Cleft Palate
摘要
A cleft palate is a defect in the development of the hard palate. This defect is responsible for communication between the oral cavity with the nasal cavities. Clefts have a wide spectrum of severity ranging from small incomplete cleft of the lip to complete bilateral cleft of the lip and palate. Along with cleft lip, it is the most common congenital anomaly of the face and comprises about 13% of all reported congenital malformations. Its primary aetiology is due to the failure of the palatal shelves to fuse. Regarding its treatment, patients with clefts need care from multiple specialities to optimise the outcome. Typical members of the cleft team include a plastic surgeon, paediatrician, geneticist, an audiologist, otorhinolaryngologist, dentist, orthodontist, nutritionist/dietitian, psychologist, nurse, speech pathologist, and social worker. Many different techniques can be used for the closure of the palate, such as the Von Langenbeck Repair, Veau-Wardill-Kilner push back, Two-flap (Bardach), Furlow’s double-opposing Z-plasty, and lastly, the No palatal incisions (Sommerlad) technique.