Alia Eid, Ranad Ahmed, Mahmoud Yehia, Salah Abdelfattah
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引用次数: 0
Abstract
Cleft lip and palate (CLP) is a common congenital condition that often requires multiple surgeries to correct. However, these surgical procedures can lead to complications like midface hypoplasia, speech difficulties, and dental malocclusion. CLP individuals need orthognathic surgeries to correct these problems either with conventional Le Fort I (CO) or maxillary distraction osteogenesis (DO). The search of the articles was through 3 main electronic databases PubMed, Science Direct, Scopus. Clinical trials, prospectives, retrospective, and case series were included. A total of 30 articles were analyzed according to the type of orthognathic surgery and the outcomes relapse, soft tissue, velepharyngeal insufficiency (VPI), Speech, and morbidities. The results showed that there was no difference between CO and DO in terms of relapse rate, soft tissue changes, speech, and morbidities. However, DO showed less change on the veloparyngeal gap than CO.
唇腭裂（CLP）是一种常见的先天性疾病，通常需要多次手术来纠正。然而，这些外科手术可能导致并发症，如面中部发育不全、语言困难和牙齿错颌。CLP患者需要正颌手术来纠正这些问题，无论是传统的Le Fort I （CO）还是上颌牵张成骨（DO）。本文通过PubMed， Science Direct， Scopus三个主要电子数据库进行检索。包括临床试验、前瞻性、回顾性和病例系列。根据正颌手术的类型和结果对30篇文章进行分析，包括复发、软组织、腭咽功能不全（VPI）、言语和发病率。结果显示，在复发率、软组织改变、语言和发病率方面，CO和DO之间没有差异。然而，与一氧化碳相比，DO对咽间隙的影响较小。
期刊介绍：
The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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