РЕЗУЛЬТАТИ КЛІНІКО-РЕНТГЕНОЛОГІЧНОЇ ОЦІНКИ ДЕФЕКТУ АЛЬВЕОЛЯРНОГО ВІДРОСТКА ВЕРХНЬОЇ ЩЕЛЕПИ У ДІТЕЙ З ВРОДЖЕНИМ НЕЗРОЩЕННЯМ ГУБИ І ПІДНЕБІННЯ = RESULTS OF CLINICAL AND RADIOLOGICAL EVALUATION OF THE ALVEOLAR PROCESS DEFECT OF THE UPPER JAW IN CHILDREN WITH CONGENITAL NON-FUSION OF THE LIP AND PALATE

Kulynych M. O., Jakovenko L. M. RESULTS OF CLINICAL AND RADIOLOGICAL EVALUATION OF THE ALVEOLAR PROCESS DEFECT OF THE UPPER JAW IN CHILDREN WITH CONGENITAL NON-FUSION OF THE LIP AND PALATE. ВІСНИК МОРСЬКОЇ МЕДИЦИНИ. 2020;3(88):23-29. ISSN 0049-6804.

DOI http://dx.doi.org/10.5281/zenodo.4118643

http://www.herald.com.ua

УДК 616.716.85-018.4-007-085-018.4-007:616.716.4:[616.315+616.317]-007.254-053.2

DOI http://dx.doi.org/10.5281/zenodo.4118643

РЕЗУЛЬТАТИ КЛІНІКО-РЕНТГЕНОЛОГІЧНОЇ ОЦІНКИ ДЕФЕКТУ АЛЬВЕОЛЯРНОГО ВІДРОСТКА ВЕРХНЬОЇ ЩЕЛЕПИ У ДІТЕЙ З ВРОДЖЕНИМ НЕЗРОЩЕННЯМ ГУБИ І ПІДНЕБІННЯ

М. О. Кулинич, Л. М. Яковенко

Національний медичний університет ім. О.О. Богомольця, м. Київ

RESULTS OF CLINICAL AND RADIOLOGICAL EVALUATION OF THE ALVEOLAR PROCESS DEFECT OF THE UPPER JAW IN CHILDREN WITH CONGENITAL NON-FUSION OF THE LIP AND PALATE

Kulynych M. O., Jakovenko L. M.

A. A. Bogomolets National Medical University, Kiev

vestnik@ukr.net.

Summary. Purpose. To study the volume clinical and radiological characteristics of a congenital defect of the alveolar process of the upper jaw in children with congenital non-fusion of the lip and palate, who are preparing for its bone grafting. Materials and methods. Clinical and x-ray examinations of 50 children aged 8 to 17 years were performed. The clinical evaluation of the nasolabial complex was carried out according to the following parameters: the length of the nasal wing, the width of the nasal floor, and the vertical displacement of the nasal wing. Clinical examination of the defect was performed with determination of the height of the alveolar process at the edges of the non-junction, the width of the non-junction at the level of the apical base and at the level of the alveolar ridge. Results and discussion. Clinically and radiologically, using an orthopantomogram, or measuring the upper and lower border of the defect, it is impossible to determine the volume, and therefore the necessary amount of osteoplastic material to eliminate the defect. The clinical size of the defect may differ significantly from its x – ray volume, namely: during a clinical examination, the size may be small, and the x-ray volume may be large, and vice versa. Conclusions. To conduct a full-fledged morphometric assessment of the alveolar process defect of the upper jaw in children with congenital non-fusion of the lip and palate, it is necessary to determine the parameters of photogrammetry of the naso-labial complex and the volume of the alveolar process defect, based on computer tomography data according to the proposed method.

Key words: clinical and radiological assessment, alveolar process, upper jaw, congenital non-fusion of the lip and palate, children.