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我科收治1例先天性完全性唇腭裂并耳廓畸形及斜颈患者,尚属少见,现报告如下.患者男,5岁。其母代述出生唇上唇腭完全裂开,进食发音障碍,要求手术,于1992年8月1日入院。患儿为第1胎,足月,顺产。无手术及外伤病史。家族中其舅舅为唇腭裂患者,其母怀孕期间否认服药史,父母非近亲结婚。体格检查:体重17kg,身高65cm。营养发育较差。心肺正常,腹部无异常。专科检查:右侧上唇及上腭完全裂开,右耳廓背曲隆起增厚,呈招风样,耳屏前有一1.0cm×1.0cm 带蒂卵圆形赘生物。颈向左侧倾斜,气管居中。诊断:①右侧完全性唇腭裂,②右招风耳并发副耳,③右先天性斜颈。于1992年3月4日在全麻下行右上唇腭裂修补术及右副耳摘除术。手术顺利,术后
Our department admitted a case of congenital complete cleft lip and palate and auricle deformity and torticollis, is still rare, are as follows .Patient male, 5 years old. The mother on behalf of the birth of the upper lip and palate completely split open, eating speech dysfunction, requiring surgery, in August 1, 1992 admission. Children for the first child, full-term, natural delivery. No history of surgery and trauma. The family whose uncle is a patient with cleft lip and palate, the mother denies medication history during pregnancy, and the parents marry non-relatives. Physical examination: weight 17kg, height 65cm. Nutritional development is poor. Cardiopulmonary normal, no abnormalities in the abdomen. Specialist examination: the right upper lip and palate completely ruptured, right auricle dorsal rachis thickening, was stroked style, tragus in front of a 1.0cm × 1.0cm pedunculated oval-shaped neoplasm. Tilt the neck to the left, the trachea is centered. Diagnosis: ① complete cleft lip and palate on the right, ② right ear and ear acupuncture, ③ right congenital torticollis. March 4, 1992 under general anesthesia in the right upper lip and palate repair and right auricle excision. Smooth operation, postoperative