Wirtz Nicholas, Sidman James, Block William
Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota.
Department of Perinatology, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Am J Perinatol. 2016 May;33(6):531-4. doi: 10.1055/s-0036-1572537. Epub 2016 Feb 23.
Oral clefting is one of the most common significant fetal abnormalities. Cleft lip and cleft palate have drastically different clinical ramifications and management from one another. A cleft of the alveolus (with or without cleft lip) can confuse the diagnostic picture and lead to a false assumption of cleft palate. The cleft alveolus should be viewed on the spectrum of cleft lip rather than be associated with cleft palate. This is made evident by understanding the embryological development of the midface and relevant terminology. Cleft alveolus carries significantly different clinical implications and treatment options than that of cleft palate. Accurately distinguishing cleft alveolus from cleft palate is crucial for appropriate discussions regarding the patient's care.
口腔裂隙是最常见的严重胎儿异常之一。唇裂和腭裂在临床后果和治疗方面有很大差异。牙槽突裂（伴或不伴唇裂）会使诊断情况变得复杂，并导致对腭裂的错误判断。牙槽突裂应被视为唇裂谱系的一部分，而非与腭裂相关。通过了解面中部的胚胎发育和相关术语，这一点变得很明显。牙槽突裂与腭裂相比，具有明显不同的临床意义和治疗选择。准确区分牙槽突裂和腭裂对于有关患者护理的恰当讨论至关重要。
