Unilateral Cleft Lip—Approach and Technique
Unilateral Cleft Lip—Approach and Technique
复制标题
单侧唇裂——方法和技术
DOI：
10.1055/s-2005-925904
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发表时间：
2005
影响因子：
2
通讯作者：
D. Genecov
中科院分区：
文献类型：
--
作者：
K. Salyer;S. Rozen;E. Genecov;D. Genecov
本文介绍了哲学，技术，和个人和团队的方法来治疗儿童单侧唇裂鼻畸形的基础上，资深作者的36年的经验。单侧唇裂的治疗几乎无一例外地必须包括鼻畸形的矫正。为了获得良好的结果，外科医生必须根据多年来开发的多学科协议整合技术，团队合作和时机。技术必须包括广泛的解剖鼻和唇的元素，从异常的骨骼基础和微妙的，但广泛的解剖鼻软骨，以实现轮廓和尖端的投影。团队必须包括和吸收外科，正畸，语音，并在必要时正颌的观点，以达到最佳效果。最终的目标是使孩子在谈话距离内恢复正常的面部表情。重要的是要认识到，单侧唇裂的治疗很少是一次一个程序，而是在儿童从婴儿到成年的成长阶段精确定时的几个干预措施的高潮。
This article presents the philosophy, technique, and personal and team approach for treating children with unilateral cleft lip-nose deformities based on the senior author's 36 years of experience. The treatment of unilateral cleft lip almost without exception must involve correction of the nasal deformity. To obtain excellent results, the surgeon must integrate technique, teamwork, and timing based on multidisciplinary protocols developed over the years. Technique must involve broad dissection of the nasal and lip elements off the abnormal skeletal base and delicate but wide dissection of the nasal cartilage to achieve contour and tip projection. The team must include and assimilate surgical, orthodontic, speech, and when necessary orthognathic viewpoints to achieve the optimal result. The final goal is to bring the child to normal facial appearance at conversational distance. It is important to realize that the treatment of the unilateral cleft is rarely one procedure at one time but rather a culmination of several interventions precisely timed in the growing phase of the child from infancy to adulthood.