Classification of Cleft Lip and Cleft Palate-a Review

Abstract

Classifi cation for cleft lip and palate is imp ortant fo r both clinical research and epidemiological investigation. Classification of the cleft lip and cleft palate plays an important role in diagnosis and planning the treatment. It involves the embryological processes, the frontonasal and the right and left processes of the maxilla. The incisive foramen is a basic anatomic landmark for classifi cation of cleft l ip and palate. Davis and Ritchie' s classification was a fundamental classification, which is followed by symbolic representation of Kernahan and their modifications. Newer approaches have also used mathematical expressions to provide a complete description of the deformity including those which can be used for computerized data analysis. This article is a review of the past and the most recent classifications, a bird's eye view on how improvements/advancements in the field have led to a better understanding and representation of the various types of cleft deformities.

Presurgical orthopedics in patient with cleft lip and palate without cheiloplasty at one year of age.

“…Es uno de los primeros pasos que deben seguirse en pacientes con diagnóstico de LPH, tomando la ventaja de la alta cantidad de ácido hialurónico en los recién nacidos, lo cual mejora la elasticidad muscular. 7,8 Los objetivos de la ortopedia incluyen la alineación de los segmentos facilitando la reparación del labio y nariz, obtener una relación satisfactoria en el maxilar, en caso de las hendiduras, y a su vez, con la mandíbula, y mejorando las características estéticas sin dañar el crecimiento facial. El manejo de estos segmentos va a depender del tipo de fisura, buscando generar este acercamiento y a su vez, una estabilidad y posteriormente un ajuste.…”