#11 ‚“’à „´fic 4“Z*
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- ゆうりゅう すえがら
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1 RED CT RED RED rigid, external, distraction Polley Figueroa 1, RED RED
2 16 RED Martin halo traction hook 1 halo 9 6 A halo 1 RED a halo b c d traction hook high Le Fort 2 B halo 4 scalp screw halo C 5 4 D rod mm1 1 mm 1 1 mm RED 4 3 halo
3 17 2 high Le Fort a: b: c: d: halo 4 halo scalp screw alopecia halo A CT 3 halo 6 1 B CT 4 halo 5 8 5A X A ANS [anterior nasal spine ] 6 6 6
4 18 3 CT A B 2 C 6 4 3D-CT A B 2 C 6 D 1
5 19 5 A N: nasion ANS: anterior nasal spine U1: upper incisors, L1: lower incisors, Pog: pogonion X X Y Y B N: nasion ANS: anterior nasal spine PNS: posterior nasal spine Uv: uvula PPW: posterior pharyngeal wall X X Y Y CT B Pog pogonion Pog 1 ANS C U1 upper incisors L1 lower incisors U1 ANS L1 Pog L1 U1 D OJ overjet OB overbite 8 OJ OB
6 20 6 ANS X-axis:X Y-axis Y Pre: halo removal: halo [ 2 ] 3M 3 6M 6 12M 1 24M 2 36M [ ] B A 1 posterior nasal spine PNS PNS PPW posterior pharyn-
![36M 3 6 6 9 [ ] 60 80 60 7 4 2 1 8 5B A 1](/docs-images/45/20577371/images/page_6.jpg "posterior nasal spine PNS PNS PPW")
7 21 7 Pog X-axis:X Y-axis Y Pre: halo removal: halo [ 2 ] 3M 3 6M 6 12M 1 24M 2 36M 3 geal wall need ratio B 2 A 1 15 mm 15 mm RED A B
8 22 8 OJ overjetob overbite Pre: halo removal: halo 2 3M 3 6M 6 12M 1 24M 2 36M alopecia A CT 6 B. 15 mm
9 23 1 PPW-PNS PNS-Uv need ratio mm mm PPW-PNS/PNS-Uv ANS anterior nasal spine PNS posterior nasal spine Uv uvula PPW posterior pharyngeal wall 2 mm mm BMP: bone morphogenetic protein 9,10
10 24 catch up catch up 15 mm 15 mm mm 1 Polley JW, Figueroa AA: Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device. J Craniofac Surg 8: , Polley JW, Figueroa AA: Rigid external distraction: Its application in cleft maxillary deformities. Plast Reconstr Surg 102: , Harada K, Baba Y, Ohyama K, Enomoto S: Maxillary distraction osteogenesis for cleft lip and palate children using an external, adjustable, rigid distraction device: A report of 2 cases. J Oral Maxillofac Surg 59: , Harada K, Sato M, Omura K: Maxillary distraction in patients with cleft deformity using a rigid external distraction device: A pilot study on the distraction ratio of the maxilla to the device. Scand J Plast Reconstr Surg Hand Surg 38(5): , Harada K, Sato M, Omura K: Long-term maxillomandibular skeletal and dental changes in children with cleft lip and palate after maxillary distraction. Oral Surg Oral Med Oral Pathol 2006 (in press). 6 Harada K, Baba Y, Ohyama K, Omura K: Soft tissue profile changes of the midface in patients with cleft lip and palate following maxillary distraction osteogenesis: A preliminary study. Oral Surg Oral Med Oral Pathol 94: , Harada K, Ishii Y, Ishii M, Imaizumi F, Mibu M, Omura K: Effect of maxillary distraction osteogenesis on velopharyngeal function: A pilot study. Oral Surgery Oral Medicine Oral Pathology 93: , Subtelny JD: A cephalometric study of the growth of the soft palate. Plast Reconstr Surg 19: 49 62, Yonezawa H, Harada K, Yamashita Y, Enomoto S: Effect of recombinant human bone morphogenetic protein-2 (rhbmp-2) on distraction osteogenesis: An experimental study in rabbit mandible. Asian J Oral and Maxillofac Surg 13(1): 1 10, Yonezawa H, Harada K, Ikebe T, Shinohara M, Enomoto S: Effect of recombinant human bone morphogenetic protein-2 (rhbmp-2) on distraction osteogenesis: A preliminary study in rabbit mandible. J Cranio-Maxillofac Surg 34: , 2006.
11 25 11 Ko EW, Figueroa AA, Guyette TW, Polley JW, Law WR: Velopharyngeal changes after maxillary advancement in cleft patients with distraction osteogenesis using a rigid external distraction device: A 1-year cephalometric follow-up. J Craniofac Surg 10: , 1999.
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