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在患有裂和面诊断的患者中,手术辅助的快速 palatal 扩张

Allison C Hu¹, Philip D Tolley¹, Isabel A Ryan¹

¹Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Pennsylvania, PA, USA.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

|November 17, 2025

概括

手术辅助的快速 palatal 扩张 (SARPE) 有效地治疗裂和面患者的上缺陷. 这种安全的手术提供了可靠的扩张与最小的并发症,可能减少未来的细分Le Fort I骨折的需要.

科学领域:

面外科手术面外科手术
矯正牙科矯正牙科是一種矯正牙科.
口面部手术口面部手术

背景情况:

横向大缺陷在患有裂和面诊断的患者中很常见.
手术辅助快速 palatal 扩张 (SARPE) 是一种用于解决这一缺陷的技术.
在这种特定患者群体中评估SARPE结果对于优化治疗至关重要.

研究的目的:

评估SARPE在患有裂和面状况的患者中的指示,手术技术,患者结果和并发症.
为了确定随后的骨架手术的速度,特别是细分的Le Fort I骨切除术,在SARPE之后.
为这个复杂的群体建立SARPE作为安全有效的治疗方式.

主要方法:

在2008年至2024年期间接受SARPE治疗的患者的回顾性图表审查.
分析了65名患者,重点是被诊断患有裂或面状况的23名患者 (35.4%).
对指示的审查,实现的扩展,手术技术 (包括Piezotome的使用),并发症和未来整形手术的需要.

主要成果:

23名裂/面患者的平均年龄为17.2岁.
主要征兆包括闭合的宫中 suture (60.9%) 和以前的扩张失败 (30.4%).
在14.7天内,平均膨胀为7.0毫米,并发症最小 (根损伤,,脱节各为4.3%). 73.9%的患者进行了整形手术,但只有18.2%的患者需要分段骨切除术.

结论:

在患有裂和面诊断的患者中,SARPE是横向大缺陷的安全有效治疗方法.
该程序提供可靠的 palatal 扩张与低发病率.
在此种人群中,SARPE可能会降低随后的正形外科手术中对细分Le Fort I骨切除的必要性,从而支持其在面护理中的更广泛使用.

关键词:

嘴唇裂和 palatal palatal 裂是指口唇裂和 palatal 裂是指口唇裂和 palatal 裂是指口唇裂.头骨面部外科手术是什么交叉咬伤是一种交叉咬伤.牙闭塞牙的闭塞牙的闭塞面部生长面部生长面部生长缺陷性缺陷是指一个缺陷性缺陷.马克西拉 (Maxilla) 是一个大.面部中部的生长面部中部的生长整形手术是指整形手术.palatal 的扩张 palatal 的扩张手术技术是指手术技术的使用.

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