Orthopaedic growth guidance and stimulation for patients with cleft lip and palate.

Orthopaedic growth guidance and stimulation for patients with cleft lip and palate.
复制标题

唇腭裂患者的骨科生长指导和刺激。

DOI:
10.3109/02844318709083581
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发表时间:
1987
影响因子:
--
通讯作者:
J. Weil
J. Weil
中科院分区:
--
文献类型:
--
作者:
J. Weil

文献摘要

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The growth potential of the craniofacial complex of a child with a congenital cleft is not at variance with that of the normal craniofacial complex. Early surgery including mucoperiosteal undermining and the formation of scar tissue generally results in considerable growth retardation. Primary bone grafting seriously inhibits maxillary growth. 15 years' experience with the treatment of cleft patients applying "growth stimulators" combined with postponing surgical corrections is reported, and the results of this treatment method are compared with those found in literature. As a criterion an accurately measurable and reliable parameter, namely the crossbite relation, was opted for. The frequency of crossbite occurrence is now only 16% for deciduous dentitions and 21% for mixed dentitions. In comparison with the most favourable treatment results found in the literature this constitutes a reduction of more than 50%. This implies that the development of maxillary morphology is normalised, leading to an improvement of the oro-nasal functions including speech development.