口腔颌面外科学 口腔颌面外科学 口腔颌面外科学_温玉明_课件16Chapter6CleftLipandPalate_ff808081-264adeff-0126-4adf6e97-494d.pptVIP

Chapter 6. Cleft Lip and Palate Shi Zongdao Dept. of Oral Maxillofac. Surg. West China College of Stomatology Sichuan University Deformity: congenital or acquired? What happened for cleft lip and palate in ancient time? In ancient times many congenial deformities, including cleft lip and palate, were considered to be evidence of the presence of an evil spirit in the afflicted child. Historical development of management of cleft lip and palate Successful closure of a cleft lip at approximately 390 A.D. in China closure of cleft lip was widely practiced in Europe, but closure of the cleft palate just in more limited surgical circles in the sixteenth century in modern times, concept of teams of specialists have been emphasized and various teams formed in many countries to manage the total problem, grown too complicated for one or two disciplines alone. Classification Kernahan (1971) proposed a striped Y classification system. As in the previous classification, the incisive foramen is the reference point. With stippling of the involved portion of the Y, the system provides rapid graphic presentation of original pathology. Cleft of primary palate:  unilateral cleft of the lip Cleft of Primary Palate A. Cleft. Lip (1) Unilateral: right, left (a) Extent: one-third, two-thirds, complete Bilateral: right, left (2) Bilateral: right, left (a) Extent: one-third, two-thirds, complete (3) Median (a). Extent: one-third, two-thirds, complete (4) Prolabium: small, medium, large (5) Congenital scar: right, left, median (a) Extent: one-third, two-thirds, complete B. Cleft of Alveolar Process (1) Unilateral: right, left; (a) Extent: one-third,-tw0-thirds, complete (2) Bilateral: right, left; (a) Extent: one-third, two-thirds, complete (3) Median: (a) Ext