Choosing the Best Time for Palatal Surgery

  • Samuel Berkowitz
  • Samuel Berkowitz
  • Samuel Berkowitz
Chapter

Abstract

Diagnosis and surgical treatment planning in both medicine and dentistry are most frequently dependent on the patient’s age and nature and extent of the tissue’s defect. In cleft lip and palate, the timing for surgically closing a cleft palate has been traditionally based solely on the age of the patient and the onset of speech (usually between 6 and 8 months) irrespective of the physical assets and defects of the affected tissue and not on the relative size of the palatal cleft defect to that of the surrounding palatal tissue.

Keywords

Palatal Cleft Alveolar Ridge Cleave Palate Unilateral Case Palatal Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Berkowitz S (1985) Timing cleft palate closure-age should not be the sole determinant. J Craniofac Genet Devel Biol 1(Suppl):69–83Google Scholar
  2. Berkowitz S (1978) State of the art in cleft palate, orofacial growth. Am J Orthod 84:5, 564–586Google Scholar
  3. Berkowitz S (1996) Cleft lip and palate and craniofacial anomalies perspectives in management. Singular Press, San DiegoGoogle Scholar
  4. Brophy TW (1923) Cleft lip and palate. Blakiston’s, Philadelphia, pp 131–132Google Scholar
  5. Bzoch KR (1964) Clinical studies of the efficacy of speech appliances compares to pharyngeal flap surgery. Cleft Palate J 35:285–286Google Scholar
  6. Friede H (1998) Growth sites and growth mechanisms at risk in cleft lip and palate. Acta Odontol Scand 56:346–351PubMedCrossRefGoogle Scholar
  7. Hotz MM (1979) 22 years of experience in cleft palate management and its consequences for treatment planning. In: Kherer B, Slongo T, Graf B et al (eds) Long-term treatment in cleft lip and palate with coordinated approach. Hans Huber, Bern, pp 208–211Google Scholar
  8. Hotz M, Gnoinski W (1976) Comprehensive care of cleft lip and cleft palate children at Zurich University: a preliminary report. Am J Orthod 80:481–504Google Scholar
  9. Kaplan EN (1981) Cleft palate repair at three months. Ann Plast Surg 8:189–190Google Scholar
  10. Koberg W, Koblin I (1983) Speech development and maxillary growth in relation to technique and timing of palatoplasty. J Maxillofac Surg 1:44CrossRefGoogle Scholar
  11. Kremenak CR, Huffman WC, Olin WM (1970) Maxillary growth inhibition by mucoperiosteal denudation of palatal shelf bone in noncleft beagles. Cleft Palate J 8:818–825Google Scholar
  12. Maisels DO (1966) The timing of various operations required for complete alveolar clefts and their influence on facial growth. Br J Plast Surg 20:230–243CrossRefGoogle Scholar
  13. Millard DR (1986) Cleft craft: the evolution of its surgery, part I: the unilateral deformity. Little Brown, BostonGoogle Scholar
  14. Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP (2000) Cleft palate speech, 3rd edn. Mosby, St. Louis, pp 123–148Google Scholar
  15. Prahl C, Kuijpers-Jagtman AM, Van’t Hof MA, Prahl-Andersen B (2001) A randomized prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate. Eur J Oral Sci 109:298–305CrossRefGoogle Scholar
  16. Slaughter WB, Brodie AG (1949) Facial clefts and their surgical management in view of recent research. Plast Reconstr Surg 4:311–332Google Scholar
  17. Veau V (1934) Le Sequalette due bec-de-lievre. Ann Anat Pathol 11:883Google Scholar
  18. Weil J (1988) Orthopaedic growth guidance and stimulation for patients with cleft lip and palate. Scand J Plast Reconstr Surg 21:58–64Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Samuel Berkowitz
    • 1
  • Samuel Berkowitz
    • 2
  • Samuel Berkowitz
    • 3
  1. 1.Department of OrthodonticsCollege of Dentistry, University of IllinoisChicagoUSA
  2. 2.South Florida Cleft Palate ClinicUniversity of Miami School of MedicineMiamiUSA
  3. 3.Craniofacial Anomalies ProgramMiami Children’s HospitalMiamiUSA

Personalised recommendations