Parri F J, Soares-Oliveira M, García Aparicio L, Sancho M A, Sarget R, Morales L
Servicio de Cirugía Pediátrica, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona.
Cir Pediatr. 2001 Jul;14(3):124-6.
The aim of this work is to analyse the global experience of a center where a pluridisciplinar approach of the child affected with a cleft lip and palate is regularly done. Since january 1980 until january 2000, a total of 36 children (8 F, 28 M) with bilateral cleft lip and palate were treated. Only 5 children were born at this hospital. The others (n = 31) were referred soon after birth (24/31) or later for treat sequels. A multidisciplinary team evaluated every case. The parameters analysed were: surgical protocol, aesthetic and speech outcome, hearing disturbance, complications and the number of secondary lip surgeries. Surgical approach consisted on a soft palate closure before 3 months follow by a bilateral cheiloplasty (6 months) and a hard palate closure before 4 years of age, in the majority of cases (24/36). The esthetical result was evaluated in 25 children and was acceptable in the great majority (22/25). 16 children were submitted to tympanic draining in order to treat their secretory otitis. Speech outcome was analysed in 27 children and was good in 23. With a follow-up of 8.4 years, 15 children (8 treated soon on this center and 7 that came for their sequels) were treated for complications. There was a media of 4.5 surgeries per children.
这项工作的目的是分析一个中心的全球经验，该中心定期对唇腭裂患儿采取多学科治疗方法。从1980年1月到2000年1月，共治疗了36例双侧唇腭裂患儿（8名女性，28名男性）。只有5名儿童在这家医院出生。其他患儿（n = 31）在出生后不久（24/31）或之后因治疗后遗症被转诊。一个多学科团队对每个病例进行了评估。分析的参数包括：手术方案、美学和语音结果、听力障碍、并发症以及二次唇部手术的次数。手术方法包括在3个月前进行软腭闭合，随后在6个月时进行双侧唇成形术，在大多数病例（24/36）中，在4岁前进行硬腭闭合。对25名儿童的美学结果进行了评估，绝大多数（22/25）结果是可接受的。16名儿童接受了鼓膜引流以治疗分泌性中耳炎。对27名儿童的语音结果进行了分析，其中23名结果良好。随访8.4年，15名儿童（8名在该中心早期接受治疗，7名因后遗症前来治疗）因并发症接受了治疗。每名儿童平均进行了4.5次手术。
