Document Detail

Management of the impaired adult cleft patient: the last chance.
MedLine Citation:
PMID:  15352860     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Unfortunately, not all patients receive the benefits of a well-trained, experienced, multidisciplinary cleft team, and a significant number of patients reach adulthood with severe neglected cleft related problems. The vast majority of this group have made their way through several surgical procedures, usually performed by different surgeons in different centers, and still carry the original cleft stigmata aggravated by variable degrees of maxillary hypoplasia, fistulae, scarring, muscle pull, soft tissue tension, lost teeth, dental adaptation, and instability of bony fragments. Adult patients who reach this stage with their original deformities have, in most instances, lost their best opportunity to be properly treated. With this assumption in mind, an aggressive surgical plan focused mainly on the deformities that can objectively achieve functional and aesthetical improvement should be individualized for each patient. In this article, experience with 38 consecutive adult patients with cleft managed following a two-stage protocol used at our cleft clinic for the last 4 years is presented.
CONCLUSION: An algorithm to help definitively solve these deformities is suggested.
J Felemovicius; F Ortiz-Monasterio
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  41     ISSN:  1055-6656     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-08     Completed Date:  2004-11-22     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  550-8     Citation Subset:  D; IM    
Plastic and Reconstructive Surgery of The Universidad Nacional Autonoma de México, México.
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MeSH Terms
Bone Transplantation
Cleft Lip / complications*,  surgery*
Cleft Palate / complications*,  surgery*
Malocclusion / etiology,  therapy
Maxilla / surgery*
Micrognathism / etiology,  surgery
Oral Fistula / etiology,  surgery
Oral Surgical Procedures*
Orthodontics, Corrective
Velopharyngeal Insufficiency / etiology,  surgery

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