Hemprich Alexander, Frerich Bernhard, Hierl Thomas, Dannhauer Karl-Heinz
Department of Maxillofacial and Facial Plastic Surgery, University of Leipzig, Germany.
J Craniomaxillofac Surg. 2006 Sep;34 Suppl 2:22-5. doi: 10.1016/S1010-5182(06)60006-1.
In the year 1994 the former GDR cleft centre was integrated into the Department of Maxillofacial and Facial Plastic Surgery of the University of Leipzig. The treatment scheme of functional surgery according to DELAIRE was introduced to this new cleft and craniofacial centre at the University of Leipzig. The interdisciplinary team of specialists meets twice a week during a cleft clinic and takes care of about 900 out-patients per year. In the last decade an average of 40-50 new patients (infants) were admitted for in-patient primary surgery. Lip repair with reconstruction of the perinasal and perioral muscle rings is performed in combination with a primary rhinoplasty at the age of 5-6 months. Hard and soft palate are closed in a one stage procedure before the end of the first year of life. The results at the age of 12 years demonstrate good facial proportions and speaking abilities in far more than 90% of all cases. This functionally based treatment of clefts of lip, alveolus and palate achieves a good outcome with a low number of operative procedures.
1994年，前东德腭裂中心并入莱比锡大学颌面与面部整形外科学系。按照德莱尔方法的功能性外科治疗方案被引入到莱比锡大学这个新的腭裂与颅面中心。跨学科专家团队在腭裂门诊期间每周会面两次，每年照料约900名门诊患者。在过去十年中，平均每年有40 - 50名新患者（婴儿）入院接受一期住院手术。在5 - 6个月大时，进行唇修复并重建鼻周和口周肌环，同时进行一期鼻整形术。在一岁末之前，硬腭和软腭通过一期手术闭合。12岁时的结果显示，超过90%的病例面部比例良好且说话能力正常。这种基于功能的唇、牙槽突和腭裂治疗方法通过较少的手术次数取得了良好的效果。
