SURGERY
(for professionals go >>)
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
See our own Dr. Rik Souhardi consult a small patient and his mother the day after surgery. You may watch one more postoperative consultations by Dr. Rik.
More images: Google
More videos: Google
For more 'surgical notes' see Professionals at this site.