Woo Albert S
Providence, R.I.
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, The Warren Alpert Medical School of Brown University.
Plast Reconstr Surg. 2017 Jan;139(1):191e-203e. doi: 10.1097/PRS.0000000000002854.
After studying this article, the participant should be able to: 1. Describe the incidence of cleft palate and risk factors associated with development of an orofacial cleft. 2. Understand differences among several techniques to repair clefts of both the hard and soft palates. 3. Discuss risk factors for development of postoperative fistulas, velopharyngeal insufficiency, and facial growth problems. 4. Establish a treatment plan for individualized care of a cleft palate patient.
Orofacial clefts are the most common congenital malformations of the head and neck region, and approximately three-quarters of these patients have some form of cleft palate deformity. Cleft palate repair is generally performed in children between 6 and 12 months of age. The goals of palate repair are to minimize the occurrence of fistulas, establish a normal velopharyngeal mechanism, and optimize facial growth. This Maintenance of Certification review discusses the incidence and epidemiology associated with cleft palate deformity and specifics associated with patient care, including analgesia, surgical repair techniques, and complications associated with repair of the cleft palate.
在学习本文后，参与者应能够：1. 描述腭裂的发病率以及与口面部裂隙发育相关的风险因素。2. 了解修复硬腭和软腭裂隙的几种技术之间的差异。3. 讨论术后瘘管形成、腭咽功能不全和面部生长问题的风险因素。4. 制定针对腭裂患者个性化护理的治疗计划。
口面部裂隙是头颈部最常见的先天性畸形，其中约四分之三的患者存在某种形式的腭裂畸形。腭裂修复通常在6至12个月大的儿童中进行。腭裂修复的目标是尽量减少瘘管的发生，建立正常的腭咽机制，并优化面部生长。本次继续医学教育复习讨论了与腭裂畸形相关的发病率和流行病学以及与患者护理相关的细节，包括镇痛、手术修复技术以及腭裂修复相关的并发症。
