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Surgical techniques for correction cab be found in literature. Through internet one may find technical help at many sites. One site gfmer.ch may get you started. An other source of information is to search for slide shows (.ppt) or video instructions or look for images and find excellent sites or see our own suggestions on links on www, video's, booklets and literature in the side bars. See >>>more

Patric Knipper gives you a head start at plastic surgery's principles. See his preparation advices for medical missions in developing countries. See .pdf.

See the simulations at Smiletrain.
Millard landmarks video instruction.
Embryology of cleft lip and palate.
Classification systems of clefts at emedicine. More on this issue go to ufl.edu.


Surgical repair will be performed by doctors with special knowledge of cleft lip and or palate. These specialists could be plastic surgeon of orofacial surgeons.

The von Langenbeck repair (source emedicine). Two bipedicle mucoperiosteal flaps are created by incising along the oral side of the cleft edges and along the posterior alveolar ridge from the maxillary tuberosities to the anterior level of the cleft. The flaps are then mobilized medially with preservation of the greater palatine arteries and closed in layers. The hamulus may need to be fractured to ease the closure. 

Media file 5: Cleft lip nasal deformity. V-Y advancement for columellar lengthening. (source emedicine)

Dylan's First Cleft Lip Surgery 03:27 - 1 jaar geleden youtube.com Dylan's Smile is dedicated to families of a child with a facial birth defect. For more information, please visit www.dylanssmile.com. youtube.com

More images: Google,

More videos: Google,

More videos at YouTube.

The book's "Management of Cleft Lip and Palate in the Developing World (Paperback)" first chapter comes free of charge. See if you could benefit from it.