Cleft Lip/cleft Palate Surgery

Front 1

A typical surgury plan includes

Back 1

initial lip closure initial palate surgury Secondary palatal closure if needed, lip and nose revision, alveolar bone grafting, closure of fistula, maxillary advancement

Front 2

Repair of the cleft lip surgury is called

Back 2

cheiloplasty

Front 3

Surgury might be delayed because

Back 3

investigate other abnormalities establish feeding/weight gain
presurgury orthopedics

Front 4

Rule of 10s applies to

Back 4

cleft lip
Rule of 10s 10 lbs, 10 weeks, 10 grams hemoglobin

Front 5

Presurgical involvement of cleft lip may involve first

Back 5

narrow the gap of lip prior to performing the formal repair

Front 6

non surgical management includes

Back 6

taping the lip
dental elastics
palatal molding plate
Latham appliance
nasal alveolar molding device

Front 7

nasal alveolar molding device

Back 7

is done by orthodontist plate is worn for 6 months. Plate is adjusted each week. Can be combined with a Latham appliance

Front 8

Latham appliance

Back 8

One of the innovations of cleft lip and cleft palate repair, the Latham appliance is surgically inserted by use of pins during the child's 4th or 5th month. After it is in place, the doctor, or parents, turn a screw daily to bring the cleft together to assist with future lip and/or palate repair.

Front 9

Cleft Lip /Palate

Back 9

requires several surguries even into adolescent years

Front 10

Simonart's band

Back 10

band of skin bridging a cleft

Front 11

surgical lip adhesion

Back 11

simple straight line lip repair so the segments will be drawn together usually done at 6 weeks of age followed by a formal lip repair

Front 12

With Millard and Tennison Randall techniques a _____is inserted into the ridge

Back 12

patch of tissue

Front 13

Surgeons attempt to make scars look

Back 13

natural on normally occurring lines such as the philtral ridges

Front 14

The Millard technique

Back 14

used in 80% of cases rotational advanceemen patch inserted, incision places on philtral ridge on cleft side, lip opens and rotates down into Cupid's bow additional tissue added to fill gap

Front 15

Tennison Randall

Back 15

20% of cases "cookie cutter technique" incision placed about halfway through philtral ridge opening a triangular opening patch of tissue from lip added in noticable part of lip

Front 16

piriform aperture

Back 16

opening at the base of the ala

Front 17

anterior nasal spine is found

Back 17

at base of collumella

Front 18

if a lip is too short

Back 18

not enough tissue may have been inserted, can be easily fixed in a second surgury with Millard technique

Front 19

Tennison Randall method can be solid, however, ______ can be not as good

Back 19

ala nose alar base displayed

Front 20

What muscle needs to be readjusted during these surguries?

Back 20

orbicularis oris

Front 21

prolabium

Back 21

upper lip

Front 22

Unilateral Cleft lip surguries include the

Back 22

Millard
Tennison Randall
LeMesurier

Front 23

Bilateral Cleft lip surguries involve the

Back 23

Modified Manchester
Millard Bilateral Cleft

Front 24

nasal alveolar molding pushes

Back 24

out the ala

Front 25

Secondary lip and nose surgury

Back 25

reduces scar tissue, symmetry of vermillion symmetry of nose, straighten septum to improve airwary
Abbe lip flap