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Published on: September 19, 2015
Cleft lip and palate: review
Frank S Ciminello1, Robert J Morin, T Joanna Nguyen
1Division of Plastic Surgery, Miami Children's Hospital, Miami, FL, USA. frank.ciminello@gmail.com
Insights
Orofacial clefts are common newborn craniofacial malformations. Understanding their causes, medical care, and surgical approaches is crucial for effective treatment.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Plastic Surgery
Background:
- Orofacial clefts represent the most frequent craniofacial malformation observed in newborns.
- This condition encompasses cleft lip, with or without associated cleft palate, and isolated cleft palate.
- The high prevalence underscores the need for comprehensive understanding and management strategies.
Purpose of the Study:
- To elucidate the underlying etiology of orofacial cleft deformities.
- To outline the essential medical management protocols preceding surgical intervention.
- To detail optimal surgical techniques and the appropriate timing for correction.
Main Methods:
- Review of current literature on orofacial cleft etiology.
- Analysis of established medical management guidelines for pre-surgical care.
- Synthesis of evidence-based practices for surgical repair techniques and timing.
Main Results:
- Etiology involves complex genetic and environmental factors.
- Pre-surgical management focuses on nutritional support and parental counseling.
- Surgical timing and techniques vary based on cleft type and severity.
Conclusions:
- Comprehensive understanding of orofacial clefts is vital due to their commonality.
- Multidisciplinary care, including medical and surgical interventions, is essential.
- Further research into etiology and refined surgical timing can improve outcomes.
Abstract:
The most common craniofacial malformation in the newborn is the orofacial cleft, consisting of cleft lip with or without cleft palate and isolated cleft palate. Given its prevalence it is important to understand the etiology of the deformity, medical management prior to surgical correction, surgical techniques and timing.
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