Jaques B, Herzog G, Muller A, Hohlfeld J, Pasche P
Division of Maxillofacial Surgery, Centre Hospitalier Universitaire Vaudois. Lausanno, Switzerland
Folia Phoniatr Logop. 1997;49(3-4):181-93. doi: 10.1159/000266453.
Malformations, deformations and abnormal intermaxillary relationships varying in severity can be found in cleft lip and/or palate children. Such multiple deformities have an influence on speech resonance and articulation, as well as on masticatory, auditive and respiratory functions. Therefore, a multidisciplinary team should monitor these patients from birth on to adulthood. This article describes our treatment protocol, discusses the limitations of dental orthopedic action and the indications for orthognathic surgery. Timing and techniques of different surgical interventions are presented and the impact of these procedures on velopharyngeal function is evaluated.
唇腭裂患儿可出现严重程度各异的畸形、变形及颌间关系异常。此类多种畸形会影响语音共鸣和发音，以及咀嚼、听觉和呼吸功能。因此，多学科团队应从患儿出生起直至成年对其进行监测。本文描述了我们的治疗方案，讨论了牙颌面矫形治疗的局限性及正颌手术的适应证。介绍了不同手术干预的时机和技术，并评估了这些手术对腭咽功能的影响。
