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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2012, Number 2

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Cir Plast 2012; 22 (2)

Post-surgical malformations prevention in patients with cleft lip and palate. Fundamentals and protocol

Velázquez JM, Berlanga F, Estrada H, Álvarez J, Flores M

Language: Spanish
References: 43
Page: 57-66
PDF size: 1148.05 Kb.


ABSTRACT

The objective of this work is to describe a treatment protocol to obtain adequate long-term growth and development of the maxillofacial complex in cleft lip and palate patients, avoiding or minimizing the post surgical sequelae. The objectives are to have adequate none growth with functional speech and aesthetic results. Patients will be better integrated to their psycho-social environment. The method is based on the knowledge of the negative interactions effects between that surgery produces in the growth and development inherent to the tissue, and how to handle them in a logical anatomic and functional way. In addition to this, we take into account the ability to mold or to stimulate or route the vomer-palatal complex, through maxillary pre and post surgery orthopedics. The observations shown include patients treated at other hospitals with the traditional protocol to operate lip and palate at an early age, compared to patients treated with our protocol of pre-surgical orthopedics and conservative surgery. There is a significant difference between both groups. The speech results were better than those patients operated on at an early age without an adequate follow-up. In the discussion the benefits stand out to regulate surgical criterion and treatment of patients with cleft lip and palate, to minimize the sequelae of maxillofacial growth, and achieve adequate speech at the same time. The principles presented can be adapted to the so-called surgical campaigns that are so common in our society.


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