Cleft lip and palate

The cleft lip and palate is the most common congenital craniofacial malformation. Such malformation is of considerable psychological impact on the family as it results in a significant alteration of the normal appearance of the face and causes functional disorders in children such as sucking, swallowing, breathing, phonation, may also increase the incidence of otitis, mastoiditis, and infections of the nasal cavity.

The clinical presentations of Labiopalatoschici are large and depend on the time in which, during embryonic development, the mutation occurs. There may be cases scar characterized by cleft lip, cleft palate isolated until reaching cases of complete unilateral and bilateral cleft lip and palate. For ease of description, let's talk

- Unilateral Facial cleft
- Facial cleft bilateral
- Isolated cleft palate

This modern pathology must be addressed by a team of specialists to get the best results. At our center you will be followed by a multidisciplinary team composed.

The system of Vertical Walls is designed to limit the post-operative infections by:

  • Cranio-Facial Surgeon
  • Gynecologist
  • Orl
  • Pathologist neonatal
  • Pediatrician
  • Geneticist
  • Orthodontist
  • Psychologist
  • Speech Therapist
  • Social worker
  • Speech pathologist

Our protocol provides for the packaging of a palatal plate obturator after the first week of life that may be passive or active, depending on the severity of the cleft. Different media have the task of guiding the growth of the alveolar segments and to facilitate the nutrition of the child, thus contributing to the proper weight gain and growth. For reasons of safety and accuracy the fingerprint is detected in the operating room with the child sedated. This type of prosthesis is easily applicable and is kept in place with the aid of an adhesive paste, is therefore easily removable with traction only, for which the parents are to manage it on a daily basis, by taking care to clean thoroughly after each meal both the palate of the small that the plate itself. Cleaning is an important moment because food residues localized at the level of plate or palate, could alter the relationship between the two, preventing the correct positioning of the plate itself. The palate of the baby in the first months of life increases in size, so it may be that over time the plaque is no longer able to adhere to a surface now changed from that which would fit in origin, and so fall (this is usually between third and fourth month of life). It is therefore necessary to build a new larger plate. We proceed to the detection of a new imprint, this time the patient is awake.

Molaterale complete cleft lip and palate

At six months of life are performed the cheiloplastica, the primary gengivoperiostioplastica and correction of the nose. At 18 months of age the child is subjected to intervention palatoplastica. In some cases it is possible to make a correction in time only from the age of six months onwards. Finally, if not already performed at the time of the previous interventions, to 7-11 years is performed gengivoperiosteoplastica and / or bone graft at the level of the alveolar cleft.

Bilateral complete cleft lip and palate

At six months of life are performed the cheiloplastica and, when indicated, the gengivoperiostioplastica. At 18 months of age the child is subjected to intervention palatoplastica. At 24 months of age performing the primary correction of the nose with lengthening of the columella. In some cases, the correction of the nose is associated with the palatoplastica. Finally, if not already performed at the time of the previous interventions, to 7-11 years is performed gengivoperiosteoplastica and / or bone graft at the level of the alveolar cleft.

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