Current concepts in cleft care: A multicenter analysis.,Journal of Cranio-Maxillofacial Surgery

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Current concepts in cleft care: A multicenter analysis.
Journal of Cranio-Maxillofacial Surgery ( IF 2.1 ) Pub Date : 2018-03-13 , DOI: 10.1016/j.jcms.2018.01.014
Oliver C Thiele ₁ , Matthias Kreppel ₂ , Anton Dunsche ₃ , Andre M Eckardt ₄ , Michael Ehrenfeld ₅ , Bernd Fleiner ₆ , Volker Gaßling ₇ , Gerd Gehrke ₈ , Marcus Gerressen ₉ , Martin Gosau ₁₀ , Alexander Gröbe ₁₁ , Stefan Haßfeld ₁₂ , Max Heiland ₁₁ , Bodo Hoffmeister ₁₃ , Frank Hölzle ₁₄ , Cornelius Klein ₁₅ , Maximilian Krüger ₁₆ , Alexander C Kübler ₁₇ , Norbert R Kübler ₁₈ , Johannes J Kuttenberger ₁₉ , Constantin Landes ₂₀ , Günter Lauer ₂₁ , Markus Martini ₂₂ , Erich T Merholz ₂₃ , Robert A Mischkowski ₁ , Bilal Al-Nawas ₁₆ , Emeka Nkenke ₂₄ , Jörn U Piesold ₂₅ , Winnie Pradel ₂₁ , Michael Rasse ₂₆ , Martin Rachwalski ₂₇ , Rudolf H Reich ₂₂ , Daniel Rothamel ₂ , Jan Rustemeyer ₂₈ , Martin Scheer ₂₉ , Henning Schliephake ₃₀ , Rainer Schmelzeisen ₃₁ , Alexander Schramm ₃₂ , Wiebke Schupp ₃₁ , Wolfgang J Spitzer ₃₃ , Erwin Stocker ₆ , Christian Stoll ₃₄ , Hendrik Terheyden ₃₅ , Alexander Voigt ₁₃ , Wilfried Wagner ₁₆ , Dieter Weingart ₃₆ , Richard Werkmeister ₃₇ , Jörg Wiltfang ₇ , Christoph M Ziegler ₃₈ , Joachim E Zöller ₂

Affiliation

Department of Oral, Maxillofacial and Facial Plastic Surgery, Ludwigshafen Hospital, (Head: Prof. R. A. Mischkowski, MD, DDS), Germany.
Department of Craniomaxillofacial and Plastic Surgery, University of Cologne, (Head: Prof. J.E. Zöller, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, City Hospital Karlsruhe, (Head: Prof. A. Dunsche, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Bremerhaven Hospital, (Head: Prof. A. Eckardt, MD, DDS, MBA), Germany.
Department of Oral and Maxillofacial Surgery, Ludwig Maximilians University of Munich, (Head: Prof. M. Ehrenfeld, MD, DDS), Germany.
Oral and Maxillofacial Surgery, Im Pferseepark, (Head: B. Fleiner & E. Stocker, MD, DDS, MSc), Augsburg, Germany.
Department of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, (Head: Prof. J. Wiltfang, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Henrietten Foundation Hospital, (Head: Prof. G. Gehrke, MD, DDS), Hannover, Germany.
Department of Oral, Maxillofacial and Plastic Facial Surgery, Heinrich-Braun Hospital Zwickau, (Head: PD M. Gerressen, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Nuremberg Hospital, (Head: Prof. M. Gosau, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, (Head: Prof. M. Heiland, MD, DDS), Germany.
Department of Craniomaxillofacial Surgery-Plastic Surgery, University Witten/Herdecke, Hospital Dortmund, (Head: Prof. S. Haßfeld, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Charité University Medicine, (Head: Prof. B. Hoffmeister, MD, DDS), Berlin, Germany.
Department of Oral, Maxillofacial and Plastic Facial Surgery, RWTH Aachen University Hospital, (Head: Prof. F. Hölzle, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Donauisar Hospital Deggendorf, (Head: Prof. C. Klein, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, University Hospital Mainz, (Head: Prof. W. Wagner, MD, DDS), Germany.
Department of Oral and Maxillofacial Plastic Surgery, University of Würzburg, (Head: Prof. A.C. Kübler, MD, DDS), Germany.
Department of Cranio- and Maxillofacial Surgery, Heinrich-Heine-University Düsseldorf, (Head: Prof. N.R. Kübler, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Luzerner Kantonsspital, (Head: PD J. J. Kuttenberger, MD, DDS), Switzerland.
Department of Oral and Maxillofacial Surgery, Sana Hospital Offenbach, (Head: Prof. C. Landes, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, Faculty of Medicine "Carl Gustav Carus", Technische Universität Dresden, (Head: Prof. G. Lauer, MD, DDS), Germany.
Department of Oral & Maxillofacial Plastic Surgery, University of Bonn, (Head: Prof. R. Reich, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, St. Lukas Hospital, (Head: E.T. Merholz, MD, DDS), Solingen, Germany.
Department of Oral and Maxillofacial Surgery, Medical University of Vienna, (Head: Prof. E. Nkenke, MD, DDS, MA), Austria.
Department of Oral and Maxillofacial Surgery, Helios Hospital Erfurt, (Head: PD J.U. Piesold, MD, DDS), Germany.
Department for Cranio-, Maxillofacial and Oral Surgery, Medical University Innsbruck, (Head: Prof. M. Rasse, MD, DDS), Austria.
Department of Craniomaxillofacial and Plastic Surgery, University of Cologne, (Head: Prof. J.E. Zöller, MD, DDS), Germany; National Reference Center for Cleft and Craniofacial Malformations, Department of Maxillofacial and Plastic Surgery, Hopital Universitaire Necker - Enfants Malades, (Head: Prof. E. Arnaud, MD), Paris, France.
Department of Oral and Maxillofacial Surgery, Klinikum Bremen-Mitte, School of Medicine, University of Göttingen, (Head: Prof. J. Rustemeyer, MD, DDS), Bremen, Germany.
Department of Oral and Maxillofacial Surgery, Hospital Minden, (Head: PD M. Scheer, MD, DDS), Germany.
Department of Oral and Maxillofacial Surgery, George-Augusta-University, (Head: Prof. H. Schliephake, MD, DDS), Göttingen, Germany.
Department of Oral and Maxillofacial Surgery, University Hospital of Freiburg, (Head: Prof. R. Schmelzeisen, MD, DDS), Freiburg, Germany.
Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, Military Hospital of Ulm and University Hospital Ulm, (Head: Prof. A. Schramm, MD, DDS), Germany.
Department for Oral and Maxillofacial Surgery, University Clinic of Saarland, (Head: Prof. W. Spitzer, MD, DDS), Homburg/Saar, Germany.
Department of Oral and Maxillofacial Surgery, Ruppiner Kliniken, (Head: Prof. C. Stoll, MD, DDS), Neuruppin, Germany.
Department of Oral and Maxillofacial Surgery, Red Cross Hospital, (Head: Prof. H. Terheyden, MD, DDS), Kassel, Germany.
Department of Oral and Maxillofacial Surgery, Katharinen Hospital, (Head: Prof. D. Weingart, MD, DDS), Stuttgart, Germany.
Department of Oral and Maxillofacial Surgery, Central German Armed Forces Hospital, (Head: Prof. R. Werkmeister, MD, DDS), Koblenz, Germany.
Department of Oral and Maxillofacial Surgery, St Olavs University Hospital, Norwegian University for Science and Technology, (Head: Prof. C. Ziegler, MD, DDS), Trondheim, Norway.

The current surgical techniques used in cleft repair are well established, but different centers use different approaches. To determine the best treatment for patients, a multi-center comparative study is required. In this study, we surveyed all craniofacial departments registered with the German Society of Maxillofacial Surgery to determine which cleft repair techniques are currently in use. Our findings revealed much variation in cleft repair between different centers. Although most centers did use a two-stage approach, the operative techniques and timing of lip and palate closure were different in every center. This shows that a retrospective comparative analysis of patient outcome between the participating centers is not possible and illustrates the need for prospective comparative studies to establish the optimal technique for reconstructive cleft surgery.

中文翻译：

c裂护理的当前概念：多中心分析。

目前在裂隙修复中使用的外科手术技术已经很成熟，但是不同的中心使用不同的方法。为了确定患者的最佳治疗方法，需要进行多中心比较研究。在这项研究中，我们调查了在德国颌面外科协会注册的所有颅面部门，以确定当前使用的裂隙修复技术。我们的发现显示不同中心之间的left裂修复存在很大差异。尽管大多数中心确实采用了两阶段的方法，但每个中心的手术技术和唇and闭合的时机都不相同。

更新日期：2019-11-01

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