鼻咽腔閉鎖不全を伴った唇顎口蓋裂患者に対して上顎骨延長術を施行した1例  [in Japanese] A Case of Cleft Lip and Palate with Velopharyngeal Incompetence Treated by Maxillary Distraction Osteogenesis  [in Japanese]

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Author(s)

    • 陳 資史 CHIN MOTOFUMI
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 高橋 克 TAKAHASHI KATSU
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 家森 正志 YAMORI MASASHI
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 小山 典昭 KOYAMA NORIAKI
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 田村 佳代 TAMURA KAYO
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 別所 和久 BESSHO KAZUHISA
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University

Abstract

The development of velopharyngeal incompetence in patients who have previously received surgery of maxillary advancement has been reported. Here, we report a case of unilateral cleft lip and palate with mild preoperative velopharyngeal incompetence.<br>The case was a 20-year-old male patient, referred to our clinic with a chief complaint of maxillary retrusion. We confirmed the diagnosis of maxillary retrusion and mandibular prognathism. The patient underwent bilateral sagittal splitting ramus osteotomy and maxillary advancement by distraction osteogenesis with a rigid external distraction device. The velopharyngeal function was evaluated using perceptual speech assessment, nasoendoscopy, and cephalometric analysis. Although the maxillary advancement was larger than 10 millimeters in this case, the patient's velopharyngeal function remained without deterioration after the maxillary distraction.

Journal

  • The Japanese Journal of Jaw Deformities

    The Japanese Journal of Jaw Deformities 22(4), 275-280, 2012-12-15

    THE JAPANESE SOCIETY FOR JAW DEFORMITIES

References:  27

Codes

  • NII Article ID (NAID)
    10031168166
  • NII NACSIS-CAT ID (NCID)
    AN10366185
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    09167048
  • Data Source
    CJP  J-STAGE 
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