Cleft-orthognathic surgery

Abstract

The child born with cleft lip and palate requires individualized care within the context of a treatment plan that includes a thoughtful staged reconstruction.Cleft reconstruction should be carried out effectively to prevent exhaustion of the family''s energy and resources and to limit secondary iatrogenic deformities [1-10].When the clefted upper jaw grows poorly, the primary skeletal deformity is characterized by a flat/retrusive appearance of the midface and Angle Class III malocclusion (Figs. 26.1-26.4). Our goal for all children born with a cleft lip and palate is for them to reach adolescence with normal function and without negative attention being drawn to their original malformation [11-21]. © 2006 Springer-Verlag Berlin Heidelberg.