Department of Surgery, Division of Plastic and Reconstructive Surgery, Nemours Children's Health-Delaware, 1600 Rockland Road, Wilmington, DE 19803, USA.
Medicina (Kaunas). 2023 Nov 1;59(11):1932. doi: 10.3390/medicina59111932.
Cleft lip with or without cleft palate is one of the most common congenital malformations, with an average prevalence of 1 in 1000 live births. Cleft lip and/or palate is incredibly phenotypically diverse, with constant advancements and refinements in how we care for patients. This article presents an in-depth review of the latest advances and current evidence in cleft lip and palate surgery. This includes presurgical infant orthopedics, perioperative practice patterns including use of enhanced recovery after surgery (ERAS) protocols, patient-reported outcome measures, and the latest adjuncts in cheiloplasty and palatoplasty.
唇裂伴或不伴腭裂是最常见的先天性畸形之一,平均每 1000 例活产中就有 1 例。唇裂和/或腭裂的表型非常多样化,我们在治疗患者方面不断取得进步和完善。本文深入综述了唇腭裂手术的最新进展和现有证据。这包括术前婴儿矫形、围手术期实践模式,包括使用术后加速康复(ERAS)方案、患者报告的结果测量,以及唇成形术和腭裂修补术的最新辅助手段。