Eppley B L, Sclaroff A, Delfino J J
J Oral Maxillofac Surg. 1986 Dec;44(12):987-98. doi: 10.1016/s0278-2391(86)80053-2.
Bilateral clefts of the palate pose difficult and unique problems in surgical rehabilitation. The premaxilla traditionally has been a controversial subject with a historic lack of uniformity in treatment protocol. Based on a review of facial growth and the evolution of premaxillary cleft surgery, principles of management and secondary reconstruction of the premaxilla are discussed. Timely surgical intervention combining osteotomies and bone grafting in conjunction with closure of soft tissue defects is shown to result in satisfactory functional and aesthetic results.
双侧腭裂在手术修复方面存在困难且独特的问题。传统上，前颌骨一直是一个有争议的话题，在治疗方案上历来缺乏一致性。基于对面部生长和前颌骨裂手术演变的回顾，讨论了前颌骨的处理原则和二期重建。结果表明，及时进行手术干预，结合截骨术和骨移植以及软组织缺损的闭合，可获得满意的功能和美学效果。
