单侧完全性唇腭裂正畸外科联合治疗1例

doi:10.12337/zgkqjxjyzz.2026.01.006

中国口腔医学继续教育杂志 ›› 2026, Vol. 29 ›› Issue (1): 54-68.DOI: 10.12337/zgkqjxjyzz.2026.01.006

单侧完全性唇腭裂正畸外科联合治疗1例

黄一平¹, 罗岚瑞², 朱洪平^2,3,*, 李巍然^1,3,*

¹北京大学口腔医学院·口腔医院正畸科;
²北京大学口腔医学院·口腔医院颌面外科;
³国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字化诊疗装备国家工程中心,口腔数字医学北京市重点实验室

出版日期:2026-01-31 发布日期:2026-01-31
通讯作者: ^*朱洪平,联系方式：010-62179977,电子邮箱：zhuhongping@cndent.com,通讯地址：北京市海淀区中关村南大街22号,100081;李巍然,联系方式：010-82195338,电子邮箱：weiranli@bjmu.edu.cn,通讯地址：北京市海淀区中关村南大街22号,100081
作者简介:^#共同第一作者
基金资助:
北京市自然科学基金资助项目（项目编号：L242127）; 海南省卫生健康科技创新联合项目（项目编号：WSJK2025QN011）

Orthodontic-Surgical Combined Treatment for a Patient with Unilateral Cleft Lip and Palate: A Case Report

Yiping Huang¹, Lanrui Luo², Hongping Zhu^2,3,*, Weiran Li^1,3,*

¹Department of Orthodontics, Peking University School and Hospital of Stomatology;
²Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology;
³ National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China

Online:2026-01-31 Published:2026-01-31
Contact: Hongping Zhu. Tel: 010-62179977. Email: zhuhongping@cndent.com. Address: 22 Zhongguancun South Street, Haidian District, Beijing 100081, P.R. China. Weiran Li. Tel: 010-82195338. Email: weiranli@bjmu.edu.cn, Address: 22 Zhongguancun South Street, Haidian District, Beijing 100081, P.R. China.
About author:^#These authors contribute equally to this manuscript.
Supported by:
Supported by:Beijing Natural Science Foundation (No. L242127); Health Science and Technology Innovation Joint Project of Hainan Province (No. WSJK2025QN011)

摘要/Abstract

摘要： 目的： 本病例报告1例左侧完全性唇腭裂术后继发错𬌗畸形的多学科序列治疗过程。诊治经过： 在明确诊断后,制定并实施多学科序列治疗计划,包括牙槽突裂植骨术前口腔正畸、牙槽突裂植骨术、术后口腔正畸及鼻唇畸形修复术。在牙槽突裂植骨术前调整裂隙邻牙排列和裂隙宽度,拔除异位$\left| \!{\underline {\ 2\ }} \right.$,利于牙槽突裂植骨手术开展,在植骨术后减数$\begin{array}{l|l} 5 & \\ \hline 5 & 5 \end{array}$,调整前牙覆𬌗覆盖及后牙咬合关系,同期进行鼻唇畸形修复。结果： 治疗结束后,患者鼻唇外形恢复良好,咬合关系稳定,前牙覆𬌗覆盖正常,磨牙中性关系。结论： 对于唇腭裂术后继发畸形患者,多学科联合治疗可有效改善颌面形态与咬合功能,实现功能与美观的统一。

关键词: 唇腭裂, 牙槽突裂, 正畸-外科联合治疗, 多学科治疗, 鼻唇畸形

Abstract: Objective: To describe the multidisciplinary management of malocclusion in a patient with left unilateral cleft lip and palate. Diagnosis and Treatment: Following comprehensive diagnosis, a sequential multidisciplinary treatment protocol was established. The treatment consisted of presurgical orthodontics in preparation for alveolar bone graft, alveolar bone graft, postsurgical orthodontic treatment, and nasolabial deformity correction. Prior to bone graft, orthodontic therapy was initiated to align the teeth adjacent to the cleft, adjust the cleft width and extract 22, thereby optimizing surgical conditions. After successful bone graft, teeth 15, 35, and 45 were extracted. Subsequent orthodontic treatment focused on establishing appropriate anterior overjet and overbite as well as stable posterior occlusal relationships. Nasolabial deformity repair was performed concurrently. Results: At the completion of treatment, the nasolabial appearance was markedly improved. A stable occlusion was achieved, characterized by normal anterior overjet and overbite and bilateral Class I molar relationships. Conclusions: In patients presenting with secondary deformities following cleft lip and palate repair, orthodontic-surgical multidisciplinary approach can effectively improve facial esthetics and achieve functional, stable occlusal outcomes.

Key words: cleft lip and palate, alveolar cleft, combined orthodontic-surgical treatment, multidisciplinary treatment, nasolabial deformity

黄一平, 罗岚瑞, 朱洪平, 李巍然. 单侧完全性唇腭裂正畸外科联合治疗1例[J]. 中国口腔医学继续教育杂志, 2026, 29(1): 54-68.

Yiping Huang, Lanrui Luo, Hongping Zhu, Weiran Li. Orthodontic-Surgical Combined Treatment for a Patient with Unilateral Cleft Lip and Palate: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2026, 29(1): 54-68.

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单侧完全性唇腭裂正畸外科联合治疗1例

Orthodontic-Surgical Combined Treatment for a Patient with Unilateral Cleft Lip and Palate: A Case Report

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