中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (3): 174-178.DOI: 10.12337/zgkqjxjyzz.2023.03.003

• 综述 • 上一篇    下一篇

美国唇腭裂及颅面异常诊疗指南演变和解读

朱洪平*   

  1. 北京大学口腔医学院·口腔医院口腔颌面外科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心
  • 发布日期:2023-08-01
  • 通讯作者: *朱洪平,联系方式:010-82195938,电子邮箱:zhuhongping@cndent.com,通讯地址:北京市海淀区中关村南大街22号,100081
  • 基金资助:
    四川大学横向技术项目全瓷修复材料美学效果的评价与临床应用研究(项目编号:22H0421)

Evolution and interpretation of the parameters for evaluation and treatment of patients with cleft lip / palate or other craniofacial differences in the United States

Zhu Hongping*   

  1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology &National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
  • Published:2023-08-01
  • Contact: Hongping Zhu. Tel: 010-82195938. Email: zhuhongping@cndent.com. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China.District, Shenyang 110002, Liaoning
  • Supported by:
    Esthetic Evaluation and Clinical Application of All Ceramic Materials(No.22H0421)

摘要: 唇腭裂是口腔颌面部常见的出生缺陷,需要接受多学科共同参与的长期治疗才能取得良好治疗效果。美国唇腭裂诊疗指南自1993年颁布已历经30 年修订、演变,对唇腭裂治疗具有重要指导价值。本文着重介绍该指南的的重点内容,包括唇腭裂治疗原则和团队责任、新生儿和婴儿期的注意事项、唇腭裂修复、唇腭裂鼻畸形的整复时机、牙槽突裂植骨修复和颅颌面手术、耳鼻喉及听力的问题和处理、唇腭裂患者的正畸治疗、语音/语言评估和治疗和心理和社会服务。

关键词: 唇裂, 腭裂, 颅面异常, 序列治疗, 诊疗指南

Abstract: Cleft lip and palate is a common birth defect in oral and maxillofacial regions. Good outcomes could not be achieved unless after long-term interdisciplinary team care. The diagnosis and treatment guidelines for cleft lip and palate in the United States have been revised and evolved for 30 years since their promulgation in 1993, and have important guiding value for the treatment of cleft lip and palate. This article focuses on introducing the key content of this guide, including principles and team responsibilities for the treatment of cleft lip and palate, precautions for newborns and infants, cleft lip and palate repair, timing of correction for cleft lip and palate nasal deformities, alveolar bone grafting repair and craniofacial surgery, ear, nose, throat, and hearing problems and management, orthodontic treatment for cleft lip and palate patients, speech/language assessment and treatment, and psychological and social services.

Key words: cleft lip, cleft palate, craniofacial difference, interdisciplinary treatment, diagnostic and treatment guideline