Cleft Lip and Palate

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Cleft Lip and Palate

• (CLP)

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Kjartan Arctander M.D. D.D.S.Frank Åbyholm M.D.
D.D.S.Professsor

• Dept. of Plastic SurgeryRikshospitaletNatinal
  HospitalOslo, Norway

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Anatomy

• Facial disfigurement
• Lack of tissue

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Function

• Appearance
• Speech
• Feeding
• Facial Growth
• Respiration
• Hearing
• Dental occlusion
• Psychological aspects

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Important factors

• Team- concept
• Centralisation
• Long term treatment plan
• Documentation

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The CLP Team

• Plastic Surgeon
• Orthodontist
• Speech Patologist
• ENT
• Paediatric
• Social worker
• Prosthodontist
• Oral surgeon

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One stage primary bilateral lip closure with
Vomer flap on one side.
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Bone grafting of alveolar clefts-the Oslo
techniqueage 7-11 years
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24 Years of Alveolar Bone Grafting Cleft Sites
Grafted

• 959 patients 196 bilateral
• ____________
• 1155 cleft sites

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Observation time

• Mean observation time is 7.3 years after bone
  grafting

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