口腔医学研究

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (10): 919-923.DOI: 10.13701/j.cnki.kqyxyj.2021.10.012

• 口腔颌面外科学研究 • 上一篇    下一篇

PNAM治疗对单侧完全性唇裂术后效果的影响

刘晓琳1, 郑谦2, 李承浩2, 石冰2, 杨超2*   

  1. 1.河北医科大学口腔医学院·口腔医院口腔颌面外科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心 河北 石家庄 050017;
    2.口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院 四川 成都 610041
  • 收稿日期:2021-02-25 出版日期:2021-10-28 发布日期:2021-10-18
  • 通讯作者: *杨超,E-mail:28611736@163.com
  • 作者简介:刘晓琳(1990~ ),女,河北沧州人,博士,主治医师,研究方向:口腔颌面外科(唇腭裂外科)。
  • 基金资助:
    河北省医学科学研究课题计划(编号:20191067)河北医科大学自然科学领域青年科技人才支持计划(春雨计划)(编号:CYQD201831)

Influence of Presurgical Nasoalveolar Molding on Postoperative Results of Unilateral Complete Cleft Lip

LIU Xiaolin1, ZHENG Qian2, LI Chenghao2, SHI Bing2, YANG Chao2*   

  1. 1. Oral and Maxillofacial Surgery, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    2. State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-25 Online:2021-10-28 Published:2021-10-18

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摘要： 目的:评估PNAM治疗对一期单侧完全性唇腭裂患者,术后鼻唇畸形整复效果的影响。方法:共收集66例一期单侧完全性唇腭裂患者,PNAM组32例、对照组34例,分别拍摄术后即刻、术后半年、术后1年及1年以上的照片,测量鼻唇部对称指数,采用SPSS 22.0统计软件进行数据分析。结果:术后即刻,仅鼻尖对称指数(P=0.015)、鼻底对称指数(P=0.016)有统计学差异;术后半年,仅鼻尖对称指数(P=0.011)有统计学差异;术后1年,仅鼻小柱对称指数(P=0.021)有统计学差异;1年以上,各指数均无统计学差异。结论:PNAM治疗,可提高一期单侧完全性唇腭裂患者,唇裂术后鼻畸形整复的短期效果,但1年以后鼻部有复发趋势。

关键词: 术前正畸, PNAM, 单侧完全性唇腭裂, 唇裂整复术

Abstract: Objective: To evaluate the effect of presurgical nasoalveolar molding (PNAM) treatment on patients with one-stage unilateral complete cleft lip and palate. Methods: A total of 66 patients with one-stage unilateral complete cleft lip and palate, including 32 patients in PNAM group and 34 patients in control group, were taken photos immediately after operation, six months after operation, one year after operation, and more than one year after operation. The symmetry index of nose and lip was measured. Results: Immediately after operation, only the nasal tip symmetry index (P=0.015) and the nasal base symmetry index (P=0.016) had statistical differences. Half a year after operation, only the nasal tip symmetry index (P=0.011) had statistical difference. One year after operation, only the symmetry index of columella nasi (P=0.021) had statistical difference. For more than one year, there was no statistical difference in each index. Conclusion: PNAM treatment can improve the short-term effect of nose deformities in patients with one-stage unilateral complete cleft lip and palate after primary cheiloplasty, however, the nose tends to recur one year later.

Key words: preoperative orthodontics, PNAM, unilateral complete cleft lip and palate, cheiloplasty