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The malformations CLEFT LIP and palate and
PIERRE ROBIN SYNDROME during the lecture series and
demonstration materials will be provided during the
practical class.
Cleft lip and palate develop between the 4th and
8th week of gestation and is dominated by changes
resulting in the formation of the nose. Palatal
development occurs between the 7th and 12th week of
gestation and is divided into the formation of the
primary palate (prolabium), premaxilla and
cartilaginous septum) and formation of the
secondary palate (hard and soft palate).
In the treatment and repair of cleft lip the
following results are hopefully achieved:
(i) a symmetrical lip
(ii) a natural appearing philtral ridge and
dimple
(iii) negligible scarring
(iv) a symmetrical nose and restoration of
the nostril floor.
The major objectives of the repair of the cleft
palate includes construction of a competent,
functioning and watertight valve at the junction of
the soft palate and pharynx; repair is performed
early enough to allow the child to begin speech
with a functioning velopharyngeal valve.
Presentation of normal hearing must also be
maintained along with normal development and bone
growth in the central facial region along with a
functional and attractive dentition.
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