Surgical Management Of Cleft Lip And Palate

This atlas provides comprehensive, step-by-step guidance on surgical management of the cleft lip, alveolus, and palate. In particular, it demonstrates how an anatomical approach to management provides a sound basis for dealing with the many variations in cleft type. The displaced anatomical borders and landmarks, as well as the functional and aesthetic units, are fully described. The art of dissecting them from their abnormal position is illustrated, and their reconstruction into a normal and functional shape is meticulously explained. The main treatment philosophy underlying the described approach is that children born with cleft deformity should be “cleftless” by the time they enter the first grade of primary school. They must have normal speech. They should not have a fistula or residual cleft in the palate and/or the alveolus. And they should have a normal face so that they can confront the challenges of life without cleft stigmata. Both novice and more experienced surgeons will find this atlas to be a valuable aid to optimal treatment.

The aim of this book is to discuss cleft lip and palate deformities in a comprehensive way, presenting it from the basics to the most clinically and surgically relevant issues. First, the basic concepts of embryology and pathogenesis of the facial deformities will be discussed. Special attention will be paid to the genetics underlying this condition. Following that, basic principles of surgical treatment through the most recent advances in the field will be presented, along with most important evidences from the literature and the personal experience of the editors and authors. Cleft Lip and Palate Treatment presents the state of the art and advances in the field and is intended to serve as a comprehensive guide for a broad audience. All the specialties involved in the comprehensive care of these craniofacial deformities will be presented in this book.

Surgeon are presented an in-depth view of current surgical management of the cleft lip and palate patient in this issue of Clinics in Plastic Surgery. Focusing on aspects most relevant to plastic surgeons, each article offers an evidence-based assessment of current management options along with detailed descriptions of the author’s preferred surgical technique. Outcomes measures for each aspect of cleft care are discussed, along with an update on current inter-center outcomes studies in the US and abroad. This issue of The Clinic’s brings the current state of the art in cleft treatment to the practicing plastic surgeon, highlighting the changes and ongoing developments in the field. Topics include the nuanced management of Pierre Robin Sequence and Velo-cardio-facial syndrome, the continued evolution of naso-alveolar molding, and new developments in orthognathic surgery.

Cleft Lip and Palate Management: A Comprehensive Atlas—with more than 400 photographs and illustrations—provides the latest concepts about the surgical/orthodontic interrelation in cleft lip and palate treatment. Dr. Bennun and his team detail the diagnostic techniques to determine the best treatment protocols for optimal results and decreased chance of retreatment. The first part explains the principles of cleft and palate treatment, including the role of tissue engineering in craniofacial surgery. Part 2 details the aspects of primary surgical reconstruction, Part 3 discusses orthodontic treatments of cleft lip and palate, including a chapter on adult treatment, and Part 4 covers how to improve results in interdisciplinary treatment. Case presentations include results of treatment after 20-year follow up visits. Ideal for oral and maxillofacial surgeons, pediatric plastic surgeons, orthodontists, pediatric dentists, and residents in these specialties.

Evaluation and Management of Cleft Lip and Palate: A Developmental Perspectiveprovides fundamental knowledge of cleft palate anomalies and the current state of evidence-based practice relative to evaluation and management. This text contains information on the standard of care for children born with craniofacial anomalies from a developmental perspective along with clinical case studies to help facilitate understanding of the material. This graduate-level text targets speech-language pathology students, as well as audiology students, medical students, and graduate students studying communication disorders. Why adopt this textbook: Provides a developmental focus that provides a better understanding of the nature of craniofacial problems and the timetable for management and treatmentCovers material in a data-driven and evidenced based format, blending scholarly and clinical informationWell-illustrated with clear colored pictures-many of which are actual structures and people rather than line drawings-including pre- and post-treatment resultsPresents the role of the speech-language pathologist in all aspects of care (i.e., before and after surgery from infancy to adulthood)Emphasizes oral conditions (dental and occlusal) that impact speech in the school-aged childFull color text with more than 200 images Compared with other textbooks this book covers: An entire chapter devoted to adults with cleft lip and palate underscoring quality of lifeAn entire chapter on the school-aged childA detailed chapter devoted to alveolar bone graft with detailed photo illustration and discussion of treatment outcomeDetailed chapter on maxillary advancement with detailed photos, discussion of treatment outcomes related to speech, airway, and hearingPresentation of surgical treatment based on development ageChapter on hearing offers a practical approach to ear problems and hearing loss associated with cleft and craniofacial anomalies, and provides a summary of hearing tests that should be familiar to the reader and suggestions about counseling familiesChapters on Speech Characteristics and Assessment are written from a speech science perspective and evidence-based

In Designing Strategies for Cleft Lip and Palate Care it was aimed to link the epidemiology from different areas in the world with the interspecialty surgical care and the future genetic research projects. The objective is to concisely discuss the methodology of interspecialty care and stimulate future ideas for prophylactically managing or preventing such deformities. I am confident that one day the surgical interventions that bombard the patients from the day of newborn delivery and throughout the years of youth should be significantly decreased based on the genetic prophylactic intervention, probably.

This book the successor to Advances in the Management of Cleft Palate edited by Margaret Edwards and Tony Watson and published in 1980 but it is different enough for its publishers and editors to feel that its name should be changed. The aim of this present book is to provide an up-to-date review of all aspects of the management of clefts. There are an increased number of chapters and the contributors represent a wider range of professions associated with the care of cleft lip and palate. There are new chapters on genetics, associated conditions and syndromes. Contents: The Nature of Cleft Lip and Palate Embryology, incidence and aetiology Classification Anatomy and function Facial Growth Speech characteristics cleft condition Associated conditions and syndromes Management of the Infant and Young Child with a Cleft Lip and/or Palate Prenatal diagnosis-abnormalities of the fetal lip and palate Prenatal, perinatal and postnatal counselling The role of the paediatrician Early feeding management Presurgical orthopaedics Primary surgery and nursing care Speech development and early intervention Hearing and ENT management Management of the Older Child, Adolescent and Adult Speech assessment and therapy Assessment and surgical management of velopharyngeal function Secondary surgery of lip and nose deformities and palatal fistulae Orthodontics Alveolar bone grafting Orthognathic surgery Restorative dental treatment Growing up with a cleft: the impact on the child Role of parent support groups Choosing the best treatment for the child with a cleft

Cleft Lip and Palate: Diagnosis and Management is an unparalleled review of treatment concepts in all areas of cleft involvement presented by an international team of experienced clinicians. A unique feature of the book is that it largely consists of longitudinal facial and palatal growth studies of dental casts, photographs, panorexes, and cephalographs from birth to adolescence. Throughout the discussion of growth and treatment concepts, the importance of differential diagnosis in treatment planning is underscored. The underlying argument is that all the treatment goals – good speech, facial aesthetics, dental occlusion, and psychological development – may be realized without the need to sacrifice one for another. This updated third edition includes new chapters on further successful physiological treatment protocols, strategies for coping with psychological effects, the excellent clinical work being undertaken in Asia, future multicenter palatal growth studies, and other topics.