КЛИНИКО-РЕНТГЕНОЛОГИЧЕСКИХ ПРОЯВЛЕНИЙ ВТОРИЧНЫХ ДЕФОРМАЦИЙ ВЕРХНЕЙ ЧЕЛЮСТИ У БОЛЬНЫХ С ОДНО- И ДВУСТОРОННИМИ РАСЩЕЛИНАМИ ВЕРХНЕЙ ГУБЫ И НЕБА ПОСЛЕ ПЕРВИЧНЫХ ОПЕРАЦИЙ НА ГУБЕ И НЕБЕ

Abstract

Purpose: To determine the clinical and radiological manifestations of secondary maxillary deformities in patients with uni- and bilateral clefts of the upper lip and palate after primary lip and palate surgeries.

Methods: 45 patients aged from 8 to 23 years with jaw deformities after cheiloplasty and uranoplasty were included in the study.

Results:It was found in patients with end-to-end unilateral cleft lip and palate, who did not receive orodontic treatment after cheilo- and uranoplasty, typical clinical symptoms were defects of the nasal floor lining, rough scars in the upper lip area, caused by secondary healing, apparently related to, suturing the wound edges "on itself", without taking into account the peculiarities of the location of muscle fibres along the cleft edges, and the technique of surgery - cutting out wide triangular flaps, most often by the Z-plasty method, which led to the development of standard residual deformities that could have been avoided using linear methods of treatment.

Conclusions. Thus, anthropometric and cephalometric measurements have shown that in patients with uni- and bilateral GVHD after cheilo- and uranoplasty with Engle class III relationship of the dentition, normalisation of the relationship of the upper and lower jaws by orthodontic treatment alone is impossible.