2013年外科主治医师整形外科学复习要点

　　Craniofacial Surgery

　　l Definition: subspecialty of maxillofacial surgery plastic surgery

　　does not include surgery of brain or eye

　　ENT that deals with congenital and acquired deformities of the skull\face\jaws

　　no tissue-specific

　　congenital deformities & acquired deformities & facial contouring

　　l Paul Tessier — the father of modern craniofacial surgery

　　Using autogeneous bone grafts instead of silicone to modify skull & facial contours

　　Transcranial and subcranial correction of orbital hypertelorism

　　Techniques for correctiong Treacher Collins Syndrome

　　Correction of oro-ocular clefts

　　l Cleft Lip Treatment Plan

　　1.Prenatal Diagnosis Genetic diagnosis

　　2.Birth (1-4wks)

　　3.Lip Surgery (3-4months) nasal remodeling

　　4.Palatal surgery (1 year) ENT screening middle eat disease

　　5.Speech evaluation (2.5 year) VPI(5year)

　　6.Alveolar bone grafting(7-9years) Revision lip and nose

　　7.Orthodontic Orthognathic surgery

　　8.Final evaluation(17 years)

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