Hotz床併用二段階口蓋形成手術法が顎顔面成長発育に及ぼす影響について
Hotz床併用二段階口蓋形成手術法の顎顔面発育に対する長期成績を評価することを目的とし,本法で治療した片側性唇顎口蓋裂の29名(男児19名,女児10名)(二段階法群)と比較のために一段階法を施行した片側性唇顎口蓋裂の28名(男児18名,女児10名)(一段階法群)を対象とし,二段階法群から得られた87枚の側面セファログラム(男児54枚,女児33枚)と一段階法群から得られた89枚の側面セファログラム(男児58枚,女児31枚)を,撮影時年齢に応じて,男女それぞれ6,8,10,12,14歳群に分類した.各被験者の側面セファログラムをトレースし,SellaとSella-Nasionlineで重ね合わせし...
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| Published in | 日本口蓋裂学会雑誌 Vol. 27; no. 3; pp. 306 - 324 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本口蓋裂学会
2002
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-5185 2186-5701 |
| DOI | 10.11224/cleftpalate1976.27.3_306 |
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| Abstract | Hotz床併用二段階口蓋形成手術法の顎顔面発育に対する長期成績を評価することを目的とし,本法で治療した片側性唇顎口蓋裂の29名(男児19名,女児10名)(二段階法群)と比較のために一段階法を施行した片側性唇顎口蓋裂の28名(男児18名,女児10名)(一段階法群)を対象とし,二段階法群から得られた87枚の側面セファログラム(男児54枚,女児33枚)と一段階法群から得られた89枚の側面セファログラム(男児58枚,女児31枚)を,撮影時年齢に応じて,男女それぞれ6,8,10,12,14歳群に分類した.各被験者の側面セファログラムをトレースし,SellaとSella-Nasionlineで重ね合わせした後,24項目について計測を行った.両群とも各年齢で男女別々に平均値と標準偏差を求めるとともに,各年齢時の両群問の比較検討と各群の増齢的変化について検討した.また,両群とも各年齢時の平均的プロフイログラムを作製し,その成長様相についても検討した.その結果,∠SNAは男女とも二段階法群が一段階法群と比較して常に大きな値を示した.それゆえ∠ANBも二段階法群が,常に大きな値を示し良好な上下顎関係を保っていた.これに対して,一段階法群の男児では増齢とともに顎関係が悪化していく傾向が認められ,女児では常にマイナスの値を示した.以上より,Hotz床併用二段階口蓋形成手術法において上顎の成長が良好であり,その結果バランスのとれた顎顔面の成長が生じていることが明らかとなった. |
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| AbstractList | Hotz床併用二段階口蓋形成手術法の顎顔面発育に対する長期成績を評価することを目的とし,本法で治療した片側性唇顎口蓋裂の29名(男児19名,女児10名)(二段階法群)と比較のために一段階法を施行した片側性唇顎口蓋裂の28名(男児18名,女児10名)(一段階法群)を対象とし,二段階法群から得られた87枚の側面セファログラム(男児54枚,女児33枚)と一段階法群から得られた89枚の側面セファログラム(男児58枚,女児31枚)を,撮影時年齢に応じて,男女それぞれ6,8,10,12,14歳群に分類した.各被験者の側面セファログラムをトレースし,SellaとSella-Nasionlineで重ね合わせした後,24項目について計測を行った.両群とも各年齢で男女別々に平均値と標準偏差を求めるとともに,各年齢時の両群問の比較検討と各群の増齢的変化について検討した.また,両群とも各年齢時の平均的プロフイログラムを作製し,その成長様相についても検討した.その結果,∠SNAは男女とも二段階法群が一段階法群と比較して常に大きな値を示した.それゆえ∠ANBも二段階法群が,常に大きな値を示し良好な上下顎関係を保っていた.これに対して,一段階法群の男児では増齢とともに顎関係が悪化していく傾向が認められ,女児では常にマイナスの値を示した.以上より,Hotz床併用二段階口蓋形成手術法において上顎の成長が良好であり,その結果バランスのとれた顎顔面の成長が生じていることが明らかとなった. |
| Author | 新井, 透 森田, 修一 花田, 晃治 小野, 一宏 石井, 一裕 高木, 律男 |
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| References | 29) Vargervik, K.: Orthodontic management of unilateral cleft lip and palate. Cleft Palate J., 18: 256-270, 1981. 10) Fukuhara, S., Ohashi, Y.: The growth of maxilla in patients with unilateral cleft lip, alveolus, and palate from newborn to 7years of age. -A comparative study between two-stage palatoplasty combined with Hotz's plate cases and non-cleft controls-. J Jpn Stomatol Soc., 45: 227-239, 1996. 26) Mitani, H.: A follow-up study of growth increment and rate in the human face during puberty. Part 1: Study of growth in crement. J Jpn Orthod Soc., 31: 307-318, 1972. 13) Ono, K., Ohashi, Y., Takagi, R., et al: Effects of two-stage palatoplasty combined with Hotz's plate on secondary bone graft. J Jpn Cleft Palate Assoc., 22: 225, 1997. 6) Noverraz, A. E. M, Kuijpers-Jagtman, A. M, Mars, M., et al: Timing of hard palate closure and dental arch relationships in unilateral cleft lip and palate patients: A mixed-longitudinal study. Cleft Palate J., 30: 391-396, 1993. 14) Hayashi, I.: Craniofacial growth in complete unilateral cleft lip and palate: A roentgeno-cephalometric study. J Jpn Orthod Soc., 34: 33-65, 1975. 1) Schweckendiek, H.: Zur frage der fruh and spatoperation derangeborenen lippen kiefer Gaumenspalten. ZLaryng Rhinol Otol., 30: 51-56, 1951. 27) Friede, H., Moller, M., Lilja, J., et al: Facial morphology and occlusion at the stage of early mixed dentition in cleft lip and palate patients treated with delayed closure of the hard palate. Scand J Plast Reconstr Hand Surg., 21: 65-71, 1987. 25) Iwasawa, T., Nakakuki, M., Matsumoto, Y.: A study on lateral head plates of normal occlusion and malocclusions (Angle's Class I, Class II and Class III ). J Jpn Orthod Soc., 28: 105-112, 1969. 16) Aduss, H.: Craniofacial growth in complete unilateral cleft lip and palate. Angle Orthod., 41: 202-213, 1971. 20) Abe, M.: A study on chronological changes of the upper dental arch in cases of unilateral cleft lip and palate after labioplasty. J. Oral Maxillofac. Surg., 20: 248-267, 1974. 28) MaKee, R.: Rentgenographic cephalometric study of tongue position in indiv iduals with cleft palate deformity. Angle Orthod., 26: 99-109, 1956. 5) Ross, R. B.: Treatment variables affecting growth in unilateral cleft lip and palate. Part 5: Timing of palate repair. Cleft Palate J., 24a: 54-63, 1987. 8) Hotz, M. M., Gnoinski, W. M.: Effects of early maxillary orthopaedics in coordination with delayed surgery for cleft lip and palate. J max. -fac. Surg., 7: 201-210, 1979. 23) Ono, K., Iida, A., Ohashi, Y., et al: Effects of the early maxillary orthopaedic a ppliance for cleft lip and palate. In Morimoto, T., Matsuya, T., Takada, K. ed.; Brain and oral functions Oral motor function and dysfunction. 265-272, Elsevier, Amsterdam, 1995. 12) Isono, S.: Speech results and speech development after two-stage palatoplasty combined with Hotz's plate in cleft lip and palate children. Niigata Dent. J., 28: 15-24, 1998. 15) Subtelney, J. D.: Width of the nasopharynx and related anatomic structures in normal and unoperated cleft palate children. Am J Orthod., 41: 889-909, 1955. 19) Ishii, K., Arai, T., Saito, I., et al: Effect of Hotz'plate-based two-stage palatoplasty i n unilateral cleft lip and palate. -A comparative study of subjects treated with one-stage palatoplasty and normal subjects-. J Jpn Orthod Soc., 59: 402-406, 2000. 7) Hotz, M. M., Gnoinski, W. M., Nussbaumer, H., et al: Early maxillary orth opedics in CLP cases: Guidelines for surgery. Cle f t Palate J., 15: 405-411, 1978. 3) Bradach, J., Morris, H. L., Olin, W. H.: Late results of primary veloplasty; The Marburg project. Plast Reconstr Surg., 7 3: 207-217, 1984. 18) Iizuka, T., Ishikawa, F.: Cephalometric study on craniofacial development in Japanese children. J Jpn Orthod Soc., 17: 260-272, 1958. 9) Friede, H., Priede, D., Moller, M., et al: Comparisons of facial growth in patients with unilateral cleft lip and palate treated by different regimens for two-stage palatal repair. Scand J Plast Reconstr Hand Surg., 33: 73-81, 1999. 2) Schweckendiek, W.: Primary veloplasty Long-term results without maxillary deformity. A twenty-five year report. Cleft Palate J., 15: 268-274, 1978. 4) Blijdorp, P., Egyedi, P.: The influence of age at operation for clefts on the development of the jaws. Jmax. -fac. Surg., 12: 193-200, 1984. 17) Ross, R. B.: Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Part 7: An overview of trea tment. Cleft Palate J., 24b: 71-77, 1987. 22) Iida, A., Ohashi, Y., Takagi, R., et al: Hard palate closure in two-stage palatoplasty. J Jpn Cleft Palate Assoc., 23: 68-74, 1998. 11) Ono, K., Iida, A., Imai, N., et al: Effects of two-stage palatoplasty combined with Hotz's plate on maxillary growth in Unila teral Cleft Lip and Palate. -Compariso n of permanent dentition of patients treated by one-stage palatoplasty and noncleft normal subjects- J Jpn Cleft Palate Assoc., 25: 36-44, 2000. 21) Ono, K., Ohashi, Y., Takagi, R., et al: Spontaneous narrowing of residual har d palate cleft after velar closure in two-sta g e palatoplasty. J Jpn Cleft Palate Assoc., 21: 126-141, 1996. 24) Semb, G.: A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP team. Cleft Palate J., 28: 1-21, 1991. |
| References_xml | – reference: 24) Semb, G.: A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP team. Cleft Palate J., 28: 1-21, 1991. – reference: 27) Friede, H., Moller, M., Lilja, J., et al: Facial morphology and occlusion at the stage of early mixed dentition in cleft lip and palate patients treated with delayed closure of the hard palate. Scand J Plast Reconstr Hand Surg., 21: 65-71, 1987. – reference: 15) Subtelney, J. D.: Width of the nasopharynx and related anatomic structures in normal and unoperated cleft palate children. Am J Orthod., 41: 889-909, 1955. – reference: 13) Ono, K., Ohashi, Y., Takagi, R., et al: Effects of two-stage palatoplasty combined with Hotz's plate on secondary bone graft. J Jpn Cleft Palate Assoc., 22: 225, 1997. – reference: 9) Friede, H., Priede, D., Moller, M., et al: Comparisons of facial growth in patients with unilateral cleft lip and palate treated by different regimens for two-stage palatal repair. Scand J Plast Reconstr Hand Surg., 33: 73-81, 1999. – reference: 11) Ono, K., Iida, A., Imai, N., et al: Effects of two-stage palatoplasty combined with Hotz's plate on maxillary growth in Unila teral Cleft Lip and Palate. -Compariso n of permanent dentition of patients treated by one-stage palatoplasty and noncleft normal subjects- J Jpn Cleft Palate Assoc., 25: 36-44, 2000. – reference: 25) Iwasawa, T., Nakakuki, M., Matsumoto, Y.: A study on lateral head plates of normal occlusion and malocclusions (Angle's Class I, Class II and Class III ). J Jpn Orthod Soc., 28: 105-112, 1969. – reference: 23) Ono, K., Iida, A., Ohashi, Y., et al: Effects of the early maxillary orthopaedic a ppliance for cleft lip and palate. In Morimoto, T., Matsuya, T., Takada, K. ed.; Brain and oral functions Oral motor function and dysfunction. 265-272, Elsevier, Amsterdam, 1995. – reference: 8) Hotz, M. M., Gnoinski, W. M.: Effects of early maxillary orthopaedics in coordination with delayed surgery for cleft lip and palate. J max. -fac. Surg., 7: 201-210, 1979. – reference: 20) Abe, M.: A study on chronological changes of the upper dental arch in cases of unilateral cleft lip and palate after labioplasty. J. Oral Maxillofac. Surg., 20: 248-267, 1974. – reference: 7) Hotz, M. M., Gnoinski, W. M., Nussbaumer, H., et al: Early maxillary orth opedics in CLP cases: Guidelines for surgery. Cle f t Palate J., 15: 405-411, 1978. – reference: 21) Ono, K., Ohashi, Y., Takagi, R., et al: Spontaneous narrowing of residual har d palate cleft after velar closure in two-sta g e palatoplasty. J Jpn Cleft Palate Assoc., 21: 126-141, 1996. – reference: 29) Vargervik, K.: Orthodontic management of unilateral cleft lip and palate. Cleft Palate J., 18: 256-270, 1981. – reference: 12) Isono, S.: Speech results and speech development after two-stage palatoplasty combined with Hotz's plate in cleft lip and palate children. Niigata Dent. J., 28: 15-24, 1998. – reference: 1) Schweckendiek, H.: Zur frage der fruh and spatoperation derangeborenen lippen kiefer Gaumenspalten. ZLaryng Rhinol Otol., 30: 51-56, 1951. – reference: 14) Hayashi, I.: Craniofacial growth in complete unilateral cleft lip and palate: A roentgeno-cephalometric study. J Jpn Orthod Soc., 34: 33-65, 1975. – reference: 6) Noverraz, A. E. M, Kuijpers-Jagtman, A. M, Mars, M., et al: Timing of hard palate closure and dental arch relationships in unilateral cleft lip and palate patients: A mixed-longitudinal study. Cleft Palate J., 30: 391-396, 1993. – reference: 17) Ross, R. B.: Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Part 7: An overview of trea tment. Cleft Palate J., 24b: 71-77, 1987. – reference: 18) Iizuka, T., Ishikawa, F.: Cephalometric study on craniofacial development in Japanese children. J Jpn Orthod Soc., 17: 260-272, 1958. – reference: 3) Bradach, J., Morris, H. L., Olin, W. H.: Late results of primary veloplasty; The Marburg project. Plast Reconstr Surg., 7 3: 207-217, 1984. – reference: 19) Ishii, K., Arai, T., Saito, I., et al: Effect of Hotz'plate-based two-stage palatoplasty i n unilateral cleft lip and palate. -A comparative study of subjects treated with one-stage palatoplasty and normal subjects-. J Jpn Orthod Soc., 59: 402-406, 2000. – reference: 26) Mitani, H.: A follow-up study of growth increment and rate in the human face during puberty. Part 1: Study of growth in crement. J Jpn Orthod Soc., 31: 307-318, 1972. – reference: 22) Iida, A., Ohashi, Y., Takagi, R., et al: Hard palate closure in two-stage palatoplasty. J Jpn Cleft Palate Assoc., 23: 68-74, 1998. – reference: 2) Schweckendiek, W.: Primary veloplasty Long-term results without maxillary deformity. A twenty-five year report. Cleft Palate J., 15: 268-274, 1978. – reference: 28) MaKee, R.: Rentgenographic cephalometric study of tongue position in indiv iduals with cleft palate deformity. Angle Orthod., 26: 99-109, 1956. – reference: 16) Aduss, H.: Craniofacial growth in complete unilateral cleft lip and palate. Angle Orthod., 41: 202-213, 1971. – reference: 4) Blijdorp, P., Egyedi, P.: The influence of age at operation for clefts on the development of the jaws. Jmax. -fac. Surg., 12: 193-200, 1984. – reference: 10) Fukuhara, S., Ohashi, Y.: The growth of maxilla in patients with unilateral cleft lip, alveolus, and palate from newborn to 7years of age. -A comparative study between two-stage palatoplasty combined with Hotz's plate cases and non-cleft controls-. J Jpn Stomatol Soc., 45: 227-239, 1996. – reference: 5) Ross, R. B.: Treatment variables affecting growth in unilateral cleft lip and palate. Part 5: Timing of palate repair. Cleft Palate J., 24a: 54-63, 1987. |
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| SubjectTerms | Hotz床 二段階口蓋形成手術法 側面頭部x線規格写真 片側性唇顎口蓋裂 |
| Title | Hotz床併用二段階口蓋形成手術法が顎顔面成長発育に及ぼす影響について |
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