Fundaments

Tge è ina sfendida dal lavi-göl-palà?

La sfendida dal lavi-göl-palà è ina da las malurmaziuns congenitas las pli frequentas da la fatscha.

Cun las pussaivladads medicas d'ozildi questas malurmaziuns pon vegnir tractadas fitg bain.

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Interdisciplinar

Il tractament exigescha la collavuraziun da chirurgs maxillofacials, ortodontists, ORL, logopedists e psicologs.

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Diagnosa tempriva

Schisas da liev e da palat èn savens visiblas vid l'ecografia prenatala. Schisas isoladas dal palat restan blera giada betg detectadas avant la naschiensas.

Fessura dal labber – infurmaziuns detagliadas →

Concepts chirurgics

Concepts da tractament & qualitad

Il tractament da sfendidas na suonda betg in protocol uniform. Concepts differents coexistan.

Tecnicas da serrada da la lavra (Fisher, Millard), timing da la serrada dal palat, protocols internaziunals (Turitg, Göteborg, Oslo), osteoplastica e mesiraziun da la qualitad ICHOM – en detagl sin ina atgna pagina.

Concepts da tractament en detagl →

Sindroms craniofaccials

Malurmaziuns & sindroms craniofaccials

Las malurmaziuns craniofaccialas cumprendan in vast spectrum.

Orientaziun ed approfundiment davart malurmaziuns dal croni e craniosinostosas sindromalas chattais Vus sin las paginas spezialisadas:

Kraniosynostose oder Plagiozephalie? Lagerungsplagiozephalie Kraniosynostose Apert-Syndrom Crouzon-Syndrom Pfeiffer-Syndrom Saethre-Chotzen-Syndrom Muenke-Syndrom Craniofrontonasale Dysplasie Treacher-Collins-Syndrom Hemifaziale Mikrosomie / Goldenhar

Häufige Fragen

FAQ – Häufig gestellte Fragen

Respostas a las dumondas pli frequentas davart fessuras dal labber e dal tschiel e malformaziuns craniofacialas – rimnadas sin nossa pagina FAQ.

Vopa tuttas las 26 dumondas →

Centers spezialids

Centers spezialids & societads professiunalas

En Svizra la presa en charta è garantida da teams interdisciplinars spezialids en ils ospitals universitars. En l'Europa ils centers son colligads en la rait ERN CRANIO.

Svizra – Centers universitars spezialids

ils suandants ospitals universitars disposen da teams interdisciplinars spezialids:

Zürich

Kraniofaziales Zentrum Zürich
Universitätsspital Zürich (USZ) / Kinderspital Zürich

Basel

Spaltzentrum Basel
Universitätsspital Basel (USB) / Universitäts-Kinderspital beider Basel (UKBB)

Bern

Klinik für Mund-, Kiefer- und Gesichtschirurgie
Inselspital, Universitätsspital Bern

Lausanne

Service de chirurgie maxillo-faciale et stomatologie
Centre hospitalier universitaire vaudois (CHUV)

Genf

Service de chirurgie maxillo-faciale
Hôpitaux universitaires de Genève (HUG)

Europa – ERN CRANIO

La rait europeica da referenza per las anomalias craniofaccialas raras (ERN CRANIO) colliescha centers spezialids da 16 naziuns europeicas.

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ACPA – Internaziunal

L'American Cleft Palate-Craniofacial Association (ACPA) è la societad professiunala internaziunala principala – cun dapli che 2'200 commembers en pli che 60 pajais, dapi 1943.

acpacares.org →

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ICHOM Standard Set

Centers che lavuran tenor l'ICHOM Standard Set mesiran ils resultats sistematicamain en set puncts da temps definids.

ichom.org →

Contact

Dumondas & Contact

Avais Vus dumondas? Voss missagi vegn criptà da fin a fin (PGP/OpenPGP).

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E-mail

kontakt@kraniofazial.ch

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Criptaziun da fin a fin

Voss missagi vegn criptà en il navigatur cun PGP avant la trasmissiun.

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Temp da resposta

Nus ans stgaffin da respunder en 2–5 dis da lavur.

⚠ Quest website serva exclusivamain a l'infurmaziun. Na tramettai nagins datas da pazients.

Scienza

Fundaments & Litteratura

Las suandantas publicaziuns furman la basa scientifica da quest website. In clic vid ina indicaziun da funtauna en il text maina a la funtauna correspundenta – il buttun cun frizza returna a la posiziun en il text.

Directivas & standards da qualitad

Allori AC, Kelley T, Meara JG, et al. A standard set of outcome measures for the comprehensive appraisal of cleft care. Cleft Palate Craniofac J. 2017;54(5):540–554.
DOI: 10.1597/15-292

Survistas sistematicas & artitgels da survista

Mossey PA, Little J, Munger RG, Dixon MJ, Shaw WC. Cleft lip and palate. Lancet. 2009;374(9703):1773–1785.
DOI: 10.1016/S0140-6736(09)60695-4
Dixon MJ, Marazita ML, Beaty TH, Murray JC. Cleft lip and palate: understanding genetic and environmental influences. Nat Rev Genet. 2011;12(3):167–178.
DOI: 10.1038/nrg2933
Rohrich RJ, Love EJ, Byrd HS, Johns DF. Optimal timing of cleft palate closure. Plast Reconstr Surg. 2000;106(2):413–421.
DOI: 10.1097/00006534-200008000-00027 · PMID: 10946935
Johnson D, Wilkie AOM. Craniosynostosis. Eur J Hum Genet. 2011;19(4):369–376.
DOI: 10.1038/ejhg.2010.235
Obwegeser JA. Maxillary and midface deformities: characteristics and treatment strategies. Clin Plast Surg. 2007 Jul;34(3):519–533.
DOI: 10.1016/j.cps.2007.05.001 · PMID: 17692708
Fell M, Phippen G, van Eeden S, et al. Analysis and Reporting of Randomized Trials in Cleft Palate Surgery: Learning from the Timing of Primary Surgery (TOPS) Trial. Cleft Palate Craniofac J. 2025;62(8):1436–1442. DOI: 10.1177/10556656241253949 · PMID: 38725271 — Basiert auf dem TOPS-Trial: Gamble C, Persson C, Willadsen E, et al. Timing of Primary Surgery for Cleft Palate. N Engl J Med. 2023;389(9):795–807.
Inchingolo AD, et al. Evaluation of Surgical Protocols for Speech Improvement in Children with Cleft Palate: A Systematic Review and Case Series. Bioengineering. 2025;12(8):877. DOI: 10.3390/bioengineering12080877 · PMID: 40868390 (Open Access)

Lavurs originalas & studis clinics

Wilcox AJ, Lie RT, Solvoll K, et al. Folic acid supplements and risk of facial clefts: national population based case-control study. BMJ. 2007;334(7591):464.
DOI: 10.1136/bmj.39079.618287.0B · PMID: 17259186
Fisher DM. Unilateral cleft lip repair: an anatomical subunit approximation technique. Plast Reconstr Surg. 2005;116(1):61–71.
DOI: 10.1097/01.prs.0000169689.09479.f7
Bergland O, Semb G, Abyholm FE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J. 1986;23(3):175–205.
PubMed: 3524418
Abyholm FE, Bergland O, Semb G. Secondary bone grafting of alveolar clefts. Scand J Plast Reconstr Surg. 1981;15(2):127–140.
DOI: 10.3109/02844318109103405 · PMID: 7031462
Wilkie AOM, Slaney SF, Oldridge M, et al. Apert syndrome results from localized mutations of FGFR2 and is allelic with Crouzon syndrome. Nat Genet. 1995;9(2):165–172.
DOI: 10.1038/ng0295-165
Engel M, Berger M, Hoffmann J, et al. Midface correction in patients with Crouzon syndrome: is Le Fort III distraction osteogenesis with a rigid external distraction device the gold standard? J Craniomaxillofac Surg. 2019;47(3):420–430.
DOI: 10.1016/j.jcms.2018.11.028 · PMID: 30642732
Meling TR, Due-Tønnessen BJ, Hogevold HE, Skjelbred P, Roald B. Monobloc distraction osteogenesis in pediatric patients with severe syndromal craniosynostosis. J Craniofac Surg. 2011;22(1):101–109.
DOI: 10.1097/SCS.0b013e3181f6c620
Kreutz K, Fitze G, Blecher R, et al. Helmet therapy in deformational skull base plagiocephaly also corrects facial asymmetry and ear shift. J Craniomaxillofac Surg. 2018;46(3):354–359.
DOI: 10.1016/j.jcms.2017.12.011
Meyer-Marcotty P, Böhm H, Linz C, Blecher R, et al. Spectrum of positional deformities – is there a real difference between plagiocephaly and brachycephaly? J Craniomaxillofac Surg. 2014;42(6):1010–1016.
DOI: 10.1016/j.jcms.2014.01.026 · PMID: 24530071
Ferrari R, Özcan M, Wiedemeier D, Essig H. Accuracy of intraoral scanners in the cleft anatomy of neonates. Int J Comput Dent. 2025 Sep 1;28(3):225–234.
DOI: 10.3290/j.ijcd.b5886430 · PMID: 39871769
Bezuhly M, Fisher DM. Single-stage repair of asymmetrical bilateral cleft lip with contralateral lesser form defects. Plast Reconstr Surg. 2012;129(3):751–757.
DOI: 10.1097/PRS.0b013e3182402f50

Datas epidemiologicas & infurmaziuns per pazients

Berechnet aus: Bundesamt für Statistik (BFS). Statistik der natürlichen Bevölkerungsbewegung (BEVNAT) – Lebendgeburten Schweiz, ca. 85 000/Jahr. Neuchâtel: BFS, 2023. Kombiniert mit europäischer Prävalenz orofazialer Spalten (ca. 1 : 700; EUROCAT Registry: eu-rd-platform.jrc.ec.europa.eu/eurocat) → ca. 100–120 Neugeborene mit LKG-Spalte jährlich in der Schweiz. Übereinstimmend: Kaiser G, Thüer U, Scheurer Ph. Lippen-Kiefer-Gaumenspalten – Informationsschrift für Eltern. 3. Aufl. Bern: Inselspital / Universität Bern, 2000.

Giuridic

Impressum & Protecziun da datas

Responsabel per il cuntegn da quest website

E-mail: kontakt@kraniofazial.ch

Exclusiun da responsabladad

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Contact

kontakt@kraniofazial.ch

Decleraziun da protecziun da datas

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Voss dretgs

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Malurmaziuns
craniofaccialas —
explicadas simplamain.

Sfendidas dal
Lavi-Göl-Palà