斯里兰卡唇腭裂项目：初步报告。

Lambadusuriya S P, Mars M, Ward C M

Department of Paediatrics, Faculty of Medicine, Karapitiya, Galle, Sri Lanka.

J R Soc Med. 1988 Dec;81(12):705-9. doi: 10.1177/014107688808101208.

By means of a surgical expedition involving an independently financed team of surgeons, anaesthetists, nurses, orthodontists and speech therapists, 195 patients in Sri Lanka with cleft lip and palate were treated over a period of 4 weeks while over 300 patients were examined in detail to assess faciomaxillary growth, components of speech and the psychosocial impact of the untreated deformity in childhood and adult life. Lip surgery proved to be simple and safe but in certain older patients palatal closure was complicated by wide palatal shelf displacement, mucosal fibrosis and heavy bleeding. This is a preliminary report and much data has yet to be analysed but there is little doubt that impaired facial growth following palatal repair is predominantly an iatrogenic deformity.

通过一个由独立资助的外科医生、麻醉师、护士、正畸医生和言语治疗师组成的团队进行的外科考察，在4周的时间里对斯里兰卡的195例唇腭裂患者进行了治疗，同时对300多名患者进行了详细检查，以评估面颌生长、言语组成部分以及未治疗的畸形在儿童期和成年期对心理社会的影响。唇裂手术被证明是简单且安全的，但在某些年龄较大的患者中，腭部闭合因腭板广泛移位、黏膜纤维化和大量出血而变得复杂。这是一份初步报告，许多数据尚未分析，但毫无疑问，腭裂修复后面部生长受损主要是一种医源性畸形。