Bardach J, Morris H L, Olin W H, Gray S D, Jones D L, Kelly K M, Shaw W C, Semb G
Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City.
Plast Reconstr Surg. 1992 Mar;89(3):419-32; discussion 433-5.
Bilateral cleft of the lip and palate is by many standards the most complex and severe form of the defect. The complexity and severity of the defect require an unusual degree of cooperation among all specialists and especially between the surgeon and the orthodontist. There are no published findings that we know about in which comprehensive data from a number of disciplines are reported for the same group of bilateral cleft patients. Fifty randomly selected patients with bilateral complete clefts were examined by the Iowa team and two orthodontists from other institutions. The evaluations revealed that a large number of patients over the age of 10 have multiple residual problems requiring further treatment. Only 23 percent of the older patients studied were judged to have had treatment completed by the surgeon, speech pathologist, and orthodontist. It is very difficult to state whether the results obtained by our team can be considered satisfactory because there are no comparable studies that have attempted to evaluate the same parameters in multidisciplinary management.
按照许多标准，双侧唇腭裂是最复杂、最严重的缺陷形式。该缺陷的复杂性和严重性要求所有专科医生之间，尤其是外科医生和正畸医生之间进行不同寻常程度的合作。据我们所知，尚无已发表的研究报告同一组双侧腭裂患者来自多个学科的综合数据。爱荷华团队和其他机构的两名正畸医生对50例随机选择的双侧完全性腭裂患者进行了检查。评估显示，大量10岁以上的患者存在多种残留问题，需要进一步治疗。在接受研究的年龄较大的患者中，只有23%被判定已由外科医生、言语病理学家和正畸医生完成治疗。很难说我们团队所取得的结果是否能被认为是令人满意的，因为没有可比的研究试图在多学科管理中评估相同的参数。
