術前鼻歯槽形成法による片側性完全唇顎口蓋裂患者の初期治療 Primary management using a presurgical nasoalveolar molding technique in infants with complete unilateral cleft lip and palate

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著者

    • 森田 圭一 MORITA Kei-ichi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
    • 郡司 明美 GUNJI Akemi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
    • 石井 正俊 ISHII Masatoshi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
    • 森山 孝 MORIYAMA Takashi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
    • 今泉 史子 IMAIZUMI Fumiko
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
    • 小村 健 OMURA Ken
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University

抄録

Considerable progress has recently been made in nose correction techniques in the field of cleft lip surgery. However, surgical repair alone cannot solve the multiple problems associated with wide clefts of the lip and severe deformity of the nose. Presurgical nasoalveolar molding (PNAM) technique for patients with clefts was described by Grayson et al.(1999). This treatment's objectives are non-surgical correction of the nose and alveolar processes, including repositioning the deformed alar cartilages, lengthening of deficient columella, and reduction of the alveolar cleft gap by using Hotz-type palatal molding plates with acrylic nasal stents and surgical adhesive tapes that are applied to the cheeks during the neonatal period. In this paper, we describe our experience with primary management using PNAM in 12 infants with unilateral cleft lip and palate. All cases showed elongation of the columella and reduction of the alveolar cleft gap before primary surgical repair of the lip and nose, which suggested that PNAM is useful for promoting presurgical morphological improvement.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(11), 643-648, 2004-11-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018618764
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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