正畸正颌联合治疗唇腭裂术后牙颌面畸形的疗效观察

摘要

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6～24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。%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' 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.