文章基本信息

标题：Bilateral Cleft Lip and Palate: An Overview and Discussion of the Literature
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作者：Dimitrios STAVROPOULOS ; Chryssoula KALAPODA
期刊名称：Balkan Military Medical Review
电子版ISSN：1107-6275
出版年度：2012
卷号：15
期号：4
页码：305-316
语种：
出版社：International Medical Journal Management and Indexing System
摘要：The most severe expression of the congenital clefts of the lip and palate (CLP) is the bilateral cleft lip and palate (BCLP), which runs through the lip, the hard, as well as the soft palate. At birth, the maxilla of a child with BCLP is divided into three parts: the premaxilla, which is usually protruded, and the two lateral maxillary segments. It seems that the reasons for the abnormal facial morphology in patients with CLP involve three groups of factors: intrinsic developmental deficiencies, functional distortions affecting the position and growth of both normal and abnormal parts, and iatrogenic (mainly surgical) factors. The iatrogenic factors are implicated as the major source of the midface deficiency reported in patients with CLP. Hypodontia is a very common dental trait in individuals with BCLP, most frequently involving the upper lateral incisors and the second premolars. Posterior and anterior dental crossbites and maxillary incisor rotations are also very common. Although no consensus has been reached on the efficacy and the effectiveness of the different treatment modalities applied, it is evident how tremendously important it becomes to offer centralized treatment to these suffering patients, based on team work of closely cooperating medical and dental specialties.
关键词：Bilateral cleft lip and palate; treatment; surgery; growth