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Millard criteria (Rule of 10) is a set of rules, which is to be fulfilled for undertaking elective surgery for children, and mostly used for reference in cleft lip surgery. The criteria includes these prerequisites: [1] [2]
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 ...
David Ralph Millard, Jr. (June 4, 1919 – June 19, 2011) was a plastic surgeon who developed several techniques used in cleft lip and palate surgeries. He also popularized the double eyelid surgery or "Asian blepharoplasty" to “deorientalize” patients’ faces [1] while stationed in South Korea during the Korean War.
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.
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.
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.
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 ...
A unilateral cleft lip is much more common. Clefting of the maxillary alveolus tends to accompany the cleft of the lip, and thus may affect the center (with a median cleft lip) or one or both sides (in unilateral or bilateral paramedian cleft lip, respectively). Cleft palate does not have laterality in the same sense that the cleft lip does.
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