両側性唇顎口蓋裂と片側性唇顎裂を示した一卵性双生児姉妹の治療経験

  • 新垣 敬一
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座
  • 天願 俊泉
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座
  • 後藤 尊広
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座
  • 澤田 茂樹
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座
  • 仲間 錠嗣
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座
  • 立津 政晴
    琉球大学大学院医学研究科顎顔面口腔機能再建学講座

書誌事項

タイトル別名
  • Therapeutic experience with bilateral cleft lip and palate and unilateral cleft lip and alveolus in a pair of monozygotic twin sisters
  • リョウガワセイ シン ガク コウガイレツ ト カタガワセイ シン ガクレツ オ シメシタ イチランセイ ソウセイジ シマイ ノ チリョウ ケイケン

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抄録

The incidence of monozygotic twins with cleft lip and palate is very low, and there have been few studies of longitudinal observations. The observation of monozygotic twins with different types of cleft lip and palate from the perspective of jaw growth facilitates comparison and evaluation of the effects of extrinsic and intrinsic factors. In this study, we observed monozygotic twin sisters with bilateral cleft lip and palate (BCLP) and unilateral cleft lip and alveolus (UCLA). In the child with BCLP in whom collapse occurred during jaw development, we placed a palatal plate and maxillary expansion appliance in infancy, and longitudinally compared her with her sister with UCLA. Although there were no marked differences in the growth or development of the middle face between the sister with BCLP, in whom jaw guidance was performed from birth, and the sister with UCLA at the age of 7 years and 11 months, mandibular growth in the inferior direction was noted in the sister with BCLP.<br>The results suggest that careful follow-up of both patients, including occlusal control, is necessary.

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