Skip to main content

Aesthetics in Cleft Secondary Treatment

  • Chapter
Innovations in Plastic and Aesthetic Surgery
  • 2285 Accesses

Abstract

The final result of cleft lip and palate treatment not only depends on the extent of the inborn defect, the development of the affected area, individual healing ability, and the therapeutic method used, but also on additional factors such as the patient’s cooperation and the subjective perception of his or her deformity. Despite the considerable mental and physical demands associated with a lengthy treatment spanning from early childhood to adulthood, some patients perceive the affection so dominantly, that they are in a constant search for a possible perfection of their appearance. A typical facial deformity along with poor speech formation interferes with all channels of communication. Since 85% of professions presently depend on the exchange of information, the extent of the fault elimination and the quality of speech formation are the primary measures of cleft treatment outcome [15].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adamson PA, Strecker HD (2002) Patient selection. Aesth Plast Surg. DOI: 10.1007/s00266-002-4315-5

    Google Scholar 

  2. Baker SR (2002) Resurfacing flaps in reconstructive rhinoplasty. Aest Plast Surg. DOI: 10.1007/s00266-002-4321-7

    Google Scholar 

  3. Bardach J, Cutting C (2001) Nasal deformity associated with unilateral clefts. In: Multidisciplinary management of cleft lip and palate at http://www.vh.org/pediatric

    Google Scholar 

  4. Bardach J, Cutting C (2001) Nasal deformity associated with bilateral cleft. In: Multidisciplinary management of cleft lip and palate at http://www.vh.org/pediatric

    Google Scholar 

  5. Bardach J, Cutting C (2001) Pathogenesis of the cleft lip nasal deformity. In: Multidisciplinary management of cleft lip and palate at http://www.vh.org/pediatric

    Google Scholar 

  6. Coleman SR (2001) Structural fat grafts: the ideal filler? Clin Plast Surg 28:111–119

    PubMed  CAS  Google Scholar 

  7. Csemy L, Duskova M (2006) Psychological factors with impact to life quality and social adaptation in adolescent and young adult patients with facial congenital fault. Stage report of scientific project 406/06/1867, Grant Agency of Science Academy, Prague, Czech Republic

    Google Scholar 

  8. Duskova M (2006) Moustache reconstruction in patients with cleft lip. J Craniofacial Surg 17

    Google Scholar 

  9. Duskova M, Honzak R (1997) Psychopathology in aesthetic plastic surgery. Prakticky Lekar 77:497–499

    Google Scholar 

  10. Duskova M, Kristen M (2004) Augmentation by autologous adipose tissue in cleft lip and nose. J Craniofacial Surg 15:478–481

    Article  Google Scholar 

  11. Duskova M, Mazanek J, Smahel Z et al (2000) Augmentation of facial skeleton in congenital development disorders and in posttraumatic or postoperative deformities. Final report of scientific project NK4659-3, Internal Grant Agency of theMinistry of Health, Prague, Czech Republic

    Google Scholar 

  12. Duskova M, Kotova M, Strnadel T et al (2003) Secondary surgical, orthodontic, and prosthetic treatment in adult patients with cleft. Final report of scientific project NK 6653-3, Internal Grant Agency of the Ministry of Health, Prague, Czech Republic

    Google Scholar 

  13. Duskova M, Kotova M, Strnadel T et al (2004) Reconstruction of the maxilla alveolus defect in young adult patients with cleft. Final report of scientific project NK 7186-3, Internal Grant Agency of the Ministry of Health, Prague, Czech Republic

    Google Scholar 

  14. Duskova M, Smahel Z, Kristen M (2006) Using a scar flap to extend the nasal and lip skin and mucous shell in secondary cleft deformities. J Craniofacial Surg 17

    Google Scholar 

  15. Duskova M, Lastovka M, Skodova E et al (2006) Correlation between results of surgical treatment and speech formation in young adults with clefts. Final report of scientific project NR 8089-3, Internal Grant Agency of the Ministry of Health, Prague, Czech Republic

    Google Scholar 

  16. Enlow DH, Hans MG (1996) Essentials of facial growth, 1st edn. Saunders, Philadelphia

    Google Scholar 

  17. Eppley BL, Sadove AM (2000) Management of alveolar cleft bone grafting — state of the art. Cleft Palate Craniofacial J 37:229–233

    Article  CAS  Google Scholar 

  18. Fassmann A (2002) Guided tissue and bone regeneration in stomatology, 1st edn. Grada, Prague

    Google Scholar 

  19. Gosain AK, Persing JA (1999) Symposium on biomaterials in the face: benefits and risks, Boston, MA, 1998. J Craniofac Surg 10:404

    Article  PubMed  CAS  Google Scholar 

  20. Habal MB (1996) Perspectives on what’s new in plastic surgery. The new millennium. Clin Plast Surg 23:1

    PubMed  CAS  Google Scholar 

  21. Jackson IT, Fasching MC (1990) Secondary deformities of cleft lip, nose, and cleft palate. In: McCarthy J (ed) Plastic surgery, 1st edn, vol 4. Cleft lip and palate and cranofacial anomalies. Saunders, Philadelphia

    Google Scholar 

  22. Jansma J, Raghoebar GM, Batenburg RH, Stellingsma C, van Oort RP (1999) Bone grafting of cleft lip and palate patients for placement of endosseous implants. Cleft Palate Craniofacial J 36:67–72

    Article  CAS  Google Scholar 

  23. Lai A (2002) External nasal anatomy and its application to rhinoplasty. Aesth Plast Surg. DOI: 10.1007/s00266-002-4313-7

    Google Scholar 

  24. Li M, Coleman JJ, Sadove AM (1997) Aesthetic surgery of craniofacial skeleton, 1st edn. Springer, Berlin Heidelberg New York

    Google Scholar 

  25. Lilja J, Yontchev E, Friede H, Elander A (1998) Use of titanium dental implants as an integrated part of a CLP protocol. Scand J Plast Reconstr Surg Hand Surg 32:213–219

    Article  PubMed  CAS  Google Scholar 

  26. Papel ID (2002) Facial analysis and nasal aesthetics. Aesth Plast Surg DOI: 10.1007/s00266-002-4317-3

    Google Scholar 

  27. Reed ML, Grayson BH (2001) Single-follicular-unit hair transplantation to correct cleft lip moustache alopecia. Cleft Palate Craniofacial J 38:538–540

    Article  CAS  Google Scholar 

  28. Stal S, Hollier LH (2006) Secondary deformities of the cleft lip, nose, and palate. In: Mathes SJ (ed) Plastic surgery, 2nd edn, vol 4. Pediatric Plastic Surgery. Saunders/Elsevier, Philadelphia

    Google Scholar 

  29. Uebel C (2001) Hair restoration, micrografts and flaps. OESP Grafica S/A, Sao Paulo

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Duskova, M. (2008). Aesthetics in Cleft Secondary Treatment. In: Eisenmann-Klein, M., Neuhann-Lorenz, C. (eds) Innovations in Plastic and Aesthetic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-46326-9_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-46326-9_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-46321-4

  • Online ISBN: 978-3-540-46326-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics