9781853174919

Cleft Lip and Palate : Examination, Surgery and Rehabilitation

by
  • ISBN13:

    9781853174919

  • ISBN10:

    1853174912

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2000-11-27
  • Publisher: MARTIN DUNITZ LTD

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Summary

Offering the advantage of 35 years of clinical experience in which he has treated more than 5000 patients, the distinguished author presents state-of-the-art techniques for managing all types of cleft lip and palate disorders. In addition to the surgical techniques he has personally developed, Dr. Malek reviews the full range of alternative and classic methods, highlighted by full-color photographs and line drawings.

Author Biography

Rene Malek is Chirurgien des Hopitaux de Paris, France.

Table of Contents

Contributors ix
Foreword xi
Pierre Petit
Preface xii
Acknowledgments xv
Note on illustrations xvi
PART I GENERAL 1(28)
Circumstances of the initial examination
3(4)
The antenatal examination
3(2)
The examination at birth
5(2)
Embryology
7(10)
Introduction
7(1)
The normal embryology of the face
7(5)
Pathological embryology
12(5)
Classification and anatomo-clinical forms
17(10)
The lesions and their consequences
27(2)
Introduction
27(1)
The cleft lip
27(1)
The elect palate
28(1)
Division of the maxilla
28(1)
PART II THE LIP AND THE NOSE 29(74)
Normal anatomy
31(8)
Macroscopic aspects
31(3)
The structure of the lip
34(1)
The blood and nerve supply
35(1)
The normal nose
36(3)
Pathological anatomy
39(12)
The unilateral cleft lip
40(4)
The bilateral cleft lip
44(2)
Mucocutaneous bands
46(2)
Nasal deformities in simple clefts
48(3)
Primary treatment
51(44)
Historical landmarks
51(1)
General aspects of surgery
51(4)
Surgical equipment
55(3)
Modern principles of repair
58(1)
Reference points
58(4)
The mathematical basis of the Malek techniques using equilateral triangular flaps
62(14)
Choice of techniques in bilateral clefts
76(3)
Repair of the vermilion and vestibule
79(7)
Summary of operating procedure for simple cleft lip
86(3)
Results
89(6)
Critical evaluation of the principal techniques
95(8)
Unilateral clefts
95(6)
Bilateral clefts
101(1)
Lip-adhesion procedure
101(2)
PART III THE ISOLATED CLEFT PALATE 103(162)
Anatomy and physiology of the normal palate
105(16)
Anatomy
105(7)
Physiology
112(6)
Tongue
118(3)
Pathological anatomy and physiology in isolated cleft palate
121(10)
Bone structure
121(1)
Muscles and mucosa
121(3)
Pathophysiology of the cleft palate
124(4)
Velopharyngeal incompetence
128(3)
Surgical repair: the Malek procedure
131(8)
Anesthesia
131(1)
Installation
131(1)
General principles
132(1)
Veloplasty
132(2)
Modified Von Langenbeck technique
134(3)
Post-operative treatment
137(2)
Surgical repair: other procedures
139(4)
Veau technique (staphylorraphy)
139(2)
Lengthening the soft palate
141(1)
Furlow technique
142(1)
Pharyngoplasty
143(8)
General principles
143(3)
Petit technique
146(5)
Speech results
151(2)
Statistical study
151(1)
Comparison with speech development following late surgical correction
152(1)
Pierre Robin Syndrome with Patrice Oger
153(18)
Historical overview and problems of definition
153(1)
Clinical forms
154(3)
Interpretation of pathological disorders
157(7)
Treatment---results
164(4)
Conclusion
168(3)
PART IV COMPLETE CLEFTS
The normal maxillary skeleton
171(4)
Basic anatomy
171(2)
Basic concepts of facial growth
173(2)
The nature and consequences of bone lesions
175(12)
The Periosteal junction
176(2)
Unilateral clefts
178(7)
Bilateral clefts
185(2)
Lesions of the nose
187(8)
Unilateral clefts
187(6)
Bilateral clefts
193(2)
Guidelines for primary treatment
195(2)
Early primary palate repair
197(10)
Arguments in favor
197(6)
Our therapeutic hypothesis
203(2)
Other therapeutic approaches
205(2)
First stage: early primary veloplasty
207(6)
Preparation
207(1)
Unilateral cases
207(3)
Bilateral forms
210(1)
Suturing
210(3)
Second stage: cheiloplasty
213(16)
Steps of cheiloplasty
213(1)
Unilateral clefts
213(9)
Bilateral clefts
222(3)
Fistulae and the early primary palate method
225(4)
Long-term results
229(30)
Appraisal
229(1)
Morphological results
230(9)
Long-term phonetic results of early primary palate repair with Chantal Trichet and Marie-Rose Mousset
239(6)
Osteodental results with Herve Martinez
245(14)
Complete forms without cleft palate
259(4)
Unilateral forms
259(2)
Bilateral forms
261(2)
Conclusion
263(2)
Select bibliography 265(8)
Index 273

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