Severe Cleft Disfigurement Or “Cleft Syndrome”
“CLEFT SYNDROME” Main problem Presenting with severe midfacial growth disturbances (dysgnathia), sometimes born with a median facial dysgenesis
Plus Non-functional occlusion and often aesthetically unacceptable dental/occlusal appearances
Other associated problems
“Below standard” soft tissue repair or ugly scar or insufficient tissue due to wrong design Severe nasal deformity Speech impairment
Usually the protocol “from inside to outside” or from bone towards soft tissue reconstruction must be followed Orthodontic treatment, secondary osteoplasty, orthognathic surgery, soft tissue , nose and lip correction, oro-nasal fistula closure, velopharyngeal plasty, dental implants, prosthodontic rehabilitation
BÜTOW K-W. Treatment of cleft lip and palate. Part IV: Cleft lip and palate cases presenting at the clinic at a late age. J Dent Ass S Afr, 1984: 39; 473. BÜTOW K-W. A single stage surgical treatment combining a Le Fort I osteotomy, an oro‑nasal fistula closure and a secondary osteoplasty. 5th Intern. Congress on Cleft Palate and related Cranio‑facial Anomalies. 1985: 81; p. 77, Monte Carlo, Monaco. BÜTOW K-W. A three‑in‑one surgical approach for unilateral cleft lip and palate. Brit J Oral and Maxillofac Surg, 1986: 24; 190‑197.
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...