72 Cleft and Craniofacial Orthognathic Surgery Jesse A. Goldstein, Stephen B. Baker KEY POINTS ○ Dentofacial deformities, specifically maxillary hypoplasia resulting in class III malocclusion, are typical in the cleft…
51 Two-Stage Palate Repair Robert M. Menard KEY POINTS ○ Growth of the maxilla occurs through a combination of processes: sutural growth through the midpalatal suture (MPS), transverse palatine suture…
59 Posterior Pharyngeal Flaps Karen W.Y. Wong, Paula G. Klaiman, Christopher R. Forrest KEY POINTS ○ One in three children may develop velopharyngeal dysfunction after cleft palate repair. ○ The…
69 Reconstruction of the Cleft Maxilla and Alveolus Bernard J. Costello, Ramon L. Ruiz KEY POINTS ○ An interesting aspect of the development of cleft care has been the reconstructive…
53 Lateral Transverse Facial Clefts Peter J. Taub, Joseph E. Losee KEY POINTS ○ Transverse clefts account for less than 1% of all facial clefts. ○ Transverse clefts are associated…
45 Unilateral Cleft Lip Repair: Anatomic Subunit Approximation Technique David M. Fisher KEY POINTS ○ The goal of the anatomic subunit approximation technique is to bring the medial and lateral…
55 Correction of Secondary Bilateral Cleft Lip and Nose Deformities Laura A. Monson, Edward P. Buchanan, Larry H. Hollier, Jr. KEY POINTS ○ The key to an excellent lip repair…
74 Maxillary Distraction Osteogenesis Christina Tragos, Alexander L. Figueroa, Alvaro A. Figueroa, John W. Polley KEY POINTS ○ Maxillary distraction is indicated for severe maxillary hypoplasia and skeletal clefting. ○…
67 Prosthetic Management of Velopharyngeal Dysfunction David J. Reisberg KEY POINTS ○ Velopharyngeal dysfunction may be congenital or acquired. ○ Surgical intervention is the ideal means to correct velopharyngeal dysfunction….
62 Pediatric Dentistry for the Cleft-Affected Patient Donald V. Huebener KEY POINTS ○ Dental management of patients with cleft lip and palate is a coordinated effort among pediatric dentists, orthodontists,…
66 Prosthetic Management of Patients With Clefts Lawrence E. Brecht KEY POINTS ○ Prosthodontic treatment planning should begin as early as possible within a cleft team setting. ○ A patient…
75 Pierre Robin Sequence: Surgical Management Robert J. Havlik KEY POINTS ○ The variability in both the inclusion criteria and the differences in terminology that surround Pierre Robin sequence have…
61 Facial Growth and Development in Individuals With Clefts John Daskalogiannakis, Gregory S. Antonarakis KEY POINTS ○ Individuals with unilateral cleft lip and palate start out with relatively straight profiles…
44 Extended Mohler Unilateral Cleft Lip Repair Roberto L. Flores, Court B. Cutting KEY POINTS ○ The apex of the Mohler back-cut should be placed on the columella at least…
68 Gingivoperiosteoplasty Richard A. Hopper, Faisal Al-Mufarrej KEY POINTS ○ Advocates of gingivoperiosteoplasty state that the primary benefit at initial cleft lip repair is to decrease the need for secondary…
41 Lip Adhesion Richard E. Kirschner, Oluwaseun A. Adetayo, Joseph E. Losee KEY POINTS ○ Lip adhesion is a useful alternative to presurgical orthopedics in infants with complete unilateral or…
49 The Furlow Double-Opposing Z-Plasty Repair for Cleft Palate Alison Kaye, Richard E. Kirschner KEY POINTS ○ Leonard Furlow described the technique of using mirror-image Z-plasties of the oral and…
60 Sphincter Pharyngoplasty Jeffrey L. Marsh, Earl A. Gage KEY POINTS ○ Ideal management of velopharyngeal dysfunction will normalize resonance, eliminate nasal turbulence, and improve articulation while maintaining patency of…
40 Anesthesia for Patients With Clefts Franklyn P. Cladis, Daniela Damian KEY POINTS ○ Important physiologic differences exist between infants and adults. Infants have a higher metabolic rate and will…
