TY - CHAP
T1 - Principles of cleft palate repair
AU - Rossell-Perry, Percy
N1 - Publisher Copyright:
© Springer Nature Switzerland AG 2021. All rights reserved.
PY - 2021/4/5
Y1 - 2021/4/5
N2 - Cleft palate results from failure of mesenchymal penetration during embryologic development of the face and affects about 1 in every 700 children. Multiple risk factors have been associated with this congenital disease and include genetic factors, maternal alcohol and tobacco abuse, certain medications, and infections during pregnancy. This palatal defect impairs speech, feeding, hearing, and oral hygiene, requiring early surgical correction. The cleft palate can involve only the secondary palate to varying degrees (described as incomplete cleft palate) or both the primary and secondary palates at one or both sides (described as unilateral or bilateral complete cleft palate). Although the focus of this review is on the specifics of surgical repair, the more individualized diagnosis and management of the cleft palate and prevention of complication are emphasized. A surgical protocol based on the proposed classification of severity and innovative surgical techniques is presented in this chapter, based on our 25-year experience in Peru caring for children with clefts in both an urban comprehensive cleft center and regular outreach programs.
AB - Cleft palate results from failure of mesenchymal penetration during embryologic development of the face and affects about 1 in every 700 children. Multiple risk factors have been associated with this congenital disease and include genetic factors, maternal alcohol and tobacco abuse, certain medications, and infections during pregnancy. This palatal defect impairs speech, feeding, hearing, and oral hygiene, requiring early surgical correction. The cleft palate can involve only the secondary palate to varying degrees (described as incomplete cleft palate) or both the primary and secondary palates at one or both sides (described as unilateral or bilateral complete cleft palate). Although the focus of this review is on the specifics of surgical repair, the more individualized diagnosis and management of the cleft palate and prevention of complication are emphasized. A surgical protocol based on the proposed classification of severity and innovative surgical techniques is presented in this chapter, based on our 25-year experience in Peru caring for children with clefts in both an urban comprehensive cleft center and regular outreach programs.
KW - Classification of severity
KW - Cleft lip and palate
KW - Cleft palate index
KW - Primary palatoplasty
UR - http://www.scopus.com/inward/record.url?scp=85149561162&partnerID=8YFLogxK
U2 - 10.1007/978-3-030-59105-2_16
DO - 10.1007/978-3-030-59105-2_16
M3 - Chapter
AN - SCOPUS:85149561162
SN - 9783030591045
SP - 165
EP - 176
BT - Global Cleft Care in Low-Resource Settings
PB - Springer International Publishing
ER -