[Today's status of facial cleft surgery (author's transl)].
Cleft lips, jaws and palates numerically represent the major part of facial clefts. These abnormalities are evolutionary and they are characterized by a continually recurring anatomic pattern. The necessity of reconditioning form and function implies the application of surgical therapy. Regarding the one-sided closure or suturing of cleft lips, priority is nowadays given to the angular-type incisions, whereas the linear-type incision is still reserved for the double-sided cheiloschisis. In the following, there will be indicated the approved techniques and methods of suturing the cleft palate and a new method will be discussed related to the reciprocal Z-type plastic operation. In the case of speech-improving operations, excellent results can be achieved by implanting autologous costal cartilages into the posterior wall of the pharynx. Apart from a brief mutioning of transverse and diagonal facial clefts, the provision of nasal clefts with composite grafts is finally recommented.
D016025:Bone Transplantation; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D008437:Maxilla / Q000002:abnormalities; D009667:Nose Deformities, Acquired; D010614:Pharynx / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods*; D013536:Suture Techniques; D014182:Transplantation, Autologous; D014945:Wound Healing
Der heutige Stand der Gesichtsspalten-Chirurgie