Abstract
Facial clefts, including those of the lip and palate, are extremely rare. Some arise at the junction of facial processes preventing fusion, others have their origin in or between ossification centers. Virtually all are associated with osseous deficiencies.
This article reviews the pathogenesis and morphology of these clefts. The principles of skeletal and soft tissue reconstruction are discussed and the experience of the authors with various new techniques is reported.
Résumé
Les fentes faciales—les fentes labiales et palatines—sont très rares. Certaines se voient à la jonction des os de la face, empÊchant la fusion, d'autres se trouvent entre ou dans les points d'ossification. La plupart sont associées à des déficits osseux.
Cet article passe en revue la pathogenèse et la morphologie de ces fentes. Les principes de reconstruction squelettique et des parties molles sont discutées et l'expérience des auteurs avec ces nouvelles techniques est rapportée.
Resumen
Las hendiduras faciales, incluso aquellas de labio y paladar, son extremedamente raras. Algunas se originan en la unión de los procesos faciales, lo cual impide su fusión, y otras tienen origen en los centras de osificación o en medio de ellos. Virtualmente la totalidad de las hendiduras se presentan asociadas con deficiencias óseas.
El presente artículo revisa la patogénesis y morfologfa de estas hendiduras. Se discuten los principios de la reconstrucción ósea y de tejidos blandos y se informa la experiencia de los autores con diversas técnicas operatorias.
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van der Meulen, J.C.H., Vaandrager, J.M. Facial clefts. World J. Surg. 13, 373–383 (1989). https://doi.org/10.1007/BF01660750
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DOI: https://doi.org/10.1007/BF01660750