Cleft lip

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      • Can be associated with congenital heart disease
      • Cleft lip / palate predominates in males
      • Isolated cleft palate is more common in female
      • Aetiology
        • Cleft palate may be inherited as an autosomal dominant condition with variable penetrance
        • Family history in a first-degree relative increases the risk by a factor of 20
        • Environmental factors include:
          • Maternal epilepsy
          • Drugs-steroids,diazepam,phenytoin
          • Folic acid deficiency
        • Cleft lip and palate also occurs as part of
          • PierreRobinSyndrome (MCQ)
            • Cleft palate
            • Retrognathia
            • Posteriorly displaced tongue
          • Stickler Syndrome
          • Down’s Syndrome
          • Treacher Collins’Syndrome
      • Embryology
        • Cleft lip deformity is established in first 6 weeks of life(MCQ)
        • Possibly due to failure of fusion of maxillary and medial nasal processes(MCQ)
        • May be due to incomplete mesodermal ingrowth into the processes
        • Palatal clefts result from failure of fusion of the palatal shelves of the maxillary processes
      • Clinical features
        • Typical distribution of cleft types is :
          • Cleft lip alone(15%)
          • Cleft lip and palate(45%)
          • Isolated cleft palate(40%)
        • Cleft lips are more common on the left
      • Primary management of cleft lip and palate
        • Antenatal diagnosis of cleft lip may be possible
        • Feeding is rarely a difficulty
        • Breast feeding may be achieved or modified teats for bottle feeding may be required
        • Major respiratory obstruction is uncommon
        • The aims of surgery are:
          • To achieve a normal appearance of the lip,nose and face
          • To allow normal facial growth
          • To allow normal speech
      • Surgery
        • Cleft lip repair is usually performed between 3 and 6 months of age (MCQ)
        • Cleft palate repair is usually performed between 6 and 18 months (MCQ)

UNILATERAL CLEFT LIP REPAIR
4 mth old child with left incomplete cleft lip repaired with advancement-rotation flap. Markings, steps of procedure recorded.
Chapter 3 – Understanding Cleft Lip/Palate Physiology
Repair of Unilateral Complete Cleft Lip Deformity (Cleft Lip Surgery)
This is a video on Primary Repair of Unilateral Complete Cleft Lip featured in the text “Video Atlas of Cleft Lip and Palate Surgery” edited by Drs. Derek Rogers, Christopher Hartnick, and Usama Hamdan.

“Video Atlas of Cleft Lip and Palate Surgery” (book and DVD) aims to demonstrate techniques to medical professionals worldwide involved in the care of cleft lip, cleft palate, and related abnormalities, such as velopharyngeal insufficiency. Additionally, the accompanying DVD includes 30 high-quality videos that illustrate the fundamental step-by-step approach to carrying out various procedures
CLEFT LIP AND PALATE
CLEFT LIP AND PALATE ANIMATION
CLEFT LIP AND PALATE ANIMATION
UNILATERAL CLEFT LIP REPAIR – MILLARD’S ROTATION & ADVANCEMENT METHOD
UNILATERAL CLEFT LIP REPAIR – MILLARD’S ROTATION & ADVANCEMENT METHOD
SURGEON: DR. SM BALAJI
BALAJI DENTAL & CRANIOFACIAL HOSPITAL, CHENNAI
Neonatal Unilateral Cleft Lip Repair Part 2. Pulling, Lengthening and Sewing.
cirugia plastica del labio fisurado en el recien nacido Queilorrafia. Sutura de los colgajos anteriormente creados.
bilateral cleft lip repair
bilateral cheiloplasty
Cleft Lip and Palate Surgery: A Family’s Journey
Heather Landis candidly describes her family’s journey to repair her daughter’s cleft lip and palate at Seattle Children’s Hospital.
Cleft Lip, Cleft Palate: Before and after pictures
Connect with one of our cleft lip and palate experts