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[Management of cleft lip and palate in university hospital of Rouen]
B Bachy1, J M Peron, P Delcampe
1Clinique chirurgicale infantile, CHU Rouen, boulevard Gambetta, 76031 Rouen, France. Bruno.Bachy@chru-rouen.fr
Insights
This study details the classic management of cleft lip and cleft palate in Rouen over 30 years. Pediatric surgery repairs cleft lips at 3 weeks and palates after 1 year, with follow-up care coordinated by the surgeon.
Area of Science:
- Pediatric Surgery
- Craniofacial Anomalies
- Surgical Management
Context:
- Management of cleft lip and palate in Rouen over 30 years.
- Antenatal diagnosis and surgeon contact initiate coordinated care.
- Approximately 30 new cases treated annually.
Purpose:
- To describe the established "classic" treatment protocol for cleft lip and palate.
- To outline the surgical timing and follow-up strategy.
- To explain the approach to interdisciplinary team involvement.
Summary:
- Cleft lip repair is performed around 3 weeks of age.
- Palatoplasty is typically done after the age of 1 year.
- Multidisciplinary consultations are not instituted; team members intervene during follow-up as needed.
Impact:
- Provides a clear protocol for cleft lip and palate treatment.
- Highlights the importance of surgeon-led coordination.
- Ensures specialized care based on individual patient needs.
Abstract:
Cleft lips and cleft palates are managed in the department of Pediatric surgery in Rouen for the last 30 years. From the antenatal diagnosis, the parents got in touch with the surgeon who will coordinate this management. Around thirty new patients are treated every year. The chronology of the treatment is of "classic" manner. The cleft lip is repaired at about 3 weeks of age and the palatoplasty is performed after the age of 1 year. In view to maintain the intimacy of the consultation we did not institute multidisciplinary consultations. The other members of the interdisciplinary team will intervene during the follow up depending on the form of the cleft and the encountered problems. The information and the files circulate freely and are discussed together.