Treatment Protocol for Cleft Lip and/or Palate Children in Kyushu University Hospital

• 발행기관: 대한구순구개열학회
• 저자명: Akira Suzuki
• 간행물 정보: 『대한구순구개열학회지』제15권 제2호, 69~81쪽, 전체 13쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2012.12.30

영문 초록

Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.

목차

ABSTRACT

1. Peri-natal care until the lip-repair

2. Care from lip repair to palatal repair

3. Care in deciduous and early mixeddentitions

4. Care for peri-secondary bone grafting inmixed dentition

5. Management in permanent dentition

References

키워드

Cleft lip and/or Palate Team approach Multidisciplinary care Surgical care Orthodontic treatment