小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 双侧唇腭裂
- 单侧唇腭裂
- 单纯腭裂
- 隐性唇裂
- 单纯黏膜下腭裂
- 产前超声结果阳性
其他诊断因素
- 喂养困难
- 体重增加缓慢
- 气道阻塞
危险因素
- 遗传易感性
- 抗惊厥药物
- 吸烟
- 孕妇饮酒
- 叶酸缺乏
诊断性检查
首要检查
- 听力敏度图
- 遗传咨询
需考虑的检查
- 听力脑干诱发电位（ABR）测试
- 脊柱X射线
- 肾脏超声
- FISH
- 眼科检查
治疗流程
完全性唇腭裂
单纯腭裂
单纯唇裂
撰稿人
作者
Travis T. Tollefson, MD, MPH, FACS
Professor and Director
Facial Plastic and Reconstructive Surgery
Otolaryngology - Head and Neck Surgery
Cleft and Craniofacial Team
University of California Davis
Sacramento
CA
利益声明
TTT has received an honorarium and reimbursement for travel by the AO Foundation for teaching on a facial trauma course. TTT serves on the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery, and receives a royalty from Thieme publishing for the textbook Complete Cleft Care. TTT is an author of studies referenced in this topic. TTT serves as editor-in-chief of the journal ‘Facial Plastic Surgery and Aesthetic Medicine’.
David A. Shaye, MD
Instructor
Facial Plastic and Reconstructive Surgery
Massachusetts Eye and Ear
Harvard University
Boston
MA
利益声明
DAS has received an honorarium and reimbursement for travel by the AO Foundation for teaching on a facial trauma course.
同行评议者
Jordan N. Halsey, MD
Pediatric Plastic and Craniofacial Surgeon
Assistant Professor of Plastic Surgery
Johns Hopkins University
Assistant Professor of Plastic Surgery
University of South Florida
Tampa
FL
利益声明
JNH declares that he has no competing interests.
指南
- 唇/腭裂或其他颅面异常患者的评估和治疗参数
- 腭部检查：新生儿腭裂鉴定
更多 指南
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明