271例婴幼儿完全性唇腭裂一期修复及初步观察

目的 探索婴幼儿完全性唇腭裂一期修复的可行性，并对其效果进行初步观察。方法 对3－12个月婴儿安全性唇腭裂进行了一期修复，同时对24例裂隙宽大的患儿进行术前腭部矫治，对术后1－4年的116例患儿唇的外形及事音进行了初步评价。结果 271例婴幼儿完全性唇腭裂修复手术，术后除2例发生呼吸困难，6例腭部瘘孔形成及5例作品渗血外，全部愈合良好。研究发现19例单侧完全性唇腭裂术前腭部矫治后，齿槽部裂隙左右距离轿治前平均缩小6．1mm；前后距离轿较矫治前平均缩小6．6mm；唇外菜评价优良率达93．1％，语音评价优良率达94．8％。结论 婴幼儿完全性唇腭裂一期是完全的、可行的。术前腭部桥治可明显缩小齿槽部的裂隙，有利于宽大裂隙的修复。婴幼儿完全性唇腭裂一期修复可获良好唇外形及语音功能恢复。

Simultaneous repair of complete cleft lip and palatein infancy-preliminary obse rvation(271 cases report)

Objective To Verify the safety and reliability of one|stage repair of complete cleft Lip and palate in infancy and to obtain the primary result. Methods The simultaneous repair of complete cleft Lip and palate in infants 3 to 12 months of age were performed in 271 cases.The deformities include 185 cases of typical complete unilateral clefts and 75 cases of complete bilateral clefts,and other 11 atypical cleft infants.The preoperative orthopedic treatment for wide alveolar cleft was undertaken in 24 infants and the lip appearance and speech outcome were evaluated in 116 children by 1 to 4 years'postoperative follw|up. Results All infants,except for dyspnea in 2 babies,palatal fistula fromation in 6 cases and temporary wound hemorrhage in 5 infants,were recovered without complications.After orthopedic treatment,the width of the alveolar cleft was reduced 6^1 mm in average.The evaluation showed that 93^1% of children had got good or excellent lip appearance.And the acceptable or excellent speech was found in 94^8% children. Conclusions Simultaneous repair of complete cleft lip and palate in infancy is safty and reliable.The preoperative orthopedic procedure is able to reduce the wide alveolar cleft and to achieve alignment of alveolar segments.The acceptable and or excellent lip appearance and speech function could be obtained in this one|stage operative procedure in infants.;