00:01    |    
Initial credits
00:06    |    
Opening words
00:25    |    
Comprehensive cleft care
Normal lip anatomy
Cleft lip anatomy
Orbicularis oris muscle
Normal palate anatomy
Cleft palate anatomy
07:38    |    
Causes of primary palate malformation
Five processes that contribute to normal facial development
Process for a normal palate development
11:33    |    
Palate classifications
Veau classification system
Kernahan classification
13:17    |    
Causes for malformation
14:52    |    
Cleft lip
Cleft palate
Risks for other family members to have malformation
17:19    |    
History of repair
Timeline of surgical techniques 
20:10    |    
General approach to the cleft patient 
Nutritional support
General timelines of diagnosis and treatment
23:22    |    
Principles of the unilateral lip repair
Goals of the unilateral lip repair
Tennison-Randall repair
Millard repair procedure
Naso-alveolar molding
30:53    |    
Bilateral cleft lip repair
Landmarks and incisions
Flaps incised and elevated
Naso-alveolar molding
33:50    |    
Cleft palate repair
Treatment considerations
Staged approach
Placement of palatal prosthesis
38:43    |    
Cleft palate repair surgical techniques
Intravelar palatoplasty
V-Y pushback palatoplasty or Veau-Wardill-Kilner
Von Langenbeck repair
Furlow double-opposing Z-palatoplasty 
Bardach two-flap palatoplasty technique
43:37    |    
Associated anomalies in patients with cleft lip/palate
Non-syndromic cleft lip and palate
Pierre-Robin sequence
Airway management
Mandibular distraction
Internal  distraction
External distraction
48:48    |    
Syndromic cleft
Common syndromes associated with cleft palate
Stickler syndrome
Velocardiofacial syndrome
Van der Woude syndrome
52:02    |    
Velopharyngeal port
Velopharyngeal insufficiency (VPI)
VPI diagnosis
Patterns of velopharyngeal closure
VPI causes
VPI treatment
Pharyngeal flap
57:37    |    
Final words
58:19    |    
Question and answer period
Would an 8-year-old patient with nassal speech, benefit from a pharyngeal flap?
01:00:03    |    
Final credits




Comprehensive Care of Cleft Palate

21 de febrero de 2013   | Vistas: 109 |  

Barbu Gociman addresses the topic of congenital deformities caused by abnormal facial developments during gestation, such as cleft lip and palate. He explains what the normal lip and its surrounding areas should be like and then compares it to one suffering with a fissure. He talks about the causes and effects of certain face-related deformities and shares the story of reparative techniques, elaborating on the recent studies and advances used in surgical treatment. He explains the stages for reconstruction and relates the arguments to be in favor or against using each system, providing a general overview of the care for this type of illness. He concludes by pointing out that the cleft condition may, as well, be found in animals and not exclusively on humans.

Barbu Gociman is plastic surgeon at the University of Utah Medical Center. Previously, he was investigator at the Department of…


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Universidad Francisco Marroquín