Synopsis ■ There is still much debate regarding the optimal treatment for alveolar reconstruction in cleft care. ■ Current treatment protocols differ regarding timing of repair, graft material, and surgical technique. ■ Secondary alveolar autogenous bone grafting remains the standard…
Access video content for this chapter online at Elsevier eBooks+ Introduction Cleft palate closure has evolved over the past several decades. Successful palatoplasty involves repair of the clefted mucosal layers and re-positioning and approximation of aberrant musculature of the palate.…
Introduction Cleft palate repair poses challenges to the reconstructive surgeon that must be overcome to achieve a durable and functional closure. The paucity of available palatal tissue and the inability to recruit additional local tissue frequently demand the surgeon make…
Access video lecture content for this chapter online at Elsevier eBooks+ In this chapter, we approach the use of buccal myomucosal flaps in great detail for what they are, a fundamental and core surgical procedure. They are incredibly useful, but…
Access video content for this chapter online at Elsevier eBooks+ Introduction The double opposing Z-palatoplasty technique for soft palate repair was first presented in the United States by Leonard Furlow at the Southeastern Society of Plastic Surgeons Annual Meeting in…
Access video content for this chapter online at Elsevier eBooks+ Introduction The aim of cleft palate repair should be to produce the best possible speech and hearing outcomes but to minimize the detrimental effects of scarring on maxillary growth and…
Access video lecture content for this chapter online at Elsevier eBooks+ History and evolution of palatoplasty Cleft palate surgery has been refined over hundreds of years. Early cleft care simply focused on physically separating the oral cavity from the nasal…
Synopsis ■ A child born with bilateral cleft lip should not have to suffer because of an ill-conceived and poorly executed primary repair. The operative principles for synchronous nasolabial repair are established: ■ Maintain symmetry ■ Secure primary muscular continuity…
Access video content for this chapter online at Elsevier eBooks+ Introduction Management of cleft lip requires a unique understanding of the various dimensions of care. The breadth of treatment spans multiple disciplines and the length of treatment spans infancy to…
Synopsis ■ Primary cleft lip and nasal repair seeks to achieve lasting symmetry to the lip and nose while camouflaging scars within the contours of the face. This surgery is often the first step in the larger treatment plan for…