Talmant J-C, Talmant J-Ch, Lumineau J-P
Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.
Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.
Ann Chir Plast Esthet. 2016 Oct;61(5):348-359. doi: 10.1016/j.anplas.2016.06.007. Epub 2016 Jul 16.
If the multiplicity of functional protocols of cleft lip and palate treatment has been bewildering, it is now a source of learning. The lessons we can draw from them assist us to choose the best age for the primary surgery and a chronology that prevents the palate from the worst scaring. Eventually, with 18 years of follow-up, the best functional achievement comes unexpectedly from an ambitious primary rhinoplasty that had till now been condemned. Not only do the patients have good appearance and social integration, but the nasal mode of breathing established at the time of the primary surgery favors a good facial growth without any compromise. Reciprocally, all the interacting functions benefit from a nasal ventilation.
如果唇腭裂治疗功能方案的多样性曾经令人困惑，那么现在它成为了学习的源泉。我们能从中汲取的经验教训有助于我们选择初次手术的最佳年龄以及防止腭裂出现最严重瘢痕的时间顺序。最终，经过18年的随访，最佳的功能效果意外地来自一项此前一直备受谴责的大胆初次鼻整形手术。患者不仅外观良好且能融入社会，而且初次手术时建立的鼻呼吸模式有利于面部良好生长且毫无损害。相应地，所有相互作用的功能都受益于鼻腔通气。
