Costello Bernard J, Edwards Sean P, Clemens Michele
Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, and Children's Hospital of Pittsburgh, Pittsburgh, PA 15213, USA.
J Oral Maxillofac Surg. 2008 Oct;66(10):1985-95. doi: 10.1016/j.joms.2008.01.042.
So many advances in health care are built on the evolution of technology. In the case of fetal medicine, technology has availed an entirely new patient. Advances in prenatal imaging allow us to see and diagnose disease not previously appreciated. Armed with this information, clinicians can better plan for the delivery of the neonate such that any identified anomalies are optimally managed, and the impact on the neonate's health minimized. The oral and maxillofacial surgeon can be a key member in this team by offering expertise in the management of craniomaxillofacial anomalies including congenital tumors, facial clefts, craniosynostosis, micrognathia, and other congenital abnormalities. The techniques for perinatal care of the patient with craniofacial abnormalities continue to evolve as the technology improves. The review of the cases presented at the University of Pittsburgh Fetal Diagnosis and Treatment Team during the past 6 years has shown many opportunities for craniomaxillofacial prenatal evaluation. We describe our recent experience and some of the more common abnormalities with their management considerations that may be encountered by the oral and maxillofacial surgeon on the fetal diagnosis and treatment team.
医疗保健领域的诸多进步都建立在技术的发展之上。就胎儿医学而言，技术造就了全新的患者群体。产前成像技术的进步使我们能够看到并诊断出以前未被认识到的疾病。有了这些信息，临床医生可以更好地规划新生儿的分娩，以便对任何已发现的异常情况进行最佳处理，并将对新生儿健康的影响降至最低。口腔颌面外科医生可以通过提供颅颌面异常（包括先天性肿瘤、面部裂隙、颅缝早闭、小颌畸形和其他先天性异常）管理方面的专业知识，成为这个团队的关键成员。随着技术的进步，颅面部异常患者的围产期护理技术也在不断发展。对匹兹堡大学胎儿诊断与治疗团队在过去6年中所诊治病例的回顾显示，颅颌面产前评估有很多机会。我们描述了我们最近的经验以及胎儿诊断与治疗团队中的口腔颌面外科医生可能遇到的一些较常见异常情况及其处理注意事项。
