唇腭裂的初期整复 英文版PDF电子书下载

Part Ⅰ Pre-Surgical Treatment of Cleft Lip and Palate 1

1 The Role of Nasoalveolar Molding in the Presurgical Management of Infants Born with Cleft Lip and Palate 3

1.1 Introduction 3

1.2 Treatment Objectives and Clinical Indications of NAM 3

1.3 NAM Plate Fabrication 6

1.4 Alveolar Molding 10

1.5 Nasal Molding 16

1.6 Potential Complications and Clinical Pearls 22

1.7 Controversy to Conclusion 30

References 31

Part Ⅱ Primary Repair of Unilateral Cleft Lip 35

2 Feature of Complete Unilateral Cleft Lip 37

References 42

3 Geometric Analysis of Classic Cheiloplasty 43

3.1 Geometric Analysis of Marking in Cheiloplasty 44

3.2 Analysis of Tennison's Technique and Millard's Technique 46

3.3 The Geometric Correlation between Tennison's Technique and Millard's Technique 48

References 50

4 West China Technique of Unilateral Cleft Lip Repair 51

4.1 Reconstruction Principles 51

4.2 Marking(Using a Complete Cleft Lip as an Example) 53

4.3 Incisions 55

4.4 Surgical Manipulation 55

4.5 Suturing 59

4.6 Basic Theory ofthe Technique 72

References 74

5 Sommerlad's Technique of Unilateral Cleft Lip Repair 77

5.1 Introduction 77

5.2 Patient 77

5.3 Design 79

5.4 Prolabium Incision 79

5.5 Lateral Incision 80

5.6 Vomerine Flap 81

5.7 Dissection of Lip 83

5.8 Closure of Lip 85

5.9 Suture Technique of Nasal Deformity 88

5.10 Conclusion 89

References 90

6 Cutting's Technique of Unilateral Cleft Lip Repair 93

6.1 Evolution of Cutting's Variant of the Mohler Repair 93

6.2 Statement on Nasoalveolar Molding 97

6.3 Markings 98

6.4 Surgical Technique 99

References 101

7 Chang Gung Technique of Unilateral Cleft Lip Repair 105

7.1 Introduction 105

7.2 Integrated Approach 108

7.3 Surgical Refinements 112

7.4 Postoperative Care and Maintenance 150

7.5 Summary 154

References 155

Part Ⅲ Primary Repair of Bilateral Cleft Lip 159

8 Features of Bilateral Cleft Lip 161

References 164

9 West China Technique of Bilateral Cleft Lip Repair 167

9.1 Characteristic Deformities of Patients with Bilateral Cleft Lip Before and After Primary Cheiloplasty 167

9.2 Presurgical Treatment for Patients with Bilateral Cleft Lip 168

9.3 Surgical Principles of Treating Patients with Bilateral Cleft Lip 168

9.4 Incision Design for Patients with Bilateral Cleft Lip 171

9.5 Surgical Procedures 173

9.6 Tips on Cheiloplasty for Bilateral Cleft Lip 178

References 180

10 Sommerlad's Technique of Bilateral Cleft Lip Repair 183

10.1 Introduction 183

10.2 Design 184

10.3 Vomerine Flap for Hard Palate Cleft 185

10.4 Prolabium Incision 186

10.5 The Lateral Incision for the Vomerine Flap 187

10.6 Closure of Vomerine Flap 188

10.7 Dissection of the Lip 189

10.8 Closure of Alar Base,Muscle,Mucosa and Skin 190

10.9 Suture Technique of Nasal Deformity 193

10.10 Follow-up 194

10.11 Conclusion 195

References 195

11 Cutting's Technique of Bilateral Cleft Lip Repair 197

11.1 The Upper Lip Deformity 197

11.2 The Nasal Deformity 198

11.3 Presurgical Molding Options 198

11.4 Nasoalveolar Molding 199

11.5 Alveolar Molding and Gingivoperiosteoplasty 199

11.6 Nasal Molding 200

11.7 Early Principles of Lip and Nasal Reconstruction 201

11.8 Current Principles of Lip and Nasal Reconstruction 201

11.9 Technique 203

References 208

12 Chang Gung Technique of Bilateral Cleft Lip Repair 211

12.1 Introduction 211

12.2 The Integrated Approach 211

12.3 Presurgical Management 213

12.4 Surgical Refinements 217

12.5 Conclusion 241

References 242

Part Ⅳ Primary Repair of Cleft Palate 245

13 Biological Basis and Geometry in Cleft Palate Repair 247

13.1 Exploit the Maximum Muscular Potential in Velopharyngeal Closure 248

13.2 Histological Changes of the Levator Veli Palatini Muscle Caused by Reconstruction in Primary Palatoplasty 256

13.3 Geometrical Basis of Using Palatal Mucoperiosteal Flaps to Close the Cleft without Leaving a Denuded Surface 262

References 264

14 Sommerlad's Technique of Cleft Palate Repair 265

14.1 Introduction 265

14.2 Design 266

14.3 Closure of Nasal Mucosa 267

14.4 Dissection of Velo Palatine Levator 271

14.5 Closure of Oral Mucosa 274

14.6 Conclusion 275

References 275

15 West China Technique of Cleft Palate Repair 277

15.1 The Correlation between the Objectives of Palatoplasty and Surgical Technique 277

15.2 The Need to Change the Concept of Palatoplasty 278

15.3 Geometric Basis of Modified Palatoplasty 279

15.4 Reconstruction of the Levator Veli Palatine Muscle is Central to Modern Palatoplasty 279

15.5 Complementary Approaches to Improve Palatoplasty Outcomes 283

References 284

Part Ⅴ Bone Grafting of Cleft Palate 285

16 Cutting's Technique of Cleft Palate Repair 287

16.1 Introduction 287

16.2 Technique 289

References 294

17 The Foundation of a Finite Element Model for Cleft Palate and Analysis of Biomechanical Properties 297

17.1 Introduction to the Biomechanics of the Cleft Maxilla 297

17.2 Conclusions and Controversies 309

References 309

18 West China Technique of Alveolar Bone Grafting 311

18.1 The Clinical Manifestations of Alveolar Cleft 312

18.2 The Goals of Bone Grafting in Cleft Alveolar Repair 312

18.3 Timing 313

18.4 Presurgical Orthodontic Management of Alveolar Cleft 314

18.5 The Choice of Graft Source 315

18.6 Bone Grafting in Unilateral Alveolar Cleft 315

18.7 Bone Grafting in Bilateral Alveolar Cleft 319

18.8 Simultaneous Surgical Retraction of Premaxilla and Bone Grafting in Bilateral Alveolar Cleft Repair 320

References 322

19 Chang Gung Technique of Alveolar Bone Grafting 323

19.1 Introduction 323

19.2 Timing of Alveolar Bone Grafting 324

19.3 Presurgical Preparation 325

19.4 Indications for Presurgical Orthodontic Treatment 325

19.5 Surgical Technique 326

19.6 Flap Design 327

19.7 Source of Bone Graft 327

19.8 Operative Techniques for Unilateral Clefts 328

19.9 Operative Techniques for Bilateral Clefts 331

19.10 Post-operative Care 334

19.11 Evaluation ofResults 334

19.12 Results 334

19.13 Complications 336

19.14 Discussion 339

19.15 Summary 341

References 341

Index 343