Niranjanaprasad Indra B

La prise en charge des fentes labiales et palatines est un processus complexe et volutif qui n cessite une collaboration multidisciplinaire et un suivi long terme. Du d fi initial de l'alimentation aux complexit s de la r paration chirurgicale et de la r habilitation proth tique, chaque phase des soins doit tre soigneusement coordonn e. Les progr s de la chirurgie et une meilleure compr hension du d veloppement cranio-facial ont consid rablement am lior les r sultats, mais les soins individualis s et centr s sur le patient restent la pierre angulaire d'une prise en charge r ussie des fentes. Les prestataires de soins doivent rester attentifs aux besoins physiques et motionnels du patient, en veillant ce que les plans de traitement soient holistiques, quitables et con us en tenant compte du bien- tre g n ral du patient.

Cleft lip is one of the most common serial congenital anomalies to affect the orofacial region. It can occur isolated or together in various combination and along with other congenital deformities. Patient with oro-facial cleft deformity needs to be treated at the right time and at right age to achieve functional and esthetic well-being. The average cleft lip patient has three primary procedures scheduled for the correction of the cleft deformity - Cheiloplasty, Palatoplasty, Alveolar bone grafting. The secondary procedures that may be added on as additional requirement to improve function and cosmesis are Lip revision, Velopharyngeal dysfunction correction, Orthognathic surgery. Clinical features- Cleft lip is present in different forms: Micro-formed lips- present as a vertical groove, vermilion notching, or different levels of shortening. Incomplete cleft lip- disruption with intact nasal sill area. Complete cleft lip- complete disruption of lip, nasal sill and alveolus and Symptoms like facial deformity, feeding problems, nasal regurgitation, defective speech, basic anatomic deformity, psychologic and otologic disorders, dental disorders and other congenital anomalies.