Abstract：
OBJECTIVE: This study aims to provide a comprehensive review and case study about the advantages and disadvantages of the application of digital technologies in presurgical orthopedics in newborns/infants with cleft lip and palate (CLCP). Positive changes in the nasal anatomy, maxillary arch, and cleft width could be achieved.
METHODS: Three representative cases of newborns/infants with CLCP were managed using the presurgical newborn/infant orthopedics (PSIO) approach. The patients were diagnosed and treated. Detailed descriptions of the impression procedures and PSIO appliance construction and placement were provided for each case.
RESULTS: Case 1 utilized traditional impression techniques, Case 2 employed a semi-digitalized approach with intraoral digital scanning, and Case 3 utilized a completely digitalized method for appliance construction. Positive changes in maxillary arch dimensions and cleft width reduction were observed in all cases.
CONCLUSIONS: The management of CLCP in newborns and infants poses a complex challenge with profound implications. The PSIO approach not only facilitates reconstructive surgery but also enhances overall quality of life. Digital tools, like specialized optical scanners and 3D printing, revolutionize the PSIO process, making it more efficient and patient-friendly. Clinical benefits include improved facial morphology, esthetics, feeding, speech, and optimized future surgical results. Despite ongoing efficacy debates, global adoption as the initial surgical approach underscores its value. The integration of digital technologies offers new hope for patients and families, promising a brighter future for those affected by this congenital condition.
METHODS: Three representative cases of newborns/infants with CLCP were managed using the presurgical newborn/infant orthopedics (PSIO) approach. The patients were diagnosed and treated. Detailed descriptions of the impression procedures and PSIO appliance construction and placement were provided for each case.
RESULTS: Case 1 utilized traditional impression techniques, Case 2 employed a semi-digitalized approach with intraoral digital scanning, and Case 3 utilized a completely digitalized method for appliance construction. Positive changes in maxillary arch dimensions and cleft width reduction were observed in all cases.
CONCLUSIONS: The management of CLCP in newborns and infants poses a complex challenge with profound implications. The PSIO approach not only facilitates reconstructive surgery but also enhances overall quality of life. Digital tools, like specialized optical scanners and 3D printing, revolutionize the PSIO process, making it more efficient and patient-friendly. Clinical benefits include improved facial morphology, esthetics, feeding, speech, and optimized future surgical results. Despite ongoing efficacy debates, global adoption as the initial surgical approach underscores its value. The integration of digital technologies offers new hope for patients and families, promising a brighter future for those affected by this congenital condition.
摘要：
目的：本研究旨在对数字化技术在新生儿/婴幼儿唇腭裂(CLCP)术前骨科中应用的优势和不足进行全面综述和个案研究。鼻腔解剖结构的积极变化，上颌弓,和裂缝宽度可以实现。
方法：使用术前新生儿/婴儿骨科（PSIO）方法对3例具有代表性的CLCP新生儿/婴儿病例进行管理。对患者进行了诊断和治疗。为每种情况提供了印模程序和PSIO器具构造和放置的详细描述。
结果：案例1利用了传统的印模技术，案例2采用半数字化方法进行口内数字扫描，案例3采用了完全数字化的设备施工方法。在所有病例中均观察到上颌弓尺寸和裂隙宽度减小的积极变化。
结论：新生儿和婴儿CLCP的管理提出了一个具有深远意义的复杂挑战。PSIO方法不仅促进了重建手术，而且提高了整体生活质量。数字工具,比如专门的光学扫描仪和3D打印，彻底改变PSIO流程，使它更有效和病人友好。临床益处包括改善面部形态，美学,喂养,演讲,并优化了未来的手术效果。尽管正在进行功效辩论，全球采用作为最初的手术方法强调了其价值。数字技术的融合为患者和家庭带来了新的希望，为受这种先天性疾病影响的人承诺一个更光明的未来。
方法：使用术前新生儿/婴儿骨科（PSIO）方法对3例具有代表性的CLCP新生儿/婴儿病例进行管理。对患者进行了诊断和治疗。为每种情况提供了印模程序和PSIO器具构造和放置的详细描述。
结果：案例1利用了传统的印模技术，案例2采用半数字化方法进行口内数字扫描，案例3采用了完全数字化的设备施工方法。在所有病例中均观察到上颌弓尺寸和裂隙宽度减小的积极变化。
结论：新生儿和婴儿CLCP的管理提出了一个具有深远意义的复杂挑战。PSIO方法不仅促进了重建手术，而且提高了整体生活质量。数字工具,比如专门的光学扫描仪和3D打印，彻底改变PSIO流程，使它更有效和病人友好。临床益处包括改善面部形态，美学,喂养,演讲,并优化了未来的手术效果。尽管正在进行功效辩论，全球采用作为最初的手术方法强调了其价值。数字技术的融合为患者和家庭带来了新的希望，为受这种先天性疾病影响的人承诺一个更光明的未来。
