paper described a patient who suffered from a congenital bilateral cleft lip with artificial bisexual deformity. patient's left upper eyelid was ptosis. bilateral upper lips were completely separated from vermillion border to floor of nose. bilateral wings of nose were flat. middle lip was short and small and warpeded to front and left. Bilateral globular process and maxillary process were completely not united. vulva looked just as female's in natural condition; The greater lip of pudendum could be looked, only a piece of skin of scrotum could be seen and testicles could not be touched. Pushing apart the greater lip of pudendum, a small penis could be found. Two enorchia could be detected by B type ultrasonography. patient had been discharged after repair of bilateral cleft lip.

1998年9月我们对邯郸市中学生恒牙数目发育异常进行了检查统计,现报告如下.

口底蜂窝织炎是口腔颌面部常见的间隙感染之一,但并发纵隔脓肿者较少见,我科于1999年6月收治1例,现报告如下:患者男,64岁.入院前10d出现右下磨牙疼痛,次日右侧颌下区肿痛,并迅速扩散至颏下区及颈前下部,在当地医院静滴哌拉西林6g,地塞米松50mg等,经抗感染治疗10d无效,继而出现吞咽痛及咽下困难而入我科治疗.入院时T 36.7℃,P 95次/min,R 21次/min,BP 16/11 kpa,全身一般情况可.右颌下区、颏下区及颈前部,下达胸骨上窝,呈弥漫性肿胀,表面皮肤暗红色,皮温略高,触压痛明显,未及波动感,张口度1.5cm,张口型"↓",右舌下区轻度肿胀,抬舌时疼痛,7|牙合面深龋,探(-),叩(),Ⅰ°松动.辅助检查:WBC:19×109/L,W-LCR 0.80,W-SCR 0.20;RBC:5.18×1012/L,HGB:159g/L.入院诊断:口底蜂窝织炎.

Mohr综合征属口-面-指综合征Ⅱ型(orofacial-digital syndrome typeⅡ,OFDⅡ)非常罕见.邯郸市中心医院收治1例,报告如下.

临床上,多将伴有软组织损伤的粉碎性骨折、严重移位性骨折、多发性骨折创口裂开的开放性骨折以及骨折类型多样、关系紊乱、面部畸形严重的陈旧性骨折都纳入复杂性骨折的范畴[1,2,3].我科自1989年1月&1999年10月共收治此类骨折37例,占颌面部骨折住院病人的17.87%(37/107),现回顾分析如下:

The objective of this study was to investigate the possible factors involved in intelligent development of children with cleft Lip and palate.The intelligence quotient (IQ) and developmental quotient (DQ) of 152 children with cleft lip and palate under 14 years old were conducted, and the control group was made up of 80 healthy children. The considered factors included degrees of deformation, situation of perinatal period, way of feeding, psychological conditions of the children, general situation of their parents and education of these children. The data were statistically analyzed and compared.The IQ value of these children generally was normal, but the mean value was still lower than that of the control group (P < 0.01). The mean IQ value of the group of children with only cleft lip or cleft palate was higher than that of the group with both cleft lip and cleft palate, and the mean IQ value of these children with II degree deformity was higher than that of children with III degree deformity. The mean IQ value of these children feed with mother's milk was higher than that of those feed with artificial milk. These children more than 5 years old were disturbed psychologically, and their parents were also with pressure.The intelligent development of children with cleft lip and palate is affected by many factors, including types and degrees of deformity, feeding ways, illnesses and social psychological factors in different periods of development. Therefore, it is very important to take steps before 5 years old, including correctly feeding, repairing the deformity as early as possible, preventing the illnesses, necessary psychological treatment, improving social environment.

1998年我们对邯郸市中学生恒牙龋病发病情况进行流行病学调查 [1]的同时,就其恒牙形态发育异常也进行了调查统计,以了解恒牙形态发育异常的发病特点,为早期采取防治措施提供参考依据.报告如下.

颞下窝肿瘤由于位置深在、隐蔽,临床上诊断困难,易误诊.我院于1989～1999年收治17例颞下窝肿瘤均于入院前误诊,现就误诊原因分析如下: 临床资料 17例中,男4例,女13例,年龄最小13岁,最大70岁,平均46.35岁,颞下窝原发性肿瘤12例,占70.6%,继发性肿瘤5例,占29.4%.恶性肿瘤8例,其中横纹肌肉瘤3例,纤维肉瘤2例,软骨肉瘤1例,腺样囊性癌1例,粘液表皮样癌1例.良性肿瘤5例,其中神经鞘瘤2例,多形性腺瘤2例,皮样囊肿1例,均经病理诊断证实,另有4例经CT诊断后其中3例转院、1例未治疗(见表1). 误诊时间2个月～4年,其中误诊为腮腺肿瘤7例,颞颌关节病3例,三叉神经痛3例,颅内病变1例,软腭肿瘤2例,上颌窦肿物1例.

Frances Schetti-Klein氏综合征又称为多发性面部异常综合征、第一弓综合征、Jreacher-Colims氏综合征和France Schetti-Zwahlen综合征,临床上罕见。1999年4月,某产妇在邯郸市中心医院妇产科经剖腹产生出一该综合征男婴,报告如下。 患儿,男,1天,足月第一胎,体重3160 g,身长50 cm,坐长34 cm。出生后哭声有力,心肺未见异常,腹平软,肝于右肋下0.5 cm,质软;肛门及外生殖器发育正常,脊柱四肢无畸形,活动自如。专科检查(图1,2):双侧外眦角向外下倾斜,下睑睫毛缺如,内眦间距较宽,约为单眼睑裂长度的2倍。鼻额角消失,鼻背隆起。左侧鼻翼塌陷,鼻孔宽大扁平,鼻小柱偏向右侧,左上唇裂达鼻底下2 mm。双侧面横裂,左侧16 mm,右侧10 mm。上腭部正中裂开,向前达相当于│Ⅲ处牙槽嵴,鼻中隔游离,口腔与双侧鼻腔相通。面侧影呈鱼头样面貌,上颌明显前突,下颌颏部后缩。双侧耳廓外形较小,反向生长,向后敞开,背面向前,耳屏缺如,双耳廓前方可见约0.1 cm×0.1 cm的瘘管口,未见明显分泌物,双侧外耳道均闭锁。追问其母病史,自述曾有一次人工流产史,否认孕期患病及服药史,近亲家族中无类似病史。临床诊断:Frances Schetti-Klein氏综合征。

颈部肿块在临床较为常见,但有关儿童颈部肿块的专题报道不多.邯郸市中心医院自1987年1月～1996年12月共收治14岁以下儿童除急性炎症外的颈部肿块共346例,占同期收治的颈部肿块的25.9%.现报道如下.