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Principles of Cleft Palate Repair

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Global Cleft Care in Low-Resource Settings

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Abstract

Cleft palate results from failure of mesenchymal penetration during embryologic development of the face and affects about 1 in every 700 children. Multiple risk factors have been associated with this congenital disease and include genetic factors, maternal alcohol and tobacco abuse, certain medications, and infections during pregnancy. This palatal defect impairs speech, feeding, hearing, and oral hygiene, requiring early surgical correction. The cleft palate can involve only the secondary palate to varying degrees (described as incomplete cleft palate) or both the primary and secondary palates at one or both sides (described as unilateral or bilateral complete cleft palate). Although the focus of this review is on the specifics of surgical repair, the more individualized diagnosis and management of the cleft palate and prevention of complication are emphasized. A surgical protocol based on the proposed classification of severity and innovative surgical techniques is presented in this chapter, based on our 25-year experience in Peru caring for children with clefts in both an urban comprehensive cleft center and regular outreach programs.

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Author information

Authors and Affiliations

  1. E. Rebagliati Martins Hospital ESSALUD Lima PERU, Lima, Peru

    Percy Rossell-Perry

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  1. Percy Rossell-Perry
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Editors and Affiliations

  1. Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA

    Jordan W. Swanson

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Rossell-Perry, P. (2021). Principles of Cleft Palate Repair. In: Swanson, J.W. (eds) Global Cleft Care in Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-59105-2_16

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  • DOI: https://doi.org/10.1007/978-3-030-59105-2_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-59104-5

  • Online ISBN: 978-3-030-59105-2

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