［症例報告］唇顎口蓋裂患者の上顎劣成長に対する外科的矯正治療を行った2例

概要

論文の詳細を見る
In our department, consistent treatment using a team approach has been done for patients with cleft lip and palate since 1985, and we have generally reported a satisfactory outcome for each process to date. Surgical orthodontic treatment assumes an important role as a final stage of treatment in the team approach. In patients with cleft lip and palate, the advancement of maxilla is limited by scar tissue having formed in the palate region and for various other reasons. The concept of orthognathic surgery involving distraction osteogenesis has already been established. The first patient reported on have had cleft palate and maxillary hypoplasia, skeletal mandibular prognathism, open bite and mandibular asymmetry who was treated by a two-Jaw surgery. The second patient who had cleft lip with severe maxillary hypoplasia and skeletal mandibular prognathism was treated with maxillary distraction osteogenesis. Satisfactory facial profile and occlusal condition were obtained, suggesting that Le Fort I osteotomy and distraction osteogenesis of the maxilla using the subcutaneous device could be a useful method in patients with cleft lip and palate.
琉球医学会,Ryukyu Medical Associationの論文