CLEFT and MAXILLO FACIAL SURGERY

CLEFT and MAXILLO FACIAL SURGERY

Oral & Maxillofacial Surgery Is The Specialty Of Dentistry That Deals With Addressing The Ailments Of Face And Mouth. It Encompasses The Diagnosis And Treatment Of Various Diseases, Deformities And Injuries Involving Cosmetic And Functional Aspects Of Face And Mouth. The Scope Of Oral & Maxillofacial Surgery Ranges From The Removal Of Third Molars (Wisdom Teeth) To The Treatment Of Infections, Dental Implants, Fracture Of Jaw Bones, Cleft Lip and Palate Surgery, TMJ Surgery, Ear Reconstruction Surgery, Cyst and Tumours of Jaw and Orthognathic Surgery Etc. 

 

WHAT IS CLEFT?

Cleft lip and palate is a birth defect that occurs in the womb between the fourth and eighth week of pregnancy. When the normal fusion of the lip and palate tissues does not occur it results in an opening in the lip or roof of the mouth. It can be unilateral (one sided) or bilateral (both sides). It is possible for the child to have a cleft lip, a cleft palate, or both cleft lip and cleft palate, because the lip and palate tissues develop separately. 

WHAT KINDS OF PROBLEMS COULD CLEFT CHILD HAVE?

  • Cosmetic:  Facial disfigurement.  Psycho-social stigma to the child and parents
  • Feeding:  Frequent regurgitation of milk and food from nose.
  • Dental development:  Teeth in the area of the cleft may be missing or improperly positioned. This may affect your child's appearance and chewing ability. 
  • Speech difficulties:  Minimal speech problems in cleft lip children; however, often children with cleft palates benefit greatly from early speech therapy. 

 

        FACT FILE:

  • Cleft lip and palate is the most common congenital defect of the head and neck.
  • Incidence in India 1: 796 live births.
  • INDIA: 35,000 cleft children born every year. (100 per day)
  • MAHARASTRA: 3,000 cleft children born every year.
  • Only 30 – 40% of these are getting reasonable treatment
  • Estimated backlog – 1 million (recent WHO data)

 

TREATMENT PLAN

NO

TREATMENT

DESCRIPTION

AGE

WEIGHT

(Kg)

HEAMOGLOBIN

(Hb)

 

1

NASO-ALVEOLAR MOULDING

Modified feeding plate to reduce nasal regurgitation of milk and to reduce the width of cleft and to improve the shape of nose

At Birth

-

-

 

2

 

PRIMARY LIP REPAIR

 

Surgical Repair of Lip and Nose

 

3 - 6

Month

 

5 Kg

 

8 Gm%

 

3

PRIMARY COMPLETE PALATE REPAIR

Surgical Repair of Palate

1 Yr

10 Kg

10 Gm%

 

4

SPEECH THERAPY

Treatment of Misarticulation and Nasality in speech

2 Yrs

-

-

 

5

SECONDARY LIP REPAIR

Surgical Correction of Scar or other post-surgical lip deformity

2 Yrs

12 Kg

10 Gm %

 

6

PALATAL FISTULA CLOSURE

Surgical Correction of Post-surgical hole/defect in the palate

2 Yrs

12 Kg

10 Gm %

 

8

ORTHODONTIC OPENION/ PALATAL EXPANSION

Treatment to give the palate normal anatomic shape

5-6 Yrs

-

-

 

9

ALVEOLAR BONE GRAFTING

Surgical Reconstruction of Gum defect by bone grafting

6-8 Yrs

20 Kg

10 Gm %

 

10

ORTHODONTIC TREATMENT

Treatment to align teeth in normal form and function

12 Yrs

-

-

 

11

ORTHOGNATHIC SURGERY

Surgical Correction of Jaw Position

16-18 Yrs

-

10 Gm%

 

12

SEPTORHINOPLASTY

Surgical correction of Nasal deformity

15 Yrs

 

10 Gm %

  • Cleft Lip and Palate Surgery
  • Jaw Correction Surgery (Orthognathic Surgery)
  • Cyst and Tumours of Jaw and Face
  • Facial Bone Fracture Treatment
  • Temporo-mandibular Joint Surgery
  • Ear Reconstruction Surgery
  • Facial Cosmetic Surgery
  • Oral Surgery
  • Wisdom Teeth Surgery
  • Dental Implant 

 

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