正畸正颌联合治疗唇腭裂术后牙颌面畸形的疗效观察

目的:探讨正畸、正颌外科联合治疗唇腭裂术后牙颌面畸形的临床疗效。方法:选择2001—2012年,我院收治的唇腭裂术后牙颌面畸形患者56例,采用正颌联合正畸的方法进行治疗。随访6²4个月,观察牙颌面畸形改善情况。结果:56例患者面形改善明显,咬合关系良好,随访无复发。比较手术前后的头影测量值进行分析,差异具有统计学意义(P<0.05)。结论:正颌外科联合术前、术后正畸,可明显改善面部畸形,减少术后复发,是治疗唇腭裂术后牙颌面畸形的理想手术方式。

Clinical Analysis of Treatment Effects of Postoperative Deformities of Cleft Lip and Palate with Orthodontics and Orthognathics

Objective： To investigate the clinical efficacy of orthodontics, orthognathic surgery combined treatment of postoperative maxillofacial deformities in cleft lip/palate patients. Methods：From 2001-07—2012-07, 56 cases were retro-spectively reviewed. Orthognathic surgery and orthodontics measures were used to correct the postoperative deformities and followed-up for 6~24 months. Results： Cephalometric comparison before and after operation were analyzed, the difference was statistically significant （P〈0.05）. 56 patients＆#39; facial appearance improved significantly, whose normal occlusion were established and without recurrences. Conclusion： Orthognathic surgery with preoperative and postoperative orthodontic treatment can obviously improve the postoperative facial deformities in cleft lip/palate patients.