Alveolar-anterior Maxillary Cleft Repair
The standard of care in patients who have a complete cleft is to perform secondary bone grafting of the absent bone in the alveolus and anterior maxilla with autogenous cancellous…
Primary Unilateral Cleft Lip/Nose Repair Using the “Delaire” Technique
With the exception of those special cases of clefts associated with holoprosencephaly, wherein there exists true tissue hypoplasia, the anomalies observed in labiomaxillary clefts result essentially from displacement, deformation, and…
Primary Palatoplasty Using Bipedicle Flaps (Modified Von Langenbeck Technique)
Cleft lip and palate is considered to be the most common facial birth defect worldwide. Attempts to repair these deformities date back to the sixteenth century. In 1552, Jacques Houllier…
Primary Bilateral Cleft Lip/Nose Repair Using a Modified Millard Technique
The complexity of a bilateral cleft lip repair must be well understood by any surgeon performing this procedure. Multiple factors play a role in the difficulty that one must overcome…
Unilateral Cleft Lip and Nasal Repair: The Rotation–Advancement Flap Technique
The comprehensive treatment of cleft lip and palate deformities requires thoughtful consideration of the anatomic complexities of the deformity, and the delicate balance between intervention and growth. The surgical reconstruction…
Retrograde and Submental Intubation
Direct laryngoscopy remains the technique of choice for placing an endotracheal tube (ETT). However, alternative techniques are needed for the difficult airway or unsuccessful intubation. Retrograde intubation may be used…
Percutaneous Tracheotomy
Tracheotomy is one of the most commonly performed procedures in critically ill patients. This article describes in particular the use of percutaneous dilatational tracheotomy. A brief history is included. Airway…
