My Personal Evolution of Caring for Patients with Congenital Cleft Malformations: A Joyous, but Humbling Career
08 May 2014 (online)
The evaluation and treatment of patients with congenital orofacial clefting is a challenging task. Successful treatment requires a concerted effort by the cleft surgeon and cleft team to maximize the appearance and function of the cleft patient. To become a competent cleft surgeon, a facial plastic surgeon must be dedicated to a lifelong pursuit of technical excellence through continual evaluation, self-criticism, and improvement of surgical techniques and approaches. The contemporary cleft surgeon must integrate the knowledge gained by mentors that have years of expert experience and evidence-based information demonstrated by careful study. This information should help guide the young cleft surgeon as experience is gained and expertise developed through years of careful observation and evaluation of patients. This article is a discussion of the art and science of cleft surgery. It outlines the timetable associated with cleft repairs, the resources necessary to provide superior cleft care, and exposes the weaknesses and frailties of all cleft surgeons. It is designed to aid cleft surgeons in their pursuit of perfection.
- 1 Mulliken JB, Martínez-Pérez D. The principle of rotation advancement for repair of unilateral complete cleft lip and nasal deformity: technical variations and analysis of results. Plast Reconstr Surg 1999; 104 (5) 1247-1260
- 2 Crockett D, Bumstead R. Nasal airway, otologic, and audiologic problems associated with cleft lip and palate. In: Bardach J, Morris HL, , eds. Multidisciplinary Management of Cleft Lip and Palate. Philadelphia, PA: WB Saunders; 1990
- 3 Grayson BH, Maull D. Nasoalveolar molding for infants born with clefts of the lip, alveolus, and palate. Clin Plast Surg 2004; 31 (2) 149-158 , vii
- 4 Sykes J, Rotas N. Orthognathic surgery in cleft lip and palate patient. Facial Plast Surg Clin North Am 1996; 4 (3) 351-375
- 5 Sykes JM, Senders CW. Surgery of the cleft lip nasal deformity. Oper Tech Otolaryngol--Head Neck Surg 1990; 1: 219-224