■下颌正中裂(MMC)是一种罕见的颅面异常,表现为下唇和下颌骨的裂,可能延伸到颈部的程度和严重程度。它的管理涉及及时,上演,和多学科方法。与上颌唇腭裂不同,关于这种异常的文献很少而且分散。此外,下颌裂的治疗指南没有明确概述。这篇叙述性综述旨在巩固患病率,分类,病理生理学,和管理MMC。
■在PubMed上进行了文献检索,Scopus,和WebofScience的术语“下颌裂”或“Tessier30”。“从初步搜索来看,n=68篇文章根据标题和摘要与MMC的相关性进行了手工过滤。
■在这些文章中,n=56是病例报告,n=2是与遗传关联相关的文章,n=4个相关综合征,n=3讨论了颅面裂痕的分类,n=3为文献综述。文献中的发现出现在胚胎起源的副标题下,临床表现,诊断检查,以及MMC的多学科管理。
■传统上,MMC通过多步骤外科手术治疗;然而,现代方法促进软组织和硬组织缺损的早期和单步矫正,以获得更好的生长结果.这些案件需要全面的检查和及时的管理。较新的创新,例如使用BMP和可吸收复位板,需要进一步验证。
■KatyalS,MohantyS,MiglaniS,etal.罕见的Tessier30正中下颌left异常的治疗:综合综述。IntJClinPediatrDent2023;16(6):875-881。
UNASSIGNED: The median mandibular cleft (MMC) is a rare craniofacial anomaly manifesting as a cleft of the lower lip and mandible, which may extend to the neck to a variable extent and severity. Its management involves a timely, staged, and multidisciplinary approach. Unlike for maxillary cleft lip and palate, the literature on this anomaly is scarce and scattered. Also, guidelines for the management of mandibular cleft are not clearly outlined. This narrative review aims to consolidate the prevalence, classification, pathophysiology, and management of MMC.
UNASSIGNED: A literature search was performed on PubMed, SCOPUS, and Web of Science for terms \"Mandibular cleft\" OR \"Tessier 30.\" From the preliminary search, n = 68 articles were hand-filtered as per relevance to MMC from the title and abstract.
UNASSIGNED: Among these articles, n = 56 were case reports, n = 2 were articles related to genetic associations, n = 4 syndromes associated, n = 3 discussed the classification of craniofacial clefts, and n = 3 were literature reviews. The findings from the literature are presented under subheadings embryonic origin, clinical presentation, diagnostic workup, and multidisciplinary management of MMC.
UNASSIGNED: Traditionally, MMC was treated by multistep surgical procedures; however, the contemporary approach promotes early and single-step correction of both soft and hard tissue defects for better growth outcomes. These cases demand comprehensive workup and timely management. Newer innovations, such as the use of BMPs and resorbable reduction plates, need further validation.
UNASSIGNED: Katyal S, Mohanty S, Miglani S, et al. Management of a Rare Tessier 30 Median Mandibular Cleft Anomaly: A Comprehensive Review. Int J Clin Pediatr Dent 2023;16(6):875-881.