Globally there is a burden of approximately 1, 60,000 new cases of cleft lip and palate every year, yet there is no single comprehensive source on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft lip and palate cases. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and has performed more than 34,000 surgeries, restoring function to numerous patients across the globe. It covers all variants and types of cleft lip and palate defects, including…mehr
Globally there is a burden of approximately 1, 60,000 new cases of cleft lip and palate every year, yet there is no single comprehensive source on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft lip and palate cases. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and has performed more than 34,000 surgeries, restoring function to numerous patients across the globe. It covers all variants and types of cleft lip and palate defects, including both primary cases as well as in previously operated cases. It starts with an in-depth elaboration on anatomy, physiology, and pathology of the (normal) palate and cleft palate, moving towards, classification and identification of defects with the help of clear flow charts and simple algorithms enabling better diagnosis and decision making. With over 1500 high definition images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each type of defect. The underlying objective of such surgeries is to best restore the good function of the palate and enable better speech production, which is highlighted amply in each chapter. This atlas is a valuable resource for all plastic surgeons, paediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate defect surgeries.
Dr. Ghulam Qadir Fayyaz M.B.BS, M.S (Plastic surgery) graduated from Punjab Medical College, Faisalabad in 1983. He is currently working as a professor & head of the department of plastic surgery at Services Institute of Medical Sciences, Lahore, Pakistan. Dr. Fayyaz is the founder general secretary of CLAPP (Cleft Lip & Palate Association of Pakistan). He operates one of the highest cleft lip and palate correction programs in the world and has performed more than 34,000 surgeries since 2003. He is also the life member and president-elect. - Pakistan Association of Plastic Surgeons (PAPS) and is an international volunteer for free cleft lip & palate surgeries for Operation Smile International. Dr. Fayyaz is a well-recognized surgeon across the globe and frequently performs cleft surgeries in high incidence countries such as Rwanda, Philippine, Mexico, Paraguay, and Morocco.
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Section 1: Anatomy and Patho-Phsyiology of Cleft Palate 1. Anatomy of Normal Palate 2. Anatomy of Cleft Palate 3. Physiology of Normal Palate 4. Patho-Physiology of Cleft Palate Section 2: Classification of Cleft Palate 5. Bifid Uvula, 6. Cleft of 50% of soft palate, 7. Complete cleft of Soft Palate, 8. Incomplete Cleft Palate( involving posterior half of hard palate, 9. Incomplete Cleft Palate involving anterior half of hard palate 10. Bilateral Incomplete Cleft Palate involving anterior half of hard palate 11. Bilateral Complete Cleft Palate 12. Bilateral Asymmetric Cleft Palate 13. Sub Mucous Cleft Palate 14. Wide Cleft Palate Section 3: Objectives of Palate Repair 15. Rationale of Cleft Palate Repair 16. Repair of Bifid Uvula 17. Repair of Cleft of 50% of soft palate, 18. Repair of Complete cleft of Soft Palate, 19. Repair of Incomplete Cleft Palate involving anterior half of hard palate 20. Repair of Incomplete Cleft Palate involving posterior half of hard palate 21. Repair of Bilateral Incomplete Cleft Palate 22. Repair of Bilateral Complete Cleft Palate 23. Repair of Bilateral Asymmetric Cleft Palate 24. Repair of Sub-Mucous cleft palate 25. Repair of wide cleft palate Section 4: Techniques & Innovations 26. Radical Dissection of Greater Palatine Artery 27. Continuous Running sutures for Palate Repair 28. Methods of Lengthening of Short Palate Section 5: Types of Repair 29. Langenbeck Repair 30. Modified Langenbeck Repair. Right incision only 31. Modified Langenbeck Repair. Left Incision only 32. Soft Palate Repair with no lateral incisions 33. Modified Furlow's Repair 34. Bardach Two Flap Palatoplasty for Unilateral Cleft Palate 35. Vomer Flap for Unilateral Cleft Palate 36. Bardach Two Flap for Bilateral Complete Cleft Palate 37. Pharyngeal Flap during Primary Palate Repair 38. Third Generation Veloplasty Section 6: Post Operative Management of Cleft Palate Repair 39. Post-Op Management Protocol Section 7: Complications of Cleft Palate Repair 40. Post operative bleeding and Red Code 41. Fistula, 42. Dehiscence 43. Short Palate 44. Velopharyngeal Incompetence Section 8: Pakistan Comprehensive Fistula Classification 45. Midline Fistulae 46. Lateral Fistulae 47. SubTotal Fistula 48. Multiple Fistulae (MF) 49. Fistula Adjacent Regions (FAR) Section 9: Management of Midline Fistulae 50. Management of M1/M2 Fistula 51. Management of M3 Fistula 52. Management of M4 Fistula 53. Management of M5 Fistula 54. Management of M6 Fistula Section 10: Management of Lateral Fistula 55. Management of La Fistula 56. Management of Ra Fistula 57. Management of Lb Fistula 58. Management of Rb Fistula 59. Management of Rc & Lc Fistula Section 11: Management of Subtotal Fistulae 60. Subtotal Left Fistula 61. Subtotal Right Fistula 62. Subtotal Bilateral Fistula Section 12: Management of Multiple Fistulae 63. Multiple fistulae in Midline 64. Multiple fistulae in Midline & Other locations Section 13: Management of FAR (Fistula Adjacent Regions) 65. Management of FAR: M2-M3 66. Management of FAR: M2-M3-M4 67. Management of FAR: M2-M3-M4-M5 Sections 14: Difficult to Repair Secondary Palate Patients 68. Lengthening Anterior Palate by Unfolding of Distal Portion of Mucoperiosteal Flap in Anterior Fistula 69. Management of patient with no pedicle during Palate Revision Sections 15: Speech Therapy 70. Speech scoring system 71. Speech therapy protocol after palate repair