Cleft - Ultimate Treatment
A. PROTOCOL FOR A “CLEFT SYNDROME” There is no established treatment protocol for patients with severe facial cleft disfigurement. However, principles in treatment sequence should be applied.
The main points when performing corrective surgery are:
Skeletal deformity - needs to be corrected before addressing the soft tissue; this includes cleft nasal deformities
Speech impairment – always to be addressed as of paramount importance
Dental deformity (especially the position of the anterior teeth) - should be corrected before the final cleft lip correction
Aesthetic soft tissue deformity(ies) - cleft lip, cleft nose or other aspects of the facial soft tissue region
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...