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[New features in the management of labio-maxillo-palatal clefts at the CHUV]
Oumama El Ezzi1, Christelle Jung1, Georges Herzog2
1Service de chirurgie de l'enfant et de l'adolescent, Département Femme Mère Enfant, CHUV, 1011 Lausanne.
Insights
This study outlines a comprehensive, multidisciplinary approach to managing labio-maxillofacial cleft (LMFC) from birth through growth. It details the Lausanne team's protocol, highlighting surgical and organizational innovations for improved patient outcomes.
Area of Science:
- Craniofacial surgery
- Pediatric care
- Genetics and developmental biology
Background:
- Labio-maxillofacial cleft (LMFC) presents significant aesthetic, functional, psychological, and social challenges from birth.
- Effective management requires a long-term, multidisciplinary approach from prenatal diagnosis through the completion of growth.
- The complexity of LMFC treatment necessitates diverse surgical techniques and varied treatment schedules among different medical teams.
Purpose of the Study:
- To describe the established protocol for managing LMFC within the multidisciplinary team at Lausanne.
- To highlight recent advancements in both surgical procedures and organizational strategies for LMFC care.
Main Methods:
- Review of the multidisciplinary management protocol for LMFC at Lausanne.
- Analysis of surgical techniques and organizational structures employed by the Lausanne team.
- Emphasis on novelties and innovations in the treatment pathway.
Main Results:
- Detailed description of the Lausanne multidisciplinary team's LMFC management protocol.
- Identification and explanation of innovative surgical and organizational elements within the protocol.
- The protocol aims to standardize and optimize care for children with LMFC.
Conclusions:
- The described protocol provides a structured, multidisciplinary framework for managing LMFC.
- Innovations in surgical and organizational aspects offer potential improvements in patient care and outcomes.
- Consistent application of such protocols is crucial for addressing the multifaceted challenges of LMFC.
Abstract:
The labio-maxillofacial cleft (LMFC) penalizes the child from birth by its aesthetic, functional, psychological and social repercussions. The prognosis is conditioned by a multidisciplinary care that starts from the antenatal period to continue until the end of growth. The treatment is long and complex. This explains the multiplicity of techniques and the variability of schedules according to the teams. The purpose of this article is to describe the protocol of management of the LMFC within the multi-disciplinary team in Lausanne and to emphasize the novelties in both surgical and organizational plan.
