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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.

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Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

Profile for iaoms