Vamvanij Natthacha, Chen Zung-Chung, Lo Lun-Jou
Plastic and Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Guishan, Taoyuan.
Cleft Palate Craniofac J. 2020 Mar;57(3):389-394. doi: 10.1177/1055665619867233. Epub 2019 Aug 4.
In rare instances, cleft lip and palate occur in association with , intraoral fibrous bands connecting the maxilla and mandible. The main concern in synechia is a restricted mouth opening that leads to airway and feeding problems. This study reports our experience in the treatment of 3 cases and includes a review of the literature. Three patients with intraoral fibrous bands received treatment and follow-ups in our center. Division of the bands and reconstruction of the lip and palate were successfully performed. All reported cases in the literature were collected for a summary of clinical presentations and as references for management. Early management of the synechia improves the mouth opening and facilitates the treatment of associated anomalies.
在极少数情况下,唇腭裂与连接上颌骨和下颌骨的口腔内纤维带同时出现。粘连的主要问题是张口受限,进而导致气道和喂养问题。本研究报告了我们治疗3例患者的经验,并对相关文献进行了综述。3例口腔内纤维带患者在我们中心接受了治疗和随访。成功地进行了纤维带分离及唇腭裂修复。收集了文献中所有报道的病例,以总结临床表现并作为治疗参考。粘连的早期处理可改善张口情况,并有助于相关畸形的治疗。