私たちの施設における口唇裂・口蓋裂の一貫治療

臨床と研究を基盤にして

抄録

The problems with cleft lip/cleft palate, especially those associated with complete cleft lip, alveolus and palate are complex and multifaceted. Residual esthetic stigmata and/or speech disturbances after surgery adversely influence patient's appearance and function. Accordingly, multidisciplinary treatment should be performed so that the patient can realize optimal functioned, esthetic and social conditions. This paper will present problems about the sequential treatment and multidisciplinary approach for the cleft lip and palate patients whom we perform in our clinic.
Cleft lip and palate treatment should be systematic, sequential and it should be directed by consistent policy. We emphasize that the dental knowledge and experiences in multidisciplinary management are indispensable in order to obtain good results. The usefulness of Hotz's plate is recognized in worldwide. Presently, we are satisfied with our results of two-stage palatoplasty by Perko's technique, based on the clinical and research activities. These include investigation of maxillary dental arch form, incidence of reversed occlusion, esthetic problem of facial balance, velopharyngeal function, speech, incidence of oronasal fistula, and palatal sensation.