。结果：经过3-4个月的PNAM治疗后，双侧上唇裂隙宽度、前鼻突到唇裂距离明显减小，鼻小柱长度明显增加，均有统计学意义；唇裂交角减小，但无统计学意义。鼻外形左右基本对称，鼻翼外形恢复不明显，鼻小柱位于面部正中位置。结论：PNAM塑形治疗能有效减少双侧完全性唇腭裂婴儿的上唇裂隙宽度，压低前鼻突，伸长鼻小柱，改善鼻外观，降低手术难度。

关键词: 鼻－齿槽塑形, 双侧完全性唇腭裂, 新生儿, 鼻

Abstract: Abstract：Objective: To evaluate the orthopaedic effect of presurgical nasal-alveolar molding（PNAM）on the nasolabial deformities in the bilateral complete cleft lip and palate infants .Methods: 20 cases were born 10 days-3 months with bilateral complete cleft lip and palate were underwent the PNAM treatment . Bilateral upper lip crack width, the length between the level of cleft lip and anterior nasal process, columellar length , cleft lip angle were measured before and after treatment, and statistically analyzed by SPSS21.0 software. Results: After treatment of PNAM for 3-4 months, bilateral upper lip crack width, the length between the level of cleft lip and anterior nasal process were significantly decreased. Columellar length was statistically significantly increased. Cleft lip angle was decreased, but no statistics significance. Nose shape was substantially symmetrical, the alae of the nose recovery is not obvious, columellar position located in the middle of the face. Conclusion: PNAM treatment can effectively decrease the width of the upper lip crack of bilateral cleft lip and palate, depress anterior nasal process, elongate columella, improve the appearance of the nose and reduce the difficulty of operation.

Key words: presurgical nasal-alveolar molding , bilateral complete cleft lip, infant, nose

中图分类号:

R783.5

顾启慧王宇婷侯伟韶青华厉丹丹马俊青王震东. 双侧完全性唇腭裂新生儿进行鼻-齿槽塑形治疗的临床研究[J]. , 2016, 36(9): 813-816.

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