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33例颅面裂:应用泰西埃分类法的诊断与治疗经验

[33 cases of craniofacial clefts: experience in diagnosis and treatment with tessier classification].

作者信息

Xing Xin, Ouyang Tian-Xiang, Zhou Jian-Hong, Zhang Ming-Li, Guo En-Tan

机构信息

Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2006 Jul;22(4):262-5.

PMID:17017137
Abstract

OBJECTIVE

To introduce our experience in diagnosis and treatment of 33 patients with Tessier craniofacial clefts.

METHODS

33 patients with craniofacial clefts were classified by Tessier classification. According to the type and severity of the clefts, various techniques, from simple local flap transfer to complicated osteotomy and bone grafting were used to correct the deformity in 29 patients.

RESULTS

All patients who underwent corrective operation were satisfied with the result, and there were no complications.

CONCLUSIONS

(1) Tessier classification is very important for plastic surgeon to find potential craniofacial deformities related to main signs. (2) No. 7 cleft is one of most common Tessier craniofacial clefts. (3) Each Tessier cleft is unique, therefore, the treatment plans cannot be standardized. Specific corrective operation must be performed on each patient according to the type and severity of the cleft, including simple local flap transfer to complicated osteotomy and bone grafting or distraction osteogenesis.

摘要

目的

介绍我们对33例特西尔颅面裂患者的诊断和治疗经验。

方法

对33例颅面裂患者进行特西尔分类。根据裂隙的类型和严重程度,对29例患者采用了从简单的局部皮瓣转移到复杂的截骨术和骨移植等各种技术来矫正畸形。

结果

所有接受矫正手术的患者对结果均满意,且无并发症发生。

结论

(1)特西尔分类对于整形外科医生发现与主要体征相关的潜在颅面畸形非常重要。(2)7号裂隙是最常见的特西尔颅面裂之一。(3)每个特西尔裂隙都是独特的,因此治疗方案无法标准化。必须根据裂隙的类型和严重程度对每位患者进行具体的矫正手术,包括从简单的局部皮瓣转移到复杂的截骨术、骨移植或牵张成骨术。

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