Cleft of the lip, alveolus and palate (CLAP), is a complex facial deformity, which requires multiple surgeries and bone grafting to correct the defect. Active or passive Pre surgical Orthopedic Molding reduces the deformity and thus reduces number of surgeries to achieve superior post surgical esthetic. Pre-surgical nasoalveolar molding (PNAM) is passive molding which align and approximate the ...

Cleft of the primary and secondary palate in human beings is a frequent congenital malformation occurring once in 800 live births.' In Michigan, this congenital defect is incident once in 740 live births.2 Although both genetic and environmental forces are involved in cleft formation, the genetic mechanism has not been described adequately or have specific environmental agents been identified. ...

Congenital cleft earlobe is a rare auricular malformation. Various techniques have been reported for the correction of this deformity. Few papers deal with surgical techniques to correct the triple lobe sub-type cleft. This anomaly presents more technical difficulties in the three-dimensional rearrangement than other sub-types. We describe the technique used to correct a triple lobe deformity i...

Secondary deformities are common in children born with a cleft lip and palate. Patients with cleft lip deformity will undergo multiple surgical procedures early in life, so it is imperative to prioritize treatment of their secondary deformities and minimize the number of interventions needed. Of the many approaches used to correct these problems, surprisingly few work well consistently. As with...

Cleft lip and palate is a congenital deformity associated with maxillary sagittal transverse discrepancies. Feeding an immediate concern in children born cleft as it delays their normal growth. A feeding plate essential for proper nutrition, has role craniofacial development decreases the incidence of otitis media nasopharyngeal infections. This case report describes single visit technique fabr...

Ectrodactyly is an autosomal dominant ectodermal dysplasia presenting as bilateral congenital malformed hands and feet [1]. It affects about 1 in 90,000 births with males and females equally as likely to be affected. It is characterized by transverse terminal aphalangia or partial to total absence of the distal segments of fingers. It may involve one or more digits or the full hand and even par...

The triangular flap repair is one of the most common techniques used in cleft lip surgery. However, inability to address the nasal deformity and loss of orbicularis wholeness accompanied with incomplete reorientation have been two major handicaps of the triangular repair. Therefore, we developed our personal technique, called the triangular with ala nasi (TAN) repair, including a perialar incis...

To investigate the feasibility of facial laser scanning in pre-school children and to demonstrate landmark-independent three-dimensional (3D) analyses for assessment of facial deformity in 5-year-old children with repaired non-syndromic unilateral cleft lip and/or cleft palate (UCL/P). Faces of twelve 5-year-old children with UCL/P (recruited from university hospitals in Cardiff and Swansea, UK...

Learning Objectives: After studying this article, the participant should be able to: 1. Discuss advantages and disadvantages of the available classification systems for cleft lip deformities. 2. Discuss, in detail, the normal anatomic features of the orbicularis oris muscle and the aberrant features seen in unilateral cleft lip deformities. 3. Define the anatomic features of the unilateral clef...