非典型面裂:Tessier 3 号和 4 号裂隙。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
Alyssa M Civantos, Pramila Shakya, David A Shaye
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引用次数: 0

摘要

综述的目的:Tessier 3 号和 4 号裂隙是由于胚胎发育过程中面部突起融合失败造成的,会导致功能、社会心理和外观方面的疾病。鉴于它们的罕见性和异质性,它们给整形外科医生带来了独特的挑战,而可提供指导的文献却很有限。本次更新的目的是总结 Tessier 3 号和 4 号裂隙,重点关注最新文献和专家意见:据估计,非典型面裂的发病率为每 10 万活产 1.4 至 4.9 例。近年来发表了多篇回顾性病历,但流行病学数据仍然有限。手术治疗必须因人而异,并遵循经典的重建原则。手术的目的是将三个软组织部分(唇、鼻唇沟和眼睑)恢复到正确的解剖位置。摘要:Tessier 3 号和 4 号唇裂非常罕见,临床表现多种多样,任何一名外科医生都难以获得丰富的经验。它们是根据其沿明确解剖轴线的位置进行分类的。进行组件修复时要注意唇部、鼻唇沟和眼睑区域,以恢复面部的对称性和功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Atypical facial clefts: Tessier number 3 and 4 clefts.

Purpose of review: Tessier number 3 and 4 clefts result from failed fusion of facial processes during embryogenesis, and cause functional, psychosocial, and cosmetic morbidity. Given their rarity and heterogeneity, they present a unique challenge to the reconstructive surgeon, with limited literature for guidance. The purpose of this update is to summarize Tessier number 3 and 4 clefts with a focus on recent literature and expert opinion.

Recent findings: The incidence of atypical facial clefts has been estimated between 1.4 and 4.9 per 100 000 live births. Several retrospective chart reviews have been published in recent years; however, the epidemiologic data remains limited. Surgical management must be individualized and guided by classic reconstructive principles. The goal of surgery is to return the three soft tissue components (lip, nasomalar, and eyelid) to their proper anatomical location.

Summary: Tessier number 3 and 4 clefts are rare, demonstrate a wide spectrum of clinical presentation, and remain challenging to gain a breadth of experience for any single surgeon. They are classified based on their location along well defined anatomical axes. Component repair is performed with attention to the lip, nasomalar, and eyelid regions to restore facial symmetry and function.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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