[下颌颈下正中裂：一例报告及病因与治疗方面]
[Median inferior cervicomandibular cleft: a case report, etiologic and therapeutic aspects].
作者信息
Lavocat R, Szwebel J-D, Mitrofanoff M
机构信息
Service de chirurgie plastique pédiatrique, groupe hospitalier Cochin-Saint-Vincent-de-Paul-La Roche Guyon, Paris, France.
出版信息
Ann Chir Plast Esthet. 2011 Aug;56(4):334-8. doi: 10.1016/j.anplas.2011.03.001. Epub 2011 May 18.
INTRODUCTION
The orofacial clefts include 30 variant according to Tessier classification: the number 30 contain mandibular arc damage isolated or associated with damage of surrounding soft tissue.
CASE REPORT
Our patient was a newborn with median mandibular cleft associated with ankyloglossia, bifid tongue and a top cervical fistula. We have not found polymalformative syndrome. The early surgical management included one time and after-effect were simple within 11 months.
DISCUSSION
We point out difficulties for antenatal diagnosis and controversy about appropriate time for surgical management of the bone defect. The last physiopathologic hypotheses were explicated.
引言
根据泰西埃分类法，口面部裂隙包括30种变体：编号30包括孤立的下颌弓损伤或与周围软组织损伤相关的情况。
病例报告
我们的患者是一名患有正中下颌裂并伴有舌系带过短、双叉舌和颈前瘘管的新生儿。我们未发现多畸形综合征。早期手术治疗为一次性进行，且11个月内后遗症简单。
讨论
我们指出了产前诊断的困难以及关于骨缺损手术治疗合适时机的争议。阐述了最新的病理生理假设。
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