口腔颌面外科学 口腔颌面外科学 口腔颌面外科学_石冰_The Congenital Cleft Lip and Palate_ff808081-22e8911b-0122-e891376f-1784.ppt
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Submucous cleft palate Practice Guidelines Healthcare needs Organization of services finances Part1: healthcare needs Neonatal emotional support and professional advice Neonatal nursing Surgery Orthodontic treatment Speech and language therapy Ear, nose and throat(ENT) Clinical genetics/pediatric development medicine Emotional support and professional advice for the growing child and its parents Dental care National register The process of MEE disappear Process of cleft palate formation Cleft palate formation Antenatal Detection Overall Detection rate (WA) is 22.2% Detection of Bilateral Cleft Lip Palate 47% Detection of isolated Cleft Palate is difficult. Syndromes with cleft Pierre Robin syndrome Craniao-facial deformity with median cleft lip Median cleft of lower lip Fistula in lower lip Prevent pathway VitamenB12 can reduce the incidence of cleft palate induced by DEX VitamenB6 has been used to prevent CL/P in local area in American Be careful to take any kind of drug in first three month of pregnancy period Classification of cleft lip and palate Cleft lip Unilateral: right, left Extent: incomplete(one third, two thirds), complete Bilateral: right, left Extend: incomplete(one third, two thirds), complete Right unilateral ( microform)incomplete cleft lip (degree) Left Unilateral incomplete cleft lip (degree) Right Unilateral incomplete cleft lip(degree) left Unilateral complete cleft lip (degree) Right unilateral complete cleft lip (degree) Bilateral with complete cleft and submucous cleft Incomplete bilateral cleft lip Complete bilateral cleft lip Right incomplete cleft lip and left complete cleft lip Submucous bilateral cleft lip cleft of alveolar process Unilateral: right, left Extent: incomplete(one third, two thirds), complete Bilateral: right, left Extend: incomplete(one third, two thirds), complete Right Incomplete cleft alveol
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