File Name: unilateral cleft lip and palate .zip
Click here to view a larger image. The lip forms between the fourth and seventh weeks of pregnancy. As a baby develops during pregnancy, body tissue and special cells from each side of the head grow toward the center of the face and join together to make the face.
This atlas provides comprehensive, step-by-step guidance on surgical management of the cleft lip, alveolus, and palate. In particular, it demonstrates how an anatomical approach to management provides a sound basis for dealing with the many variations in cleft type. The displaced anatomical borders and landmarks, as well as the functional and aesthetic units, are fully described. The art of dissecting them from their abnormal position is illustrated, and their reconstruction into a normal and functional shape is meticulously explained. They must have normal speech. And they should have a normal face so that they can confront the challenges of life without cleft stigmata. Both novice and more experienced surgeons will find this atlas to be a valuable aid to optimal treatment, and readers will have online access to videos of the described surgical procedures.
Cleft lip and cleft palate , also known as orofacial cleft , is a group of conditions that includes cleft lip, cleft palate, and both together. Cleft lip and palate are the result of tissues of the face not joining properly during development. A cleft lip or palate can be successfully treated with surgery. Cleft lip and palate occurs in about 1 to 2 per births in the developed world. If the cleft does not affect the palate structure of the mouth, it is referred to as cleft lip.
Cleft lip or palate is one of the most common types of craniomaxillofacial birth anomalies. Midface deficiency is a common feature of cleft lip and palate patients due to scar tissue of the lip and palate closure. Cleft lip and palate patients should be carefully evaluated by the craniofacial team in order to detect potentially serious deformities.
The benefits of presurgical orthopedics were observed, improving the patient's functional and physical appearance, such as swallowing, tongue position in the oral cavity, improvement in the relationship of the maxillary segments and narrowing of the fissure. The cleft lip and palate malformation occurs between the 6th and 12th weeks of embryonic life. As we know these are critical weeks in the development of the lip and palate. A combination of normal connection failure or inadequate development in the abovementioned weeks, can affect the soft tissues and the bony components of the upper lip, the alveolar process as well as the palate thus the cleft lip results from the lack of fusion of the mesenchymal masses of the medial nasal and maxillary prominences while the cleft palate is a consequence of the lack of union between the mesenchyma of the palatal prolongations.
Orofacial clefts comprise a range of congenital deformities and are the most common head and neck congenital malformation.
Skip to content. A left unilateral complete cleft lip is repaired with the Fisher technique, which employs anatomical subunit principles to guide repair. This tutorial for medical professionals was developed to supplement learning of a common surgical technique and is not intended to replace formal surgical training. This slideshow is primarily intended for use on tablets or larger screens. Some detail might be lost on mobile screens.
Owned by Mazandaran University of Medical Sciences. Published by Negah Institute for Scientific Communication.
1 No optimal time for cleft repair has been documented, however, it is generally followed that at least soft palate repair when required should be.