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Within the first 2–3 months after birth, surgery is performed to close the cleft lip. While surgery to repair a cleft lip can be performed soon after birth, often the preferred age is at approximately 10 weeks of age, following the "rule of 10s" coined by surgeons Wilhelmmesen and Musgrave in 1969 (the child is at least 10 weeks of age ...
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.
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]
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.
Orthognathic surgery is also available as a very successful treatment (90–100%) for obstructive sleep apnea. [13] Cleft lip and palate. Orthognathic surgery is a well established and widely used treatment option for insufficient growth of the maxilla in patients with an orofacial cleft. [14]
Smile Train is a nonprofit organization and charity providing corrective surgery for children with cleft lips and palates. [1] Headquartered in New York City and founded in 1999, Smile Train provides free corrective cleft surgery in 87 countries, [2] training local doctors and providing hospital funding for the procedures.
Adenwalla contributed several new techniques to the cleft lip surgery. He introduced a protocol to avoid a vermillion notch and a protocol for cleft lip nose correction in unilateral cleft lips. He also pioneered a method for repairing the nasal deformity during cleft lip surgery, at a time when few surgeons attempted to do so over concerns of ...
Articulation and Nasality Changes Resulting from Sustained Palatal Fistula Obturation. The Cleft Palate-Craniofacial Journal, 35, 81–87. Reisberg, D.J. (2000). Dental and Prosthodontic Care for Patients With Cleft or Craniofacial Conditions. The Cleft Palate-Craniofacial Journal, 37, 534–537.
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