Delaire J
SSO Schweiz Monatsschr Zahnheilkd. 1980 Mar;90(3):269-85.
Surgery of the clefts of lips and jaws, particularly the prevention or correction of their sequels, is based on a sound knowledge of the anatomy and physiology of the mimic muscles. Their function is essential for the morphogenesis of the underlying skeletal structures. To restore the physiological functional pattern of all of these muscles is the aim of any surgical procedure in these cases. If the sequels of the cleft are of a certain importance at the time when orthodontic treatment usually takes place, it is indispensable to restore a well-balanced muscle function. Surgery might be done before or immediately after orthodontic treatment, but anyway it has to be done at this age, when the child is still going through a period of intensive growth. The last corrective measures only, aimed at merely aesthetic improvements (surgery upon nasal cartilage and revision of scars), are deferred until growth has ceased.
唇腭裂手术，尤其是预防或矫正其后遗症，是基于对表情肌解剖学和生理学的充分了解。它们的功能对于其下方骨骼结构的形态发生至关重要。恢复所有这些肌肉的生理功能模式是这些病例中任何外科手术的目标。如果在通常进行正畸治疗时腭裂后遗症具有一定重要性，那么恢复良好平衡的肌肉功能是必不可少的。手术可以在正畸治疗之前或之后立即进行，但无论如何都必须在这个年龄进行，此时孩子仍处于快速生长阶段。仅针对美学改善的最后矫正措施（鼻软骨手术和瘢痕修复）则推迟到生长停止后进行。
