Synthèse de la prise en charge des fentes labiales et palatinespar onze équipes francophones en 2001

The Role of the Orthodontist during the Management of Patient with the Lip and Palatale Cleft

“…In fact, a European survey carried out within the framework of the Eurocleft project counted 194 different therapeutic protocols for 201 centers listed. This confirmed the extreme diversity of technical choices and therapeutic calendars of the 11 French and Belgian teams [4]. Some repair the clefts back and forth starting with a neonatal repair of the lip and nose, so that primary rhinoplasty is performed between 5 and 10 days after birth.…”

“…Lip repair is generally the first intervention performed for cleft closure, the timing of the cheiloplasty was eminently variable from one team to another. It can be done in the first 48 hours after birth until the age of 6 months and can be isolated or in combination with other interventions [4]. In our study 77.5% underwent a primary rhinoplasty of which 45.2% performed it at the age of 6 months along with the cleft lip repair.…”

“…In our study, 28.9% achieved a palatoplasty at the same time as the veloplasty. In the literature, there are several protocols [4]. Closure of the palate at the same time as the chéilorhinoplasty or closure of the palate before cheilorhinoplasty or closure of the palate after cheilorhinoplasty.…”

“…He participates in the treatment of the patient from his first days by making a palatal appliance, then the orthopedic and orthodontic treatment in temporary and/or mixed dentition that will eventually be continued through adolescence and adulthood. He is often confronted with compromising the goals of orthodontic treatment and the quality of the results obtained [4].…”

Anesthetic Management of Labial and Palatin Slots during a Humanitarian Mission at Matlaboul Fawzaini Hospital of Touba

“…In his study at the Plastic Surgery Department of the University Hospital of Grenoble, Brix [3] reported an average age of 4.9 months (median of 5 months) for cleft lip surgery and 8.9 months (median of 9 months) for the treatment of cleft palates. This is explained by the diagnostic precocity often made in antenatal but also the argument of some specialists who affirm that the earlier the surgery is performed, the better the healing will be with a real gain in speech and orthodontic terms [4,1,5]. None of our patients had an associated malformation because of the fact that this was a non-screening potential criterion.…”