Updates in Cleft Care

Matthew J. Parham; Arren E. Simpson; Tanir A. Moreno; Renata S. Maricevich

doi:10.1055/s-0043-1776733

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2023; 37(04): 240-252
DOI: 10.1055/s-0043-1776733

Review Article

Updates in Cleft Care

Matthew J. Parham

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas

,

Arren E. Simpson

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas

,

Tanir A. Moreno

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas

,

Renata S. Maricevich

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas

› Author Affiliations

Abstract

Cleft lip and/or palate is a congenital malformation with a wide range of presentations, and its effective treatment necessitates sustained, comprehensive care across an affected child's life. Early diagnosis, ideally through prenatal imaging or immediately postbirth, is paramount. Access to longitudinal care and long-term follow-up with a multidisciplinary approach, led by the recommendations of the American Cleft Palate Association, is the best way to ensure optimal outcomes. Multiple specialties including plastic surgery, otolaryngology, speech therapy, orthodontists, psychologists, and audiologists all may be indicated in the care of the child. Primary repair of the lip, nose, and palate are generally conducted during infancy. Postoperative care demands meticulous oversight to detect potential complications. If necessary, revisional surgeries should be performed before the child begin primary school. As the child matures, secondary procedures like alveolar bone grafting and orthognathic surgery may be requisite. The landscape of cleft care has undergone significant transformation since early surgical correction, with treatment plans now tailored to the specific type and severity of the cleft. The purpose of this text is to outline the current standards of care in children born with cleft lip and/or palate and to highlight ongoing advancements in the field.

Keywords

plastic surgery - cleft lip - cleft palate - comprehensive health care - multidisciplinary health teams - pediatrics

Full Text

References

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