Transcript
  • 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    |    
    Embryology
    • 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    |    
    Etiology
  • Causes for malformation
  • 14:52    |    
    Epidemiology
    • 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
      • Adjustments
      • Results
    • 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
    • Benefits
    • 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
    • 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
    • Pharyngoplasty
  • 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

New Media  | 21 de febrero de 2013  | Vistas: 190

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.


Conferencista

Barbu Gociman is plastic surgeon at the University of Utah Medical…

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