Surgical Management of Velopharyngeal Insufficiency
The primary goal of cleft palate repair is to create an anatomically and functionally intact palate while minimally affecting maxillary growth and development. In order to produce normal speech, a…
Speech Evaluation for Patients with Cleft Palate
Children with cleft palate are at risk for speech problems, particularly those caused by velopharyngeal insufficiency. There may be an additional risk of speech problems caused by malocclusion. This article…
Gingivoperiosteoplasty
Cleft surgeons seek to provide the best results in the fewest surgeries. Gingivoperiosteoplasty (GPP) is one option to achieve this goal. Although it may normalize early form and function and…
Management of the Alveolar Cleft
Orthopedic and orthodontic management of patients born with clefts of the lip, alveolus and palate is based on the application of basic biomechanical principles adapted to the individualized cleft anatomy….
Surgical Considerations in Pierre Robin Sequence
The neonatal morbidity and mortality associated with Pierre Robin sequence has decreased with improved nonsurgical and surgical methods for airway protection. With the introduction of distraction osteogenesis and the understanding…
Cleft Palate Repair
Key points • The palate is divided functionally into the hard palate, which provides structural support and is a growth center for the maxilla, and the soft palate, which provides…
Modern Tenets for Repair of Bilateral Cleft Lip
The understanding of the bilateral cleft lip and associated nasal deformity has evolved over the last 30 years to a point where there now exists general agreement regarding the goals,…
Unilateral Cleft Lip Repair
Modern cleft surgery requires four-dimensional and functional anatomic understanding of the cleft (and noncleft) lip, nose, and alveolus. Some techniques for nasolabial repair rely more on precise anatomic geometry, whereas…
Classification, Epidemiology, and Genetics of Orofacial Clefts
Orofacial clefts (OFCs) include a broad range of facial conditions that differ in cause and disease burden. In the published literature, there is substantial ambiguity in both terminology and classification…
Cleft Lip and Palate: Current Surgical Management
Thomas J. Sitzman, MD, Editor Jeffrey R. Marcus, MD, Editor We are honored to bring you this issue of Clinics in Plastic Surgery focusing on cleft lip and palate. Whether…
