From taboo to restoration: evolution of cognition and treatment of cleft lip and palate
10.3760/cma.j.cn113903-20241005-00659
- VernacularTitle:从禁忌到修复：唇腭裂的认知与治疗演进
- Author:
Jiqi ZHENG
1
;
Wei LI
1
Author Information
1. 北京大学医学人文学院，北京 100191；北京大学医学图书馆，北京 100191
- Publication Type:Journal Article
- Keywords:
Cleft lip and palate;
Congenital malformation;
Embryology;
Genetics;
Reconstructive surgery
- From:
Chinese Journal of Perinatal Medicine
2024;27(12):1124-1128
- CountryChina
- Language:Chinese
-
Abstract:
In ancient times, the understanding of cleft lip and palate was largely shaped by religious, superstitious, and traditional beliefs. The earliest known record of surgical intervention for cleft lip dates back to 390 AD in Chinese literature, marking the beginning of surgical treatment for this condition. Since the 19th century, techniques for repairing cheft lip and palate have evolved from simple linear procedures to a variety of approaches aimed at better restoration of lip length, contour, and symmetry. The medical community's focus has expanded beyond merely reconstructing the physiological structure and function of cleft and palate patients, emphasizing the aesthetics of the lips and nose. With the advancement of plastic surgery, surgical goals have progressively included recreating the "Cupid's bow", preserving the philtrum, and restoring nasal morphology. This paper traces the historical evolution of the understanding and treatment of cleft lip and palate, offering a technical perspective on refining surgical techniques from functional reconstruction to aesthetic enhancement. By examining these developments, the paper reflects the growing attention in modern medicine to patients' overall well-being.
