唇腭裂序列治疗与关键技术的应用

建立具有中国特色的唇腭裂多学科序列治疗专家共识,对提高我国的唇腭裂治疗水平具有较为现实的指导意义。本文将21家医疗单位唇腭裂序列治疗中唇腭裂的外科前治疗,唇、腭裂的外科修复,正畸治疗,牙槽突裂的植骨修复,唇裂鼻畸形的整复,唇裂术后继发畸形的二期整复,腭裂术后穿孔的处置,腭裂术后腭咽闭合不全的诊断与治疗,语音治疗,腭裂分泌性中耳炎的处置,颌骨畸形的外科矫治,心理评估和咨询及围手术期的护理等治疗经验进行了归纳总结并达成一致意见。其中对唇裂、腭裂、牙槽突裂和腭咽闭合不全的外科关键技术的应用和对语音治疗、正畸治疗和颌骨畸形牵张成骨等主要方法的应用也形成了共识。笔者希望通过这一努力,能够引导更多医护人员参与唇腭裂序列治疗和关键技术的创新工作,最终形成中国唇腭裂治疗指南。

Application of team approach and key techniques of cleft lip and palate

The development of an expert consensus based on specific domestic situations will provide practical guidance to the efforts aiming at improving cleft care in China. The team approach of twenty-one cleft centers were pooled together, covering pre-surgical orthopedics, primary surgical repair, orthodontic treatment, alveolar bone graft, secondary deformity correction, palatal fistulae repair, the diagnosis and treatment of velopharyngeal incompetence, speech therapy, otitis media management, and skeletal deformity correction. Agreement was achieved among the authors concerning the application of critical surgical and non-surgical techniques. The ambition of this consensus is to introduce more clinicians to the revolution of sequential treatment of clefts, and form the basis for a more comprehensive cleft care manual in the future.