单侧完全性唇腭裂患者的正畸-正颌-修复-整形多学科诊疗1例

doi:10.12337/zgkqjxjyzz.2026.01.005

中国口腔医学继续教育杂志 ›› 2026, Vol. 29 ›› Issue (1): 35-53.DOI: 10.12337/zgkqjxjyzz.2026.01.005

单侧完全性唇腭裂患者的正畸-正颌-修复-整形多学科诊疗1例

郑洁^1,2, 钦传奇^1,3, 黄翠^1,4, 金春晓^1,4, 贺红^1,2,*

¹口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医（学）院;
²武汉大学口腔医院正畸一科;
³武汉大学口腔医院唇腭裂与整形外科;
⁴武汉大学口腔医院修复科

出版日期:2026-01-31 发布日期:2026-01-31
通讯作者: ^*贺红,联系方式：027-87686036,电子邮箱：drhehong@whu.edu.cn,通讯地址：湖北省武汉市洪山区珞喻路237号,430079

Orthodontic-Orthognathic-Prosthodontic-Plastic Multidisciplinary Diagnosis and Treatment of a Patient with Unilateral Complete Cleft Lip and Palate

Jie Zheng^1,2, Chuanqi Qin^1,3, Cui Huang^1,4, Chunxiao Jin^1,4, Hong He^1,2,*

¹State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University;
²Department of Orthodontics I, Hospital of Stomatology, Wuhan University;
³Cleft Lip and Palate & Plastic Surgery Department, Hospital of Stomatology, Wuhan University;
⁴Prosthodontics Department, Hospital of Stomatology, Wuhan University

Online:2026-01-31 Published:2026-01-31
Contact: Hong He. Tel: 027-87686036. E-mail: drhehong@whu.edu.cn. Address: No.237 Luoyu Road, Hongshan District, Wuhan 430079, Hubei Province, P.R. China.

摘要/Abstract

摘要： 目的： 报道多学科联合治疗对成人单侧完全性唇腭裂术后继发畸形的临床效果。诊治经过： 18岁男性患者,先天性左侧完全性唇腭裂,既往行唇裂、腭裂、牙槽突裂修复术;现诊断为骨性Ⅲ类、偏牙合畸形、鼻唇畸形、牙列缺损。采用多学科协作方案：包括术前正畸去代偿、正颌手术（上颌Le Fort I型截骨+分块术、下颌双侧升支矢状劈开截骨术）、术后正畸、美学修复与鼻唇二期整复术。结果： 牙弓对称,咬合良好,颌骨协调,鼻唇畸形改善。结论： 多学科协作是唇腭裂序列治疗核心,正畸作为纽带保障衔接,该联合方案有效改善颌面部畸形,提升口颌面功能与美观,具有临床指导意义。

关键词: 唇腭裂, 继发畸形, 序列治疗, 多学科协作, 口颌重建

Abstract: Objective: To report the clinical effect of multidisciplinary combined treatment on secondary deformities after repair of adult unilateral complete cleft lip and palate. Diagnosis and Treatment: An 18-year-old male patient with congenital left complete cleft lip and palate had previously undergone cleft lip repair, cleft palate repair, and alveolar cleft repair. He was diagnosed with skeletal Class III malocclusion, facial asymmetry, nasolabial deformity, and dentition defect. The multidisciplinary treatment plan included preoperative orthodontic decompensation, orthognathic surgery (maxillary Le Fort I osteotomy with segmentation and bilateral sagittal split ramus osteotomy of the mandible), secondary nasolabial reconstruction, and postoperative orthodontic refinement and aesthetic restoration. Results: After treatment, the patient achieved symmetric dental arches, good occlusal relationship, coordinated jaw position, and improved nasolabial aesthetics. Conclusions: Multidisciplinary collaboration is the core strategy for sequential therapy of cleft lip and palate. Orthodontic treatment serves as a link to ensure the coherence of the treatment process. This combined plan effectively corrects maxillofacial deformities, enhances orofacial function and aesthetics, and has clinical guiding significance.

Key words: cleft lip and palate, secondary deformity, sequential therapy, multidisciplinary collaboration, oral and maxillofacial reconstruction

郑洁, 钦传奇, 黄翠, 金春晓, 贺红. 单侧完全性唇腭裂患者的正畸-正颌-修复-整形多学科诊疗1例[J]. 中国口腔医学继续教育杂志, 2026, 29(1): 35-53.

Jie Zheng, Chuanqi Qin, Cui Huang, Chunxiao Jin, Hong He. Orthodontic-Orthognathic-Prosthodontic-Plastic Multidisciplinary Diagnosis and Treatment of a Patient with Unilateral Complete Cleft Lip and Palate[J]. Chinese Journal of Stomatological Continuing Education, 2026, 29(1): 35-53.

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单侧完全性唇腭裂患者的正畸-正颌-修复-整形多学科诊疗1例

Orthodontic-Orthognathic-Prosthodontic-Plastic Multidisciplinary Diagnosis and Treatment of a Patient with Unilateral Complete Cleft Lip and Palate

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