Aggiornamento monografico
Il trattamento delle cheilognatoschisi
THE TREATMENT OF CLEFT-PALATE
GIANLUCA GATTI, DANIELE GANDINI, ALESSANDRO MASSEI
Unità Operativa di Chirurgia Plastica e Sezione di Microchirurgia, Pisa
Aprile 1997 - pagg. 222 -227
Abstract
This is a review article on the treatment of
cleft palate particularly devoted to stress the
importance of a multidisciplinary approach.
In Italy, the overall incidence of the different
forms of cleft palate is 1:830 newborns.
Cleft palate may be associated to
congenital heart disease (5%), lower limbs
abnormality (11%) and ears defects (21%)
and may be a part of the clinical picture of
chromosomal diseases such as monosomy
4 and trisomy 11 and 13.
The Authors present their experience in approaching
the problem as a multidsciplinary
team. All cases are seen very early by
the plastic surgeon who plans the timing
and the technique of surgical interventions.
The geneticist is involved for genetic counselling
and the psychologist for communication
of diagnosis. Ent specialist and neurologist
are also consulted in all cases with
cleft palate. The importance of orthodontical
and of neuroradiological follow-up for
obtaining a succesfull correction of cleft palate
is stressed.
Classificazione MeSH
Bibliografia
1. Massei A, Ubiglia GP: Comunicazione preliminare
sull’uso di un lembo periosteo modificato
per la ricostruzione del mascellare in
casi di gnatoschisi operati secondo Skoog.
Riv Ital Chir Plast 11, 219-226, 1979.
2. Massei A, Ubiglia GP: Evoluzione nella ricostruzione della schisi mascellare mediante lembi periostei. Atti 28° Congresso Nazionale della Società Italiana di Chirurgia Plastica, Sevilla 1979, 189-190.
3. Massei A, Ubiglia GP: Ricostruzione alveolare con lembo di periostio mascellare, combinato a lembi periostei locali. Atti del 29° Congresso Nazionale della Società Italiana di Chirurgia Plastica, Toarmina, 1980, 41-44.
4. Santoni-Rugiu P, Massei A: La reconstruction de la fissure maxillaire avec des lambeaux de périoste dans les cas de fente labiopalatine complète. Ann Chir Plast 16, 326-333, 1971.
5. Massei A, Ubiglia GP: Gnatoplasty: an island flap of maxillary periosteum combined to local periosteal flaps. Atti del Tord Skoog Finnish Meeting, Expoo, 1985.
6. Massei A: Reconstruction of cleft maxilla with periosteoplasty. Scand J Plast Reconstr Surg 20, 41-44, 1986.
7. Massei A et al: La periostioplastica nella riparazione della schisi mascellare. Riv Ital Chir Plast vol. 19, fasc. 1, 1987.
8. Skoog T: The use of periosteum and surgical for bone restoration in congenital clefts of the maxilla. Scand J Plast Reconstr Surg 1, 113, 1963.
9. Skoog T: The use of periosteum flaps in the repair of clefts of the primary plate. Cleft Palate J 2, 332, 1965.
10. Langenbeck BRK, von: Operation der angeborenen totalen spaltung des harten gaumens nach einer neuer methode. Deutsch Klinik 13, 231, 1861.
11. Langenbeck BR, von: Weitere erfahrungen im gebiete der uranoplastic mittelst ablosung des mucosperiostalen gaumenuberzuges. Arch Klin Chir 5, 7, 1864.
12. Veau V: Division palatine. Paris, Masson et Cie, 1931, pagg. 6-8.
13. Veau V, Ruppe C: Technique de l’uranostaphylorraphie. J Chir 20, 113, 1922.
14. Wardill WEM: Discussion on the treatment of cleft palate by operation. Proc R Soc Med 5, 178,1926/27.
15. Wardill WEM: Cleft palate. Br J Surg 16, 127, 1928.
16. Nylen BO: Cleft palate and speech. Acta Radiol (Suppl.) 203, 1961.
17. Arey LB: Developmental anatomy. Philadelphia, W. B. Saunders Company, 1947, pag. 182.
18. Patten BM: Human embryology. Philadelphia, Blakistone, 1946, pag. 437.
19. Patten BM: The normal development of the facial region. In: Pruzansky S (ed.), Congenital anomalies of the face and associated structures. Springfield, Ill, Charles C. Thomas, Publisher, 1961, pag. 11.
20. Stark RB: The pathogenesis of harelip and cleft palate. Plast Reconstr Surg 13, 20, 1954.
21. Stark RB: Embryology, pathogenesis, and classification of cleft lip and cleft palate. In: Pruzansky S (ed.), Congenital anomalies of the face and associated structures. Springfield, Ill, Charles C. Thomas, Publisher, 1961.
22. Stark RB, Kaplan J: Development of the cleft lip nose. Plast Reconstr Surg 51, 413, 1973.
23. Secondo Incontro di Formazione “Labiopalatoschisi”: Firenze, 25 febbr. 1993. Regione Toscana, Registro Toscano Difetti Congeniti.
24. La labiopalatoschisi: guida pratica per genitori e familiari del piccolo paziente. Regione Toscana, Registro Toscano Difetti Congeniti, 1994.
2. Massei A, Ubiglia GP: Evoluzione nella ricostruzione della schisi mascellare mediante lembi periostei. Atti 28° Congresso Nazionale della Società Italiana di Chirurgia Plastica, Sevilla 1979, 189-190.
3. Massei A, Ubiglia GP: Ricostruzione alveolare con lembo di periostio mascellare, combinato a lembi periostei locali. Atti del 29° Congresso Nazionale della Società Italiana di Chirurgia Plastica, Toarmina, 1980, 41-44.
4. Santoni-Rugiu P, Massei A: La reconstruction de la fissure maxillaire avec des lambeaux de périoste dans les cas de fente labiopalatine complète. Ann Chir Plast 16, 326-333, 1971.
5. Massei A, Ubiglia GP: Gnatoplasty: an island flap of maxillary periosteum combined to local periosteal flaps. Atti del Tord Skoog Finnish Meeting, Expoo, 1985.
6. Massei A: Reconstruction of cleft maxilla with periosteoplasty. Scand J Plast Reconstr Surg 20, 41-44, 1986.
7. Massei A et al: La periostioplastica nella riparazione della schisi mascellare. Riv Ital Chir Plast vol. 19, fasc. 1, 1987.
8. Skoog T: The use of periosteum and surgical for bone restoration in congenital clefts of the maxilla. Scand J Plast Reconstr Surg 1, 113, 1963.
9. Skoog T: The use of periosteum flaps in the repair of clefts of the primary plate. Cleft Palate J 2, 332, 1965.
10. Langenbeck BRK, von: Operation der angeborenen totalen spaltung des harten gaumens nach einer neuer methode. Deutsch Klinik 13, 231, 1861.
11. Langenbeck BR, von: Weitere erfahrungen im gebiete der uranoplastic mittelst ablosung des mucosperiostalen gaumenuberzuges. Arch Klin Chir 5, 7, 1864.
12. Veau V: Division palatine. Paris, Masson et Cie, 1931, pagg. 6-8.
13. Veau V, Ruppe C: Technique de l’uranostaphylorraphie. J Chir 20, 113, 1922.
14. Wardill WEM: Discussion on the treatment of cleft palate by operation. Proc R Soc Med 5, 178,1926/27.
15. Wardill WEM: Cleft palate. Br J Surg 16, 127, 1928.
16. Nylen BO: Cleft palate and speech. Acta Radiol (Suppl.) 203, 1961.
17. Arey LB: Developmental anatomy. Philadelphia, W. B. Saunders Company, 1947, pag. 182.
18. Patten BM: Human embryology. Philadelphia, Blakistone, 1946, pag. 437.
19. Patten BM: The normal development of the facial region. In: Pruzansky S (ed.), Congenital anomalies of the face and associated structures. Springfield, Ill, Charles C. Thomas, Publisher, 1961, pag. 11.
20. Stark RB: The pathogenesis of harelip and cleft palate. Plast Reconstr Surg 13, 20, 1954.
21. Stark RB: Embryology, pathogenesis, and classification of cleft lip and cleft palate. In: Pruzansky S (ed.), Congenital anomalies of the face and associated structures. Springfield, Ill, Charles C. Thomas, Publisher, 1961.
22. Stark RB, Kaplan J: Development of the cleft lip nose. Plast Reconstr Surg 51, 413, 1973.
23. Secondo Incontro di Formazione “Labiopalatoschisi”: Firenze, 25 febbr. 1993. Regione Toscana, Registro Toscano Difetti Congeniti.
24. La labiopalatoschisi: guida pratica per genitori e familiari del piccolo paziente. Regione Toscana, Registro Toscano Difetti Congeniti, 1994.