Application of team approach and key techniques of cleft lip and palate

doi:10.7518/hxkq.2017.01.002

West China Journal of Stomatology ›› 2017, Vol. 35 ›› Issue (1): 8-17.doi: 10.7518/hxkq.2017.01.002

• Orginal Article • Previous Articles Next Articles

Application of team approach and key techniques of cleft lip and palate

Bing Shi¹(), Yuchuan Fu², Ningbei Yin³, Hong-zhang Huang⁴, Jianhua Liu⁵, Renji Chen⁶, Hongping Zhu⁷, Qiang Liu⁸, Yongqing Huang⁹, Zhanping Ren¹⁰, Yong Lu¹¹, Wenlin Xiao¹², Qinggao Song¹³, Wanshan Li¹⁴, Sheng Li¹⁵, Hongtao Wang¹⁶, Junrui Zhang¹⁷, Liping Jiang¹⁸, Li Ma¹⁹, Ling Wang²⁰, Dengqi He²¹

1. State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
2. Hospital of Stomatology, Wuhan University, Wuhan 430079, China
3. Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100144, China
4. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen Univer-sity, Guangzhou 510055, China
5. The First Affiliated Hospital, Zhejiang University, Hangzhou 310009, China
6. Beijing Hospital of Stomatology, Capital Medical University, Beijing 100050, China
7. Hospital of Stomatology, Peking University, Beijing 100081, China
8. Hospital of Stomatology, China Medical University, Shenyang 110002, China
9. Hospital of Sto-matology, Ningxia Medical University, Yinchuan 750004, China
10. Hospital of Stomatology, Xi’an Jiaotong University, Xian 710004, China
11. Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
12. Huangdao Branch, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
13. Stomatological Hospital, Affiliated to Zunyi Medical College, Zunyi 550002, China
14. Children’s Hospital of Chongqing Medical University, Chongqing 400014, China
15. Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, China
16. Guangzhou Women and Children’s Medical Center, Guangzhou 510000, China
17. Hospital of Stomatology, The Fourth Military Medical University, Xi’an 710000, China
18. Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
19. Shandong Provin-cial Hospital, Jinan 250021, China
20. The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
21. The First Hospital of Lanzhou University, Lanzhou 730000, China

Received:2016-11-26 Revised:2016-12-27 Online:2017-02-01 Published:2017-02-01

Abstract

Abstract:

The development of an expert consensus based on specific domestic situations will provide practical guidance to the efforts aiming at improving cleft care in China. The team approach of twenty-one cleft centers were pooled together, covering pre-surgical orthopedics, primary surgical repair, orthodontic treatment, alveolar bone graft, secondary deformity correction, palatal fistulae repair, the diagnosis and treatment of velopharyngeal incompetence, speech therapy, otitis media management, and skeletal deformity correction. Agreement was achieved among the authors concerning the application of critical surgical and non-surgical techniques. The ambition of this consensus is to introduce more clinicians to the revolution of sequential treatment of clefts, and form the basis for a more comprehensive cleft care manual in the future.

Key words: cleft lip and palate, team approach, expert consensus

CLC Number:

R782.2

Bing Shi, Yuchuan Fu, Ningbei Yin, Hong-zhang Huang, Jianhua Liu, Renji Chen, Hongping Zhu, Qiang Liu, Yongqing Huang, Zhanping Ren, Yong Lu, Wenlin Xiao, Qinggao Song, Wanshan Li, Sheng Li, Hongtao Wang, Junrui Zhang, Liping Jiang, Li Ma, Ling Wang, Dengqi He. Application of team approach and key techniques of cleft lip and palate[J]. West China Journal of Stomatology, 2017, 35(1): 8-17.

References 99

[1]	Liu Q, Yang ML, Li ZJ, et al.A simple and precise classifi-cation for cleft lip and palate: a five-digit numerical recording system[J]. Cleft Palate Craniofac J, 2007, 44(5):465-468.
[2]	Tanaka SA, Mahabir RC, Jupiter DC, et al.Updating the epidemiology of cleft lip with or without cleft palate[J]. Plast Reconstr Surg, 2012, 129(3):511e-518e.
[3]	石冰. 论唇腭裂的治疗属性[J]. 口腔医学研究, 2011, 27(4):296-299.
	Shi B.Discussion on the attributes of cleft lip and palate treatment[J]. J Oral Sci Res, 2011, 27(4):296-299.
[4]	郭昊亮, 赵磊, 刘强, 等. 唇腭裂五码数字分类临床评价的初步研究[J]. 中华口腔医学杂志, 2013, 48(1):15-17.
	Guo HL, Zhao L, Liu Q, et al.Clinical evaluation of the five-digit numerical recording system for classification of cleft lip and palate deformities[J]. Chin J Stomatol, 2013, 48(1):15-17.
[5]	刘强, 马群. 唇腭裂序列治疗概要[J]. 中国美容整形外科杂志, 2010, 21(7):385-390.
	Liu Q, Ma Q.Outline in the cleft lip and palate team approach[J]. Chin J Aesth Plast Surg, 2010, 21(7):385-390.
[6]	Bennun RD, Perandones C, Sepliarsky VA, et al.Nonsurgical correction of nasal deformity in unilateral complete cleft lip: a 6-year follow-up[J]. Plast Reconstr Surg, 1999, 104(3): 616-630.
[7]	Grayson BH, Santiago P, Brecht L, et al.Presurgical nasoal-veolar molding in infants with cleft lip and palate[J]. Cleft Palate Craniofac J, 1999, 36(6):486-498.
[8]	Grayson BH, Cutting CB.Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts[J]. Cleft Palate Craniofac J, 2001, 38(3):193-198.
[9]	杨超, 黄宁, 石冰. 完全性唇腭裂婴儿术前正畸治疗的临床研究[J]. 华西口腔医学杂志, 2011, 29(4):396-399.
	Yang C, Huang N, Shi B.Clinical research of presurgical orthodontic treatment of complete cleft lip and palate infant[J]. West Chin J Stomatol, 2011, 29(4):396-399.
[10]	侯玉霞, 任战平, 李锦峰, 等. 唇腭裂患儿的鼻牙槽塑形治疗: 29例临床分析[J]. 上海口腔医学, 2011, 20(6):641-644.
	Hou YX, Ren ZP, Li JF, et al.Presurgical nasoalveolar mol-ding in infants with cleft lip and palate: analysis of 29 cases[J]. Shanghai J Stomatol, 2011, 20(6):641-644.
[11]	钟渝翔, 李万山, 李远贵, 等. 鼻牙槽嵴塑形矫治器在单侧完全性唇腭裂腭部畸形矫治中的效果评价[J]. 华西口腔医学杂志, 2014, 32(2):145-149.
	Zhong YX, Li WS, Li YG, et al.Effective evaluation of presurgical nasoalveolar molding devices in the treatment of complete unilateral cleft lip and palate patients[J]. West Chin J Stomatol, 2014, 32(2):145-149.
[12]	钟渝翔, 李万山, 李远贵, 等. 鼻牙槽嵴塑形矫治器在单侧完全性唇腭裂鼻唇畸形矫治中的效果评价[J]. 激光医学, 2012, 33(5):69-71.
	Zhong YX, Li WS, Li YG, et al.The effective evaluation of presurgical nasoalveolar molding with nasa stent and reten-tion arm in complete unilateral cleft lip and palate patients[J]. Laser J, 2012, 33(5):69-71.
[13]	Li WS, Liao LS, Dai JB, et al.Effective retropulsion and centralization of the severely malpositioned premaxilla in patients with bilateral cleft lip and palate: a novel modified presurgical nasoalveolar molding device with retraction screw[J]. J Craniomaxillofac Surg, 2014, 42(8):1903-1908.
[14]	黄宁, 杨超. 唇腭裂正畸学[M]. 北京: 人民军医出版社, 2015:1-54.
	Huang N, Yang C.Orthodontics in cleft lip and palate[M]. Beijing: People’s Military Medical Press, 2015:1-54.
[15]	石冰. 单侧唇裂的个体化整复[J]. 国际口腔医学杂志, 2015, 42(5):497-502.
	Shi B.Individualized surgical management of unilateral cleft lip repair[J]. Int J Stomatol, 2015, 42(5):497-502.
[16]	尹宁北, 赵敏, 黄金井, 等. 单侧唇裂三叶瓣修复术[J]. 中华整形外科杂志, 2009, 25(2):81-84.
	Yin NB, Zhao M, Huang JJ.Trilobate technique, a new prin-cipal to repair cleft lip[J]. Chin J Plast Surg, 2009, 25(2):81-84.
[17]	尹宁北, 吴佳君, 陈波, 等. 唇鼻部肌肉组态的三维有限元研究及临床验证[J]. 中华口腔医学杂志, 2015, 50(5):278-285.
	Yin NB, Wu JJ, Chen B, et al.Nasolabial muscle finite-element study and clinical application[J]. Chin J Stomatol, 2015, 50(5):278-285.
[18]	傅豫川, 李金荣. 唇粘连术及其在唇腭裂治疗中的地位[J]. 国外医学口腔医学分册, 1991, 18(4):193-195.
	Fu YC, Li JR.Lip adherence operation and its status in treat-ment of cleft lip and palate[J]. Foreign Med Sci(Stomatol), 1991, 18(4):193-195.
[19]	傅豫川. 唇腭裂畸形的治疗[M]. 武汉: 湖北科学技术出版社, 2002:1-23.
	Fu YC.The treatment of cleft lip and palate[M]. Wuhan: Hubei Science and Technology Press, 2002:1-23.
[20]	刘强, 李增健, 郭永峰, 等. 单侧微小型唇裂的个体化修复术[J]. 中国美容整形外科杂志, 2008, 19(4):246-249.
	Liu Q, Li ZJ, Guo YF, et al.Individual repair technique for unilateral microform cleft lip[J]. Chin J Aesth Plast Sur, 2008, 19(4):246-249.
[21]	朱洪平, 周治波, 罗奕, 等. 改良Mohler法修复单侧唇裂的远期临床效果[J]. 中华医学美学美容杂志, 2016, 22(6):325-328.
	Zhu HP, Zhou ZB, Luo Y, et al.The long-term clinical results of modified Mohler method in repairing unilateral cleft lip[J]. Chin J Med Aesthet Cosmetol, 2016, 22(6):325-328.
[22]	张斌, 王超, 刘强, 等. 改良Onizuka法修复单侧唇裂[J]. 华西口腔医学杂志, 2011, 29(4):400-403.
	Zhang B, Wang C, Liu Q, et al.A modified Onizuka cheilop-lasty for repairing the unilateral cleft lip[J]. West Chin J Sto-matol, 2011, 29(4):400-403.
[23]	塔依尔·阿力甫, 王玲, 胡利, 等. 唇裂修复三维多媒体平台的初步建立[J]. 实用口腔医学杂志, 2012, 28(1):55-58.
	Tayier·A, Wang L, Hu L, et al. Preliminarv construction of three dimensional multimedia platform of cheiloplasty[J]. J Pract Stomatol, 2012, 28(1):55-58.
[24]	宋庆高, 石冰, 左晖, 等. 唇裂修复术对唇腭裂患者上颌骨及面部软组织发育的影响[J]. 西部医学, 2005, 17(5):448-450.
	Song QG, Shi B, Zuo H, et al.Influence of lip repair on ma-xillary growth and facial soft tissue development in patients with complete unilateral cleft lip and palate[J]. Med J West Chin, 2005, 17(5):448-450.
[25]	石冰. 腭裂的个体化整复[J]. 国际口腔医学杂志, 2015, 42(6):621-623.
	Shi B.Individualized surgical management of cleft palate[J]. Int J Stomatol, 2015, 42(6):621-623.
[26]	徐慧琳, 宋庆高. 腭裂术后语音功能的影响因素[J]. 口腔疾病防治, 2016, 24(2):122-124.
	Xu HL, Song QG.Influencing factors in phonetic function after operation with cleft palate[J]. J Prevent Treat Stomatol Dis, 2016, 24(2):122-124.
[27]	蒋练, 宋庆高, 陈尚, 等. 腭帆提肌重建修复先天性不全腭裂的临床应用[J]. 遵义医学院学报, 2007, 30(3):303-305.
	Jiang L, Song QG, Chen S, et al.Application of levator veli palatine retropositioning for congenital incomplete cleft palate[J]. J Zunyi Med Univ, 2007, 30(3):303-305.
[28]	Li WS, Dai JB, Li YG, et al. Clinical investigation for bila-teral cleft lip repair: modified functional bilateral cleft lip cheilorrhaphy[J]. J Oral Maxillofac Surg, 2008, 66(1):21-28
[29]	李万山, 郑谦, 魏世成, 等. 单侧完全性唇腭裂患儿唇裂修复同期硬腭裂隙封闭的临床观察[J]. 华西口腔医学杂志, 2003, 21(1):34-35, 47.
	Li WS, Zheng Q, Wei SC, et al.Simultaneous repair of cleft lip and closure of cleft hard palate with vomer flaps in patients with unilateral complete cleft lip and palate[J]. West Chin J Stomatol, 2003, 21(1):34-35, 47.
[30]	刘纲, 李万山, 李远贵, 等. 早期腭裂修复术对患者语音功能的影响[J]. 现代医药卫生, 2011, 27(17):2569-2572.
	Liu G, Li WS, Li YG, et al.Influence of early palatorrha-phy on speech function[J]. Modern Med Health, 2011, 27(17):2569-2572.
[31]	刘纲, 蒲高成, 李万山. 早期腭裂修复术对患者腭咽闭合功能的影响[J]. 重庆医学, 2015, 44(34):4805-4806, 4809.
	Liu G, Pu GC, Li WS.Influence of early palatorrhaphy on palatopharyngeal closure function in patients[J]. Chongqing Med, 2015, 44(34):4805-4806, 4809.
[32]	Cho-Lee GY, García-Díez EM, Nunes RA, et al.Review of secondary alveolar cleft repair[J]. Ann Maxillofac Surg, 2013, 3(1):46-50.
[33]	Russell K, Long RE Jr, Daskalogiannakis J, et al.A multi-center study using the SWAG scale to compare secondary alveolar bone graft outcomes for patients with cleft lip and palate[J]. Cleft Palate Craniofac J, 2016, 53(2):180-186.
[34]	Xiao WL, Zhang DZ, Chen XJ, et al.Osteogenesis effect of guided bone regeneration combined with alveolar cleft grafting: assessment by cone beam computed tomography[J]. Int J Oral Maxillofac Surg, 2016, 45(6):683-687.
[35]	Zhang DZ, Xiao WL, Zhou R, et al.Evaluation of bone height and bone mineral density using cone beam computed tomo-graphy after secondary bone graft in alveolar cleft[J]. J Cra-niofac Surg, 2015, 26(5):1463-1466.
[36]	Clavijo-Alvarez JA, Vecchione L, DeCesare G, et al. Auto-logous bone grafting with adjunctive use of acellular dermal matrix for alveolar cleft defects: early outcomes[J]. Cleft Palate Craniofac J, 2010, 47(2):116-121.
[37]	Dissaux C, Bodin F, Grollemund B, et al.Evaluation of suc-cess of alveolar cleft bone graft performed at 5 years versus 10 years of age[J]. J Craniomaxillofac Surg, 2016, 44(1):21-26.
[38]	de Moura PM, Hallac R, Kane A, et al. Improving the eva-luation of alveolar bone grafts with cone beam computerized tomography[J]. Cleft Palate Craniofac J, 2016, 53(1):57-63.
[39]	任战平, 陈志文, 陶永炜, 等. 基于CBCT的牙槽突裂植骨的三维定量研究[J]. 临床口腔医学杂志, 2014, 30(9):534-536.
	Ren ZP, Chen ZW, Tao YW, et al.Clinical study on the quantitative analysis of ABG with the application of CBCT[J]. J Clin Stomatol, 2014, 30(9):534-536.
[40]	任战平, 李锦峰, 文星, 等. 扩弓后单侧完全性牙槽突裂的骨移植修复[J]. 中国美容医学, 2006, 15(2):164-165.
	Ren ZP, Li JF, Wen X, et al.Correction of complete unila-teral alveolar cleft by bone graft in the patients after expan-sion[J]. Chin J Aesthet Med, 2006, 15(2):164-165.
[41]	马莲, 王光和. 唇腭裂患者齿槽嵴裂植骨修复术后随访结果分析[J]. 中华口腔医学杂志, 1998, 33(3):164-166.
	Ma L, Wang GH.Analysis of postoperative follow-up for alveolar bone grafting in cleft lip and palate[J]. Chin J Sto-matol, 1998, 33(3):164-166.
[42]	杨超, 石冰. 腭侧入路牙槽突裂植骨术的初步应用与评价[J]. 华西口腔医学杂志, 2013, 31(1):30-33.
	Yang C, Shi B.Initial study and evaluation on alveolar bone graft by palate side approach[J]. West Chin J Stomatol, 2013, 31(1):30-33.
[43]	张岱尊, 周容, 肖文林, 等. 锥形束CT对牙槽突裂植骨术后成骨效果的评价[J]. 中华口腔医学杂志, 2014, 49(6):352-356.
	Zhang DZ, Zhou R, Xiao WL, et al.Evaluation of osteoge-nesis of alveolar bone graft by cone beam CT[J]. Chin J Sto-matol, 2014, 49(6):352-356.
[44]	宋庆高, 石冰, 郑谦, 等. 双侧唇裂与鼻畸形同期整复的初步探讨[J]. 中国修复重建外科杂志, 2006, 20(9):899-901.
	Song QG, Shi B, Zheng Q, et al.Study on repair approach of bilateral cleft lips and nose deformity[J]. Chin J Repair Reconstr Surg, 2006, 20(9):899-901.
[45]	宋庆高, 石冰. 单侧唇裂鼻畸形的临床研究[J]. 口腔颌面外科杂志, 2001, 11(s1):31-32.
	Song QG, Shi B.Clinical study of nasal deformities in the unilateral cleft lip[J]. J Oral Maxillofac Surg, 2001, 11(s1):31-32.
[46]	任战平, 陶永炜, 曹慧琴, 等. 双侧唇裂鼻畸形手术联合鼻模矫正的初步探讨[J]. 中国美容医学杂志, 2014, 23(9):719-722.
	Ren ZP, Tao YW, Cao HQ, et al.Preliminary investigation of surgery and nasal mold correction for bilateral cleft lip[J]. Chin J Aesthet Med, 2014, 23(9):719-722.
[47]	Li L, Liao L, Zhong Y, et al.A modified Mohler technique for patients with unilateral cleft lip based on geometric prin-ciples—A primary report[J]. J Craniomaxillofac Surg, 2015, 43(5):663-670.
[48]	Li L, Liao L, Zhong Y, et al.Variation trends of the posto-perative outcomes for unilateral cleft lip patients by modified Mohler and Tennison-Randall cheiloplasties[J]. J Cranioma-xillofac Surg, 2016, 44(11):1786-1795.
[49]	张斌, 刘强, 王忠媛. 鼻保持模在唇裂鼻畸形治疗中的应用[J]. 中国美容整形外科杂志, 2010, 21(6):364-367.
	Zhang B, Liu Q, Wang ZY.Application of nasal model in cleft lip nasal deformity repair[J]. Chin J Aesthet Plast Surg, 2010, 21(61):364-367.
[50]	张斌, 陶微, 刘强, 等. 儿童鼻腔前庭三维形态与鼻孔成形保持模的比较研究[J]. 中国美容整形外科杂志, 2012, 23(8):457-459.
	Zhang B, Tao W, Liu Q, et al.Comparison of the structure between nasal vestibule in Chinese children and nasal re-tainer[J]. Chin J Aesthet Plast Surg, 2012, 23(8):457-459.
[51]	傅豫川. 唇裂鼻畸形一期整复术[J]. 中国实用口腔科杂志, 2008, 1(11):650-654.
	Fu YC.Primary repair of cleft lip nasal deformity[J]. Chin J Pract Stomatol, 2008, 1(11):650-654.
[52]	任战平, 陶永炜, 曹慧琴, 等. 术前鼻模结合手术矫正单侧不完全性唇裂鼻畸形的临床研究[J]. 实用口腔医学杂志, 2014, 30(6):800-804.
	Ren ZP, Tao YW, Cao HQ, et al.Clinical study of surgical repair combined with pre-surgical nasal modeling in unila-teral incomplete cleft lip nasal deformity[J]. Chin J Pract Stomatol, 2014, 30(6):800-804.
[53]	杨雄, 董文, 李亚娣, 等. 单侧完全性唇裂鼻畸形患儿术后鼻模的应用[J]. 宁夏医科大学学报, 2014, 36(7):792-793.
	Yang X, Dong W, Li YD, et al.Application of post-operative nasal modeling in unilateral complete cleft lip nasal defor-mity[J]. J Ningxia Med Univ, 2014, 36(7):792-793.
[54]	石冰. 2种隐形切口在唇裂术后继发畸形整复中的设计与应用[J]. 国际口腔医学杂志, 2016, 43(4):371-376.
	Shi B.Two different invisible incisions in revision of secon-dary cleft lip deformity[J]. Int J Stomatol, 2016, 43(4):371-376.
[55]	王龑, 石冰, 郑谦. 合理应用鼻中隔软骨整复单侧唇腭裂继发鼻畸形[J]. 中华整形外科杂志, 2013, 29(1):5-8.
	Wang Y, Shi B, Zheng Q.Efficient use of septum cartilage in correcting secondary nose deformity of unilateral cleft[J]. Chin J Plast Surg, 2013, 29(1):5-8.
[56]	李增健, 张斌, 刘强, 等. 鼻软骨支架重组联合鼻中隔软骨移植整复成人单侧唇裂鼻畸形25例分析[J]. 中国美容整形外科杂志, 2011, 22(12):734-736.
	Li ZJ, Zhang B, Liu Q, et al.Repair of unilateral cleft lip combined with nasal deformity with nasal cartilages restruc-turing and septal cartilage grafting on 25 cases[J]. Chin J Aesthet Plast Surg, 2011, 22(12):734-736.
[57]	张斌, 刘强, 刘昆, 等. 肋软骨支架与颗粒肋软骨联合移植在单侧唇裂鼻畸形整复中的应用研究[J]. 中国美容整形外科杂志, 2013, 24(12):723-725.
	Zhang B, Liu Q, Liu K, et al.Application of costal cartilage stand combined with granulometric cartilage transplantation in rhinoplasty of unilateral cleft lip nasal deformity[J]. Chin J Aesthe Plast Surg, 2013, 24(12):723-725.
[58]	陈仁吉, 杨增杰, 孙勇刚. 单侧唇裂继发鼻畸形的手术矫正[J]. 北京口腔医学, 2007, 15(3):155-157.
	Chen RJ, Yang ZJ, Sun YG.Correction of nasal deformity in unilateral cleft lip[J]. Beijing J Stomatol, 2007, 15(3):155-157.
[59]	石冰. 中国人唇裂鼻畸形整复的思路与术式设计[J]. 华西口腔医学杂志, 2012, 30(2):111-114.
	Shi B.The thinking and design techniques for Chinese cleft lip nasal deformity[J]. West Chin J Stomatol, 2012, 30(2):111-114.
[60]	陈仁吉, 王光和, 孙勇刚, 等. 腭裂术后功能性语音不清分类的初步研究[J]. 中华口腔医学杂志, 1995, 30(1):17-20.
	Chen RJ, Wang GH, Sun YG, et al.A primary study of classi-fication of functional aphthenxia after palatoplasty[J]. Chin J Stomatol, 1995, 30(1):17-20.
[61]	陈仁吉, 王光和. 生物反馈在腭裂术后语音治疗中的应用[J]. 中华口腔医学杂志, 1995, 30(5):314-316.
	Chen RJ, Wang GH.Application of biological feedback in speech therapy after palatoplasty[J]. Chin J Stomatol, 1995, 30(5):314-316.
[62]	陈仁吉, 王光和. 腭裂术后语音训练治疗方法的研究[J]. 中华口腔医学杂志, 1996, 31(4):220-223.
	Chen RJ, Wang GH.A study of training methods of speech therapy after palatoplasty[J]. Chin J Stomatol, 1996, 31(4):220-223.
[63]	陈仁吉, 王光和, 孙勇刚, 等. 腭裂术后腭咽闭合协调异常的训练治疗[J]. 现代口腔医学杂志, 1996, 10(1):6-9.
	Chen RJ, Wang GH, Sun YG, et al.Training methods of velopharyngeal dysregulation after palatoplasty[J]. J Modern Stomatol, 1996, 10(1):6-9.
[64]	陈仁吉, 王光和, 孙勇刚. 腭裂术后功能性语音障碍发音特点研究[J]. 中华口腔医学杂志, 1998, 33(5):285-286.
	Chen RJ, Wang GH, Sun YG.A study of articulation cha-racteristics in functional voice disorder after palatoplasty[J]. Chin J Stomatol, 1998, 33(5):285-286.
[65]	陈仁吉, 马莲, 孙勇刚, 等. 强化性语音训练在腭裂术后语音治疗中的应用[J]. 实用口腔医学杂志, 1999, 15(4):266-268.
	Chen RJ, Ma L, Sun YG, et al.Intensive speech therapy for the children with speech problems after cleft palate sur-gery[J]. J Pract Stomatol, 1999, 15(4):266-268.
[66]	陈仁吉, 马莲, 朱洪平. 腭裂患者声门爆破音临床特点及其矫治[J]. 中华口腔医学杂志, 2002, 37(3):191-193.
	Chen RJ, Ma L, Zhu HP.The phonological characteristics and correction of glottal stop after cleft palate surgery[J]. Chin J Stomatol, 2002, 37(3):191-193.
[67]	王国民, 费斐, 蒋莉萍, 等. 异常语音的临床分类和治疗[J]. 华西口腔医学杂志, 2002, 20(2):112-114.
	Wang GM, Fei W, Jiang LP, et al.Clinical classification and therapy of articulation disorders[J]. West Chin J Stomatol, 2002, 20(2):112-114.
[68]	蒋莉萍, 王国民, 杨育生, 等. 齿间音θ在异常语音治疗中的作用[J]. 上海口腔医学, 2010, 19(6):565-567.
	Jiang LP, Wang GM, Yang YS, et al.The role of inter-dental consonant θ in treating articulation disorders[J]. Shanghai J Stomatol, 2010, 19(6):565-567.
[69]	陈仁吉, 孙勇刚, 张震康, 等. 鼻咽纤维镜生物反馈治疗在腭裂术后语音治疗中的应用[J]. 北京口腔医学, 2008, 16(2):94-96.
	Chen RJ, Sun YG, Zhang ZK, et al.Nasopharyngoscopic biofeedback therapy in patients with speech disorders after cleft palate surgery[J]. Beijing J Stomatol, 2008, 16(2):94-96.
[70]	阿迪力江·赛买提, 王玲, 阿地力·莫明. 维吾尔族腭咽闭合功能不全患者语音清晰度及其辅音/r/声学特征的初步研究[J]. 实用口腔医学杂志, 2015, 31(1):41-43.
	Adilijiang·S, Wang L, Adili·M. Speech articulation and con-sonant /r/ acoustic features of uyghur subjects with velopharyn-geal insuffi-ciency: a preliminary study[J]. J Pract Stomatol, 2015, 31(1):41-43.
[71]	Ma L, Shi B, Li Y, et al.Velopharyngeal function assess-ment in patients with cleft palate: perceptual speech assess-ment versus nasopharyngoscopy[J]. J Craniofac Surg, 2013, 24(4):1229-1231.
[72]	蒋莉萍, 王国民, 袁文化, 等. 腭裂术后语音训练方法初探[J]. 上海口腔医学, 1998, 7(2):104-106.
	Jiang LP, Wang GM, Yuan WH, et al.Primary investigation of speech therapy after palatoplasty[J]. Shanghai J Stomatol, 1998, 7(2):104-106.
[73]	蒋莉萍, 王国民, 杨育生, 等. 腭裂咽成形术后患者语音治疗疗效评价[J]. 上海口腔医学, 2004, 13(5):444-446.
	Jiang LP, Wang GM, Yang YS, et al.An evaluation of the speech therapy methods for patients after pharyngoplasty[J]. Shanghai J Stomatol, 2004, 13(5):444-446.
[74]	陈仁吉. 中国腭裂语音治疗的现状与思考[J]. 国际口腔医学杂志, 2012, 39(1):1-5.
	Chen RJ.The state and consider about speech therapy of cleft palate in china[J]. Int J Stomatol, 2012, 39(1):1-5.
[75]	张文婧, 陈仁吉. 173例功能性构音障碍患者辅音错误特点分析[J]. 北京口腔医学, 2016, 24(1):29-31.
	Zhang WJ, Chen RJ.Characteristics of consonant errors in 173 cases of functional articulation disorders[J]. Beijing J Stomatol, 2016, 24(1):29-31.
[76]	Jiang C, McPherson B, Ng ML. Voice onset time of alveolar stop /t/ and realization of unaspirated affricates associated with Mandarin-speaking children with repaired cleft palate[J]. Int J Pediatr Otorhinolaryngol, 2016, 86:150-155.
[77]	Jiang C, Whitehill TL, McPherson B, et al. Spectral moment analysis of affricates produced by Mandarin-speaking pre-adolescents with repaired cleft palate[J]. Int J Pediatr Otorhi-nolaryngol, 2016, 84:137-142.
[78]	Jiang C, Whitehill TL, McPherson B, et al. Consonant accu-racy in Mandarin-speaking children with repaired cleft palate[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(12):2270-2276.
[79]	Jiang C, Whitehill TL, McPherson B, et al. Spectral features and perceptual judgment of place of affricate in Putonghua-speaking pre-adolescents with normal and cleft palate[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(2):179-185.
[80]	Jiang C, Whitehill TL.Evaluation of speech errors in Puton-ghua speakers with cleft palate: a critical review of metho-dology issues[J]. Clin Linguist Phon, 2014, 28(4):283-296.
[81]	李盛, 江宏兵, 万林忠, 等. 联合应用Sommerlad与Furlow术式治疗腭咽闭合不全[J]. 口腔医学, 2016, 36(5):425-428.
	Li S, Jiang HB, Wan LZ, et al.Combined application of Sommerlad and Furlow technique in the treatment of velo-pharyngeal insufficiency[J]. Stomatology, 2016, 36(5):425-428.
[82]	李盛, 江宏兵, 万林忠, 等. 腭咽闭合不全的个体化治疗策略[J]. 国际口腔医学杂志, 2016, 43(6):640-644.
	Li S, Jiang HB, Wan LZ, et al.Individual treatment of velo-pharygeal incomplete after palatoplasty[J]. Int J Stomatol, 2016, 43(6):640-644.
[83]	Zheng W, Smith JD, Shi B, et al.The natural history of audiologic and tympanometric findings in patients with an unrepaired cleft palate[J]. Cleft Palate Craniofac J, 2009, 46(1):24-29.
[84]	李万山, 魏世成, 陈吉明, 等. 腭裂患者中耳功能障碍的初步探讨[J]. 广东牙病防治, 2001, 9(4):251-253.
	Li WS, Wei SC, Chen JM, et al.Primary investigation of middle ear dysfunction in cleft palate patients[J]. J Dent Pre-vent Treat, 2001, 9(4):251-253.
[85]	李万山, 陈吉明, 魏世成. 腭裂手术对中耳功能的影响[J]. 口腔颌面外科杂志, 2002, 12(2):136-137, 152.
	Li WS, Chen JM, Wei SC.The effect of palate repair on the function on middle ear[J]. J Oral Maxillofac Surg, 2002, 12(2):136-137, 152.
[86]	龚彩霞, 熊茂婧, 吴敏. 唇腭裂患者及其家长的心理特点与心理护理[J]. 国际口腔医学杂志, 2010, 37(4):413-416.
	Gong CX, Xiong MJ, Wu M.Psychological traits and nursing of cleft lip and palate patients and their parents[J]. Int J Sto-matol, 2010, 37(4):413-416.
[87]	龚彩霞, 郑谦, 石冰. 唇腭裂患儿家长心理治疗前后的量表分析及评估[J]. 华西口腔医学杂志, 2011, 29(1):36-38.
	Gong CX, Zheng Q, Shi B, et al.Analysis of psychological conditions of parents of children with cleft lip and palate by using psychological scales before and after psychological treatment[J]. West Chin J Stomatol, 2011, 29(1):36-38.
[88]	张艳艳, 龚彩霞, 武红彦, 等. 115例唇腭裂患者的父母生活质量调查研究[J]. 华西口腔医学杂志, 2015, 33(2):169-173.
	Zhang YY, Gong CX, Wu HY, et al.Analysis of quality of life of 115 parents with cleft lip and/or palate children[J]. West Chin J Stomatol, 2015, 33(2):169-173.
[89]	郑谦, 龚彩霞. 唇腭裂心理咨询与治疗[M]. 北京: 人民军医出版社, 2015:2.
	Zheng Q, Gong CX.Psychological consultation and therapy of cleft lip and palate patients[M]. Beijing: People’s Military Medical Publisher, 2005:2.
[90]	王杨洋, 信燕华, 马坚, 等. 早期心理干预对唇腭裂患儿父母的影响[J]. 华西口腔医学杂志, 2013, 31(4):372-376.
	Wang YY, Xin YH, Ma J, et al.Effects of an early psycholo-gical intervention on parents of children with cleft lip/palate[J]. West Chin J Stomatol, 2013, 31(4):372-376.
[91]	王杨洋, 翟堃, 信燕华, 等. 唇腭裂患儿父母心身健康状况调查与思考[J]. 实用口腔医学杂志, 2012, 28(4):505-508.
	Wang YY, Zhai K, Xin YH, et al.A study on the psychoso-matic states of parents of children with cleft lip/palate[J]. J Pract Stomatol, 2012, 28(4):505-508.
[92]	翟堃, 杨雄, 信燕华, 等. 唇腭裂患儿父母生活质量及其影响因素研究[J]. 华西口腔医学杂志, 2013, 31(3):279-282.
	Zhai K, Yang X, Xin YH, et al.Study on life quality and influence factors in cleft lip and palate parents[J]. West Chin J Stomatol, 2013, 31(3):279-282.
[93]	王歆, 陈仁吉, 穆月, 等. 唇腭裂患者心理干预影响的初步研究[J]. 北京口腔医学, 2011, 19(6):336-338.
	Wang X, Chen RJ, Mu Y, et al.A preliminary study of psy-chological intervention in patients with cleft lip and palate[J]. Beijing J Stomatol, 2011, 19(6):366-368.
[94]	龚彩霞, 石冰. 唇腭裂的分期护理[J]. 国际口腔医学杂志, 2007, 34(5):331-334.
	Gong CX, Shi B.Nursing by stages of cleft lip and palate[J]. Int J Stomatol, 2007, 34(5):331-334.
[95]	龚彩霞, 李盛, 范林莉. 唇腭裂序列治疗的相关护理及健康教育[J]. 护士进修杂志, 2008, 23(5):449-451.
	Gong CX, Li S, Fan LL.Health education and nursing of sequential cleft care[J]. J Nurse Train, 2008, 23(5):449-451.
[96]	周小蓉, 龚彩霞, 祝曙娟. 完全性唇裂伴硬腭犁骨瓣修复术的围手术期护理[J]. 当代护士, 2006(10):25-26.
	Zhou XR, Gong CX, Zhu SJ.Perioperative nursing of com-plete cleft lip cheiloplasty with vomer flap repair[J]. Today Nurse, 2006(10):25-26.
[97]	陈丽先, 龚彩霞, 吴玉红, 等. 唇腭裂患者体格生长发育的初步研究[J]. 国际口腔医学杂志, 2015, 42(5):518-521.
	Chen LX, Gong CX, Wu YH, et al.Preliminary research on growth evaluation monitoring in patients with cleft lip and palate[J]. Int J Stomatol, 2015, 42(5):518-521.
[98]	陈丽先, 龚彩霞, 吴玉红, 等. 唇腭裂婴幼儿手术当日输液量管理的研究[J]. 华西口腔医学杂志, 2016, 34(4):387-390.
	Chen LX, Gong CX, Wu YH, et al.Study on postoperative infusion management of cleft patients[J]. West Chin J Sto-matol, 2016, 34(4):387-390.
[99]	穆玥, 陈仁吉, 刘洪涛, 等. 唇裂患儿围手术期抗生素应用的研究[J]. 北京口腔医学, 2015, 23(6):343-345.
	Mu Y, Chen RJ, Liu HT, et al.Investigation of perioperative application of antibiotics in cleft lip surgery[J]. Beijing J Stomatol, 2015, 23(6):343-345.

Application of team approach and key techniques of cleft lip and palate

RichHTML

PDF (PC)

Knowledge

Cited

Abstract

Cite this article

share this article

References 99

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	Chen Yunmei, Liu Yan, Huang Qiuyu, Luo Jiang, Wu Hongmei, Wang Yehua, Wu Ling, Li Xiu’e, Bi Xiaoqin. Facial nerve function training in patients with peripheral facial paralysis: an expert consensus [J]. West China Journal of Stomatology, 2023, 41(6): 613-621.
[2]	Liu Lei, Xiang Zhongzheng, Li Yi, Guo Wei, Yang Kai, Wang Jun, Sun Zhijun, Ren Guoxin, Zhang Jianguo, Sun Moyi, Ran Wei, Huang Guilin, Tang Zhangui, Li Longjiang. The immune checkpoint inhibitors treatment of head and neck squamous cell carcinoma: an expert consensus [J]. West China Journal of Stomatology, 2022, 40(6): 619-628.
[3]	Zhang Qiong, Wang Jun, Xia Bin, Zhao Wei, Chen Xu, Jiang Beizhan, Huang Yang, Wu Li’an, Yuan Guohua, Zou Jing. Expert consensus on clinical management for early childhood caries [J]. West China Journal of Stomatology, 2022, 40(5): 495-503.
[4]	Guo Weihua, Wang Jun, Chen Xu, Wang Xiaojing, Zhao Wei, Song Guangtai, Wu Li’an, Jiang Beizhan, Zhang Qiong, Wang Jun, Li Yu, Zhao Ning, Tan Jiali, Li Huang, Shu Rui, Zhou Chenchen, Fu Lei, Chen Xuepeng, Zou Jing. Experts’ consensus on space management of mixed dentition [J]. West China Journal of Stomatology, 2022, 40(3): 264-270.
[5]	Zhang Dongsheng, Zheng Jiawei, Zhang Chenping, Cai Zhigang, Li Longjiang, Liao Guiqing, Shang Zhengjun, Sun Moyi, Han Zhengxue, Shang Wei, Meng Jian, Gong Zhongcheng, Huang Shengyun. Multidisciplinary team model for patients with oral cancer and systemic diseases: an expert consensus [J]. West China Journal of Stomatology, 2020, 38(6): 603-615.
[6]	Huang Wei, Li Yinghui, Guo Kaili, Zhou Yongchuan, Li Xiangjun. Finite element analysis of the comprehensive impact of scar and maxillary expansion combined with protraction on the development of maxilla with cleft lip and palate after repair operation [J]. West China Journal of Stomatology, 2020, 38(6): 642-646.
[7]	Lu Cheng,Wang Jiangyue,Jia Zhonglin. Environmental factors of non-syndromic cleft lip and palate [J]. West China Journal of Stomatology, 2019, 37(5): 547-550.
[8]	Lixian Chen,Xiaoxue Zhang,Caixia Gong. The risk factors and preventive measures of hospital infections on preoperative children with cleft lips and palates [J]. West China Journal of Stomatology, 2019, 37(3): 290-294.
[9]	Xiaoxu Fang,Cunhui Fan,Qing Xue,Tao Xu,Wenlin Xiao,Zhonghui Tian,Xiaolin Xu. Association between cervical vertebral maturation stages and dental calcification stages in patients with unilateral complete cleft lip and palate [J]. West China Journal of Stomatology, 2019, 37(2): 180-186.
[10]	Jie Lin, Furong Zhao, Caixia Gong. Correlation between parental rearing patterns and self-consciousness of adolescents with cleft lip and palate [J]. West China Journal of Stomatology, 2018, 36(4): 394-397.
[11]	Chen Lixian, Gong Caixia, Wu Yuhong, Yang Luping, Zheng Qian, Shi Bing. Study on postoperative infusion management of cleft patients [J]. West China Journal of Stomatology, 2016, 34(4): 387-390.
[12]	Chang Le, Wang Yingnan, Liu Hongyan.. Evaluation of the timing of orthodontic arch expansion and graft in cleft lip and palate [J]. West China Journal of Stomatology, 2016, 34(2): 205-209.
[13]	Liu Chao, Ran Hao, Jiang Changwei, Zhou Meng.. Anxiety disorders and influence factors in adolescent patients with cleft lip and palate [J]. West China Journal of Stomatology, 2015, 33(5): 484-487.
[14]	Gong Caixia, Yan Miao, Jiang Fei, Chen Zehua, Long Yuan, Chen Lixian, Zheng Qian, Shi Bing. Nursing intervention and evaluation of postoperative pain in preschool children with cleft lip and palate [J]. West China Journal of Stomatology, 2014, 32(3): 263-266.
[15]	Zhong Yuxiang, Li Wanshan, Li Yuangui, Chen Mengwei, Liao Lishu, Liang Li, Zuo Ding. Effective evaluation of presurgical nasoalveolar molding devices in the treatment of complete unilateral cleft lip and palate patients [J]. West China Journal of Stomatology, 2014, 32(2): 145-149.