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患者郭某某,男,18岁,江苏阜宁县人,因先天性腭裂于1987年 3月27日入院(病案号51147)。查体:一般情况好,智力正常,全身其他器官未见异常。面部左右不对称,右侧瞳孔至口角的距离为7.5cm,左侧为6.5cm(图1)。开口度三横指,(?)缺失(有拔牙史),余牙牙列整齐,咬合关系良好。无牙体病、牙周病、粘膜病。左侧软腭发育不全,悬雍垂偏右,左舌腭弓、咽腭弓高拱,左扁桃体缺如,舌根左侧较右侧高(见图二),发“啊”音时,软腭动度左右不对称,悬雍垂明显向右侧偏斜,舌运动正常,手指触诊硬腭后三分
Patient Guo Moumou, male, 18 years old, from Funing County, Jiangsu Province, was admitted to hospital on March 27, 1987 due to congenital cleft palate (case number 51147). Physical examination: the general situation is good, mental normal, no abnormalities in other organs of the body. Left and right facial asymmetry, the right pupil to the mouth of the distance 7.5cm, left 6.5cm (Figure 1). Opening degree of three horizontal fingers, (?) Missing (with extraction history), residual teeth neat rows, good occlusion. No tooth disease, periodontal disease, mucosal disease. Left palatal hypoplasia, left and right uvula palatal arch palatal arch pharyngeal arch arch, the left amygdala missing, the left than the right tongue base high (see Figure 2), send “ah” sound, the soft palate move Degree of asymmetry, uvula obviously to the right side of the deviation, normal tongue movement, finger palpation of the hard palate after three points