Costello Bernard J, Edwards Sean P
Craniofacial and Cleft Surgery, Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, 3471 Fifth Avenue, Suite 1112, Pittsburgh, PA 15213, USA.
Oral Maxillofac Surg Clin North Am. 2010 Feb;22(1):5-15. doi: 10.1016/j.coms.2009.10.003.
Many advances in health care are built on the evolution of technology. An entirely new patient has emerged in fetal medicine, with these advances in prenatal imaging allowing one to see and diagnose disease not previously appreciated. Clinicians can better plan for the delivery of the neonate, with identified anomalies being optimally managed and the impact on the neonate's health minimized. The oral and maxillofacial surgeon offers 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 authors describe their 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.
医疗保健领域的许多进步都建立在技术发展的基础之上。随着产前成像技术的这些进步,胎儿医学领域出现了一种全新的患者情况,使人们能够看到并诊断出以前未被认识到的疾病。临床医生可以更好地为新生儿的分娩制定计划,对已发现的异常情况进行最佳管理,并将对新生儿健康的影响降至最低。口腔颌面外科医生在颅颌面异常的管理方面具有专业知识,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。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。作者描述了他们的经验以及一些更常见的异常情况,并阐述了口腔颌面外科医生在胎儿诊断和治疗团队中可能遇到的管理考量因素。