Loading...
Publication
Tratamento multidisciplinar das fendas lábio-palatinas
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.87 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
As fendas palatinas representam a malformação facial congénita mais comum. Atualmente, na Europa atingem um recém-nascido por cada 700 nascimentos. Caracterizam-sepor uma interrupção na continuidade dos tecidos do lábio superior, do bordo alveolar e do palato de forma parcial em cada estrutura ou, por vezes, afetando múltiplas áreas. Podem serunilaterais, bilaterais e intermédios ou, em situações raras, podem envolver outros segmentos do terço inferior e médio da face. São classificadas como malformações graves.
Estas malformações perturbam várias funções essenciais ao desenvolvimento normal da criança: a fala, a audição, a dentição, bem como o seu aspeto estético e o equilíbrio psicofísico, sem omitir as sequelas futuras que essa condição congênita pode ter em termos estéticos e funcionais.
O protocolo de atendimento global desses pacientes é multidisciplinar. A equipa medica inclui cirurgiões, o ortodontista, o médico de odontopediatria, o neonatalogista, o especialista em prótese maxilofacial e o terapeuta da fala. A abordagem ao doente com fenda lábio-palatina é complexa e exigente.
O objetivo do tratamento dos pacientes é obter uma aparência, um discurso e um crescimento normal sem perturbações graves na qualidade de vida.
Objetivo: Realizar uma revisão da evidência clínica disponível relativa à abordagem multidisciplinar de intervenção terapêutica das fendas palatinas, tendo como a criança o centro das prioridades terapêuticas.
Conclusão: O tratamento multidisciplinar das fendas lábio-palatinas é essencial para garantir resultados ótimos e melhorar a qualidade de vida do paciente.
Cleft palates are the most common congenital facial malformation. Currently, in Europe they affect one newborn baby per 700 births. They are characterized by an interruption in the continuity of the tissues of the upper lip, the alveolar rim and the palate in a partial way in each structure or sometimes affecting multiple areas. They can be unilateral, bilateral and intermediate or, in rare situations, can involve other segments of the lower and middle third of the face. They are classified as severe malformations. These malformations disturb several functions essential to the child's normal development: speech, hearing, dentition, as well as their aesthetic appearance and psychophysical balance, without omitting the future sequels that this congenital condition may have in aesthetic and functional terms. The overall care protocol for these patients is multidisciplinary. The medical team includes surgeons, the orthodontist, the doctor of pediatric dentistry, the neonatologist, the maxillofacial prosthesis specialist and the speech therapist. The approach to the cleft lip and palate patient is complex and demanding. The goal of patient treatment is to achieve normal appearance, speech and growth without serious disruption to quality of life. Objective: To conduct a review of the available clinical evidence regarding the multidisciplinary approach to therapeutic intervention for cleft palates, with a focus on prioritizing the child's therapeutic needs. Conclusion: Multidisciplinary treatment of cleft lip and palate is essential to ensure optimal outcomes and improve the patient's quality of life.
Cleft palates are the most common congenital facial malformation. Currently, in Europe they affect one newborn baby per 700 births. They are characterized by an interruption in the continuity of the tissues of the upper lip, the alveolar rim and the palate in a partial way in each structure or sometimes affecting multiple areas. They can be unilateral, bilateral and intermediate or, in rare situations, can involve other segments of the lower and middle third of the face. They are classified as severe malformations. These malformations disturb several functions essential to the child's normal development: speech, hearing, dentition, as well as their aesthetic appearance and psychophysical balance, without omitting the future sequels that this congenital condition may have in aesthetic and functional terms. The overall care protocol for these patients is multidisciplinary. The medical team includes surgeons, the orthodontist, the doctor of pediatric dentistry, the neonatologist, the maxillofacial prosthesis specialist and the speech therapist. The approach to the cleft lip and palate patient is complex and demanding. The goal of patient treatment is to achieve normal appearance, speech and growth without serious disruption to quality of life. Objective: To conduct a review of the available clinical evidence regarding the multidisciplinary approach to therapeutic intervention for cleft palates, with a focus on prioritizing the child's therapeutic needs. Conclusion: Multidisciplinary treatment of cleft lip and palate is essential to ensure optimal outcomes and improve the patient's quality of life.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Fendas palatinas Lábio leporino Malformações congénitas Tratamento multidisciplinar