Management of cleft lip and palate in adults
Introduction: With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, wher...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2009-10-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699384 |
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| author | Jyotsna Murthy |
| author_facet | Jyotsna Murthy |
| author_sort | Jyotsna Murthy |
| collection | DOAJ |
| description | Introduction: With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, where co-coordinated team work is primitive, resources to provide treatment are very thin, public awareness of availability of treatment for this anomaly is minimal, the age of patients reaching for primary treatment varies from few days to late forties. Though the aim and aspiration is to provide holistic multidisciplinary care, the priority is getting treatment for all cleft patients. In such situation, the management of cleft lip and palate demands changes of approach, techniques and philosophy. Aims and Objectives: The deformed anatomy especially the facial bones and dentition is described. Due to well established deformities, the approach for management is individualized. The procedures and modification of procedures has been described. Results and Outcome: The outcome of the primary repair is adults certainly have less than satisfactory outcome for obvious reasons. The expected outcome and expectation of patients and families following primary surgeries in cleft lip and palate has been discussed. Though all adult patients got some improvement in speech after palate repair, achieving normal speech was difficult. The naso-labial appearance was not perfect, but well accepted by the patients and families. There are many psychosocial problems in these patients, the objective evaluation could not be done due to too many variables. However, primary repair of cleft lip and palate is justified and beneficial for the patients. |
| format | Article |
| id | doaj-art-11fec3f72ce8439ebb167b280aceedb4 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2009-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-11fec3f72ce8439ebb167b280aceedb42025-08-20T01:59:31ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2009-10-0142S116S12210.1055/s-0039-1699384Management of cleft lip and palate in adultsJyotsna Murthy0Department of Plastic Surgery, Chief Coordinator, Cleft & Craniofacial Centre, Sri Ramachandra University, Chennai, IndiaIntroduction: With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, where co-coordinated team work is primitive, resources to provide treatment are very thin, public awareness of availability of treatment for this anomaly is minimal, the age of patients reaching for primary treatment varies from few days to late forties. Though the aim and aspiration is to provide holistic multidisciplinary care, the priority is getting treatment for all cleft patients. In such situation, the management of cleft lip and palate demands changes of approach, techniques and philosophy. Aims and Objectives: The deformed anatomy especially the facial bones and dentition is described. Due to well established deformities, the approach for management is individualized. The procedures and modification of procedures has been described. Results and Outcome: The outcome of the primary repair is adults certainly have less than satisfactory outcome for obvious reasons. The expected outcome and expectation of patients and families following primary surgeries in cleft lip and palate has been discussed. Though all adult patients got some improvement in speech after palate repair, achieving normal speech was difficult. The naso-labial appearance was not perfect, but well accepted by the patients and families. There are many psychosocial problems in these patients, the objective evaluation could not be done due to too many variables. However, primary repair of cleft lip and palate is justified and beneficial for the patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699384adult cleft lipadult cleft palateunoperated adult clefts |
| spellingShingle | Jyotsna Murthy Management of cleft lip and palate in adults Indian Journal of Plastic Surgery adult cleft lip adult cleft palate unoperated adult clefts |
| title | Management of cleft lip and palate in adults |
| title_full | Management of cleft lip and palate in adults |
| title_fullStr | Management of cleft lip and palate in adults |
| title_full_unstemmed | Management of cleft lip and palate in adults |
| title_short | Management of cleft lip and palate in adults |
| title_sort | management of cleft lip and palate in adults |
| topic | adult cleft lip adult cleft palate unoperated adult clefts |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699384 |
| work_keys_str_mv | AT jyotsnamurthy managementofcleftlipandpalateinadults |