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A repaired cleft palate on a 64-year-old female. Often a cleft palate is temporarily covered by a palatal obturator (a prosthetic device made to fit the roof of the mouth covering the gap). This device re-positions displaced alveolar segments and helps reduce the cleft lip separation.
Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate.The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal development of associated structures in the mouth.
In 1928, Rosenthal used an inferiorly based posterior pharyngeal flap in combination with a modified von Langenbeck palatoplasty in primary surgery for cleft palate repair. Taking a different approach, Padgett (1930) utilized a superiorly based flap for cleft palate patients whose primary surgical repair had been unsuccessful (Sloan, 2000).
In cleft palate patients bone grafting during the mixed dentition has been widely accepted since the mid-1960s. The goals of surgery are to stabilize the maxilla, facilitate the healthy eruption of teeth that are adjacent the cleft, improving the esthetics of the base of the nose, create a bone base for dental implants, and to close any oro-nasal fistulas.
Alliance for Smiles was founded in October 2004 by Anita Stangl, Burt Berry, James Patrick, Jim Deitz, John Goings, and John Uth. Karin Vargervik, previous director of the Craniofacial Center at the University of California San Francisco, was chosen to lead the AfS treatment center program, [2] which aims to create international treatment centers that replicate the U.S. protocol of cleft ...
Maggiulli F, Hay N, Mars M, Worrell E, Green J, Sommerlad B (2014) Early effect of vomerine flap closure of the hard palate at the time of lip repair on the alveolar gap and other maxillary dimensions. The Cleft Palate-Craniofacial Journal 51(1): 43–48. Peterson-Falzone, Sally J., Hardin-Jones, Mary A., and Karnell, Michael P. (2001).
The Nance Obturator, a New Fixed Obturator for Patients with Cleft Palate and Fistula. Journal of Prosthodontics,21(5):400–403. Kuehn, D.P., & Moller, K.T. (2000).Speech and Language Issues in the Cleft PalatePopulation: The State of the Art. The Cleft Palate-Craniofacial Journal, 37, 348–348.
Maxillary hypoplasia is the most common secondary deformity that results from cleft lip and cleft palate. Because of the subjective nature of the diagnosis, the incidence of maxillary hypoplasia in people with cleft lip and palate varies between 15-50%. It is estimated that 25-50% of these patients require surgical intervention. [7]
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