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1.
目的:分析单侧唇裂继发鼻畸形的发生机制,观察鼻中隔软骨、耳软骨对单侧唇裂继发鼻畸形的矫治效果,从而探讨理想的修复方法。方法:根据患者的临床特点,选取轻度单侧唇裂继发鼻畸形患者作为研究对象,采用自体鼻中隔软骨、耳软骨二期修复鼻畸形。结果:本组患者共12例,随访时间1~6个月,临床矫治效果良好。结论:鼻中隔软骨、耳软骨移植对轻度唇裂继发鼻畸形具有良好的治疗效果。  相似文献   

2.
目的 总结单侧唇裂鼻偏曲的分类和相应的外科治疗方法,以提高临床治疗效果.方法 分析2007至2009年在上海交通大学医学院附属第九人民医院口腔医学院唇腭裂治疗中心治疗的单侧唇裂继发鼻畸形176例.根据外鼻锥与面中线的关系,将唇裂鼻偏曲分为3类:骨性鼻偏曲、软骨性鼻偏曲、鼻小叶偏曲,与之对应的手术方法为:骨性鼻锥矫正术、软骨性鼻锥矫正术、鼻小叶矫正术和鼻中隔矫正术.结果 176例患者临床检查无鼻偏曲者93例(53%),伴鼻偏曲畸形者83例(47%).83例鼻偏曲患者中,骨性鼻偏曲8例(10%);软骨性鼻偏曲29例(35%);鼻小叶偏曲46例(55%).以上患者接受相应矫正手术,大部分术后获得满意的效果.结论 单侧唇裂继发鼻畸形患者中近50%可出现鼻偏曲,其中骨性鼻偏曲畸形患者最少,鼻小叶偏曲畸形最多.唇裂鼻偏曲的分类对临床治疗唇裂术后鼻偏曲畸形具有指导意义.  相似文献   

3.
周同葵  贺小虎  巩梦童 《口腔医学》2011,31(12):724-726
目的探讨自体鼻中隔软骨与耳软骨联合移植同时行鼻唇肌复位术在单侧唇裂术后鼻畸形矫正中的疗效。方法将松解移位的鼻翼软骨悬吊复位至正常解剖位置,切取自体鼻中隔软骨修整成形后植入鼻翼软骨两内侧脚间,耳软骨植入充填患侧鼻翼,同期行鼻唇肌复位术,重建鼻软骨肌肉环,修复鼻部畸形。结果 26例鼻畸形患者术后不同程度改善,随访2~9个月,鼻外形美观,效果满意。结论应用自体鼻中隔及耳软骨移植重建鼻软骨支架同时行鼻唇肌复位术能有效矫正单侧唇裂术后鼻畸形。  相似文献   

4.
自体肋软骨及Medpor人工骨联合矫治唇腭裂术后继发鼻畸形   总被引:8,自引:0,他引:8  
目的采用自体肋软骨移植鼻中隔软骨联合Medpor人工骨植入矫治唇腭裂术后继发鼻畸形。方法将切取的自体肋软骨修整成形后植入鼻中隔软骨尾端两侧,以延长鼻中隔,再将松解移位的鼻翼软骨及软组织复位至正常解剖位置,重构外鼻支撑,充分调动和利用皮肤软组织及鼻衬里(黏膜)的活动性和弹性,改善鼻背长度、提升鼻尖高度、延长鼻小柱,联合Medpor人工骨对患侧鼻翼基部植入,一次性完成对复杂鼻畸形的整复。结果矫治3例单侧唇腭裂继发鼻畸形及1例双侧唇腭裂继发鼻畸形的患者,短期随访效果满意。结论本法能有效地改善唇腭裂继发鼻畸形。  相似文献   

5.
作者收集鼻中隔偏曲矫治术切除的鼻中隔软骨,保存于弱甲醛等渗液中。在唇裂鼻畸形修复术中,将处理保存的异体鼻中隔软骨植于鼻翼软骨内脚间,增加鼻小柱的支撑力,达到矫正鼻畸形的目的,取得较好的效果。  相似文献   

6.
单侧唇裂继发鼻下端畸形张力平衡的重建   总被引:2,自引:0,他引:2  
目的:探讨单侧唇裂继发鼻下端畸形两侧张力平衡重建的手术方法及临床意义。方法:通过健侧降鼻中隔肌的处理及"C"形鼻中隔的纠正,重建鼻小柱两侧的肌张力及软骨弹性张力平衡;将鼻翼软骨外侧脚充分游离,解除鼻翼软骨周边组织的病理影响;用三点缝合二点高位悬吊法重塑外鼻下端软骨支架结构;最后施鼻翼外侧脚软组织的移位。结果:32例患者鼻下端形态恢复满意、持久。结论:用重建鼻下端两侧组织张力平衡的手术方法整复单侧唇裂继发鼻下端畸形,可获得可靠的治疗效果。  相似文献   

7.
牵引成骨术联合正畸矫治骨性上颌后缩的硬组织变化;正颌治疗骨性牙颌面畸形的护理;大块同种异体骨移植重建下颌骨失败原因分析;颊肌黏膜瓣在腭裂术后硬腭穿孔修补术中的临床应用;硬三角软骨支架植入矫正单侧唇裂术后鼻畸形  相似文献   

8.
耳甲软骨移植修复单侧唇裂鼻畸形的手术探讨   总被引:2,自引:0,他引:2  
唇裂患者多数伴有不同程度的鼻畸形。单侧唇裂术后 ,唇部的解剖形态得以恢复 ,遗留的鼻畸形更加突出。我们采用耳甲软骨移植修复单侧唇裂鼻畸形 ,效果理想 ,现报告如下。一、临床资料唇裂鼻畸形二期修复 2 1例 ,同期修复 2例。年龄 13岁至 2 2岁。男性 10例 ,女性 13例。二期修复者在 1岁前已行唇裂修补术 ,同期修复者为腭裂修复术加咽后壁瓣成形术加唇裂修复术 2例 ,已行唇裂修复术 ,同期行咽成形术加腭裂修复术 7例。二、手术手法1.采用V字形切口 ,两侧延伸至鼻翼缘外侧 ,仔细彻底解剖分离两侧鼻翼软骨 ,切除两侧鼻翼软骨穹隆部间多余的…  相似文献   

9.
单侧唇裂患者修复之后,常因术后遗鼻部畸形而再次要求手术治疗。鉴于目前对于鼻畸形的矫正方法很多,但尚无一种手术方法能得到满意的治疗效果。我们自1991年以来,依据产生鼻畸形解剖因素和唇裂鼻畸形主要特征,应用自体耳甲软骨游离移植行唇裂术后鼻畸形矫治53例,其中32例经0.5年~1年随诊效果良好。  相似文献   

10.
耳甲软骨移植修复单侧唇裂术后鼻畸形的临床研究   总被引:4,自引:0,他引:4  
目的:探讨耳甲软骨移植修复单侧唇裂术后鼻畸形的临床效果.方法:切取小块耳甲软骨修整折叠后植入鼻小柱内,重建外鼻下端的鼻小柱支架结构,并在鼻小柱基部及患侧鼻翼外侧基部皮下及肌肉层之间进行悬吊,同时对鼻皱褶进行"Z"改形,纠正鼻小柱和鼻翼的畸形.将手术效果分为非常满意、满意、基本满意、不满意、非常不满意5 级,由患者本人、术者和另外3 位頜面外科医师共同评价,结果:各项评价指标的总体满意度均在90%以上.结论: 耳甲软骨移植修复单侧唇裂术后鼻畸形可以取得良好效果.  相似文献   

11.
目的:探讨柠檬精油对牙周致病菌的体外抗菌活性及对细胞增殖的影响。方法:采用微量液体稀释法测定柠檬精油对Pg、Fn、Aa、Pi的最小抑菌浓度(minimal inhibitory concentration,MIC)及最小杀菌浓度(minimum bactericidal concentration,MBC);以较低浓度的MIC为标准稀释LEO作为实验组,采用MTT法测定柠檬精油对HUVECs的毒性作用,明确抑菌浓度下LEO的安全性。结果:柠檬精油对牙周主要致病菌均有抑菌作用,Pg、Fn、Aa、Pi的MIC分别是9.0 g/L、4.5 g/L、4.5 g/L、9.0 g/L,Aa、Fn的 MBC是9.0 g/L,Pg、Pi的MBC未测得。1/2MIC、1/20MIC浓度的LEO能够抑制人脐静脉内皮细胞的生长,而低于1/200MIC浓度的LEO则对人脐静脉内皮细胞的生长没有影响,其中1/200MIC浓度的LEO作用明显优于0.02%的CHX。结论:体外环境中,柠檬精油对牙周致病菌Pg、Fn、Aa、Pi具有抗菌活性,低浓度应用对机体相对安全。  相似文献   

12.
Purpose: The effective biomarkers related to diagnosis, metastasis, drug resistance and irradiation sensitivity of oral cancers will help the pathologist and oncologist to determine the molecular taxonomy diagnosis and design the individualization treatment for the patients with oral cancers.  相似文献   

13.
14.
The authors report on the components of stimulated whole saliva from children with Down syndrome—including pH, flow rate, sialic acid and protein concentrations, and amylase and peroxidase activity. Saliva samples were collected from 35 children aged 6–10 years. Of the participants, 17 had Down syndrome and 18 did not. To stimulate saliva production, the children chewed a piece of parafilm for 10 minutes before the sample was collected. Soon after collecting the saliva sample, the authors measured pH using a portable pH-meter. Sialic acid levels were determined with a thiobarbituric acid assay. Protein content was determined with Folin's phenol reagent. Amylase was assayed and the authors measured the maltose produced by the breakdown of starch and peroxidase using ortho-dianisidine.
No statistically significant difference was observed in levels of sialic acid (free and total) between the two groups. Protein concentration was about 36% higher in the group with Down syndrome. However, the salivary flow rate, pH, and amylase and peroxidase activities were lower among the children with Down syndrome.  相似文献   

15.
Computerized tomography (CT) planning and the use of CT derived surgical templates for implant placement have shown promise for restoring function within months after surgical reconstruction of acquired post-oncologic defects.  相似文献   

16.
目前,根管治疗术在临床上已得到了广泛的应用并成功的保存了患牙,但其仍有许多术后并发症。随着组织工程技术在口腔领域的应用,构建一种组织工程化牙髓进行牙髓-牙本质复合体的再生治疗成为可能。近年来国内外已有很多关于牙髓再生的研究,并且已经取得了一定成果。本文将对目前国内外牙髓再生的研究进展现状作一综述。  相似文献   

17.
Purpose: Venous malformations are common vascular anomalies with a propensity of the head and neck. Intralesional injection of Pingyangmycin (PYM, bleomycin A5 hydrochloride) is a widely used sclerotherapy method for the treatment of venous malformation.  相似文献   

18.
Dysphagia is one of the most important complications encountered in amyotrophic lateral sclerosis (ALS). Our aim was to determine whether oropharyngeal dysphagia impacted the quality of life (QoL) of patients with ALS. Thirty consecutive patients were recruited (31–82 years, 18 men). Swallowing function was evaluated using a standardised videofluoroscopic barium swallow. All the patients completed a specific questionnaire on quality of life in dysphagia (SWAL‐QoL) immediately after the videofluoroscopy. The results of dysphagia outcome severity scale separated 14 patients with oropharyngeal dysphagia and 16 with normal swallowing function. There was no difference in the average age, weight and body mass index of the two groups (dysphagic patients: 68 ± 11 kg versus non‐dysphagic patients: 69 ± 14 kg). Most of the dysphagic patients had a bulbar affection based on their Norris scores which determine the importance of cranial nerves illness (20 ± 8), significantly lower than those of the non‐dysphagic patients (35 ± 5) (P < 0·0001). There was no difference in the neurological peripheral symptoms evaluated by Amyotrophic Lateral Sclerosis Functional Rating Scale scores (dysphagic patients: 26 ± 7 versus non‐dysphagic patients: 27 ± 8) (ns). The swallowing quality of life questionnaire revealed that the dysphagic patients had significant burden (P < 0·001). They were affected by the necessity to applied a food selection (P < 0·01), by the increase in eating duration (P < 0·05) and described a decrease in eating desire (P < 0·05). They complained of fear regarding the risk of dysphagia (P < 0·05). They also described difficulties with oral communication (P < 0·001). All of those complained about dysphagia which impacted directly mental health (P < 0·05) and social life (P < 0·05). In conclusion, oropharyngeal dysphagia is a common symptom accompanying ALS, which alters the patient's QoL, especially social health.  相似文献   

19.
目的:制备多壁碳纳米管/羟基磷灰石/壳聚糖复合温敏凝胶,探讨其作为拔牙位点保存材料的理化性能。方法:采用原位沉积方法制备多壁碳纳米管/羟基磷灰石(MWNT/ HA简称HAC)复合无机材料,将其分散至壳聚糖温敏凝胶中,制备壳聚糖/多壁碳纳米管/羟基磷灰石(CS /MWNT/HA简称CS/HAC)复合温敏凝胶,以成胶时间、孔径、孔隙率、机械强度及降解性能为指标优化配方设计,并表征复合温敏凝胶的微观形貌及理化性能。结果:以10 g/L的HAC作为补强成分加入到壳聚糖溶液中,能够在不影响成胶并保证一定孔隙率(84%)的前提下,提高材料的机械性能(抗压强度0.441 MPa),所获复合温敏凝胶具有适宜的临床操作时间(12 min),并具有可控的降解速率。结论:负载HAC的复合温敏凝胶具有良好的成型性,并具有较好的机械性能,在拔牙位点保存领域具有良好的应用前景。  相似文献   

20.
Interventional radiology and interventional neuroradiology are evolving specialties which can aid the head and neck surgeons in the clinical management of patients with complex vascular lesions.  相似文献   

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