The European Register of Cleft Lip and Palate Services will be produced as a result of the concerted action project: Standards of Care for Cleft Lip and Palate in Europe: EUROCLEFT funded by the European Commision under its BIOMED II and INCO COPERNICUS programmes. The project, aimed at developing a network of cleft care teams across Europe, ran for three years between 1996 and 1999 and aimed broadly to improve the effectiveness and efficiency of care for European children with clefts of the lip and/or palate. Clefts of the lip and/or palate are birth defects affecting 1:500 live births. Successful rehabilitation requires a complex multidisciplinary mix of services.
Cleft Lip and Palate: Diagnosis and Management is an unparalleled review of treatment concepts in all areas of cleft involvement presented by an international team of experienced clinicians. A unique feature of the book is that it largely consists of longitudinal facial and palatal growth studies of dental casts, photographs, panorexes, and cephalographs from birth to adolescence. Throughout the discussion of growth and treatment concepts, the importance of differential diagnosis in treatment planning is underscored. The underlying argument is that all the treatment goals – good speech, facial aesthetics, dental occlusion, and psychological development – may be realized without the need to sacrifice one for another. This updated third edition includes new chapters on further successful physiological treatment protocols, strategies for coping with psychological effects, the excellent clinical work being undertaken in Asia, future multicenter palatal growth studies, and other topics.
Integrated Clinical Orthodontics provides an important new resource on the clinical interactions between the practice of orthodontics and other areas of clinical dentistry and medicine. Having at its heart the paradigm of patient-centred care, the book not only integrates the knowledge, skills, and experience of all the disciplines of dentistry and medicine, but also eases the work of orthodontists in arriving at an accurate diagnosis and a comprehensive treatment plan. Presented in a highly visual and practical format, Integrated Clinical Orthodontics uses clinical case presentations to illustrate the rationale and application of the integrated approach to a variety of clinical scenarios. Integrated Clinical Orthodontics covers areas of complexity in clinical orthodontics, specifically the role of the orthodontist as a member of a multidisciplinary team. The book outlines and details the management of congenital orofacial deformities, sleep disorders, esthetic smile creation and temporomandibular joint problems, and additionally and importantly includes specific protocols for effective communication with experts in other specialties.
Comprehensive reference work for managing patients with orofacial clefts and complex craniofacial conditions from birth to skeletal maturity Cleft and Craniofacial Orthodontics is a comprehensive and detailed reference work on the management of patients with orofacial clefts and complex craniofacial conditions. Covering patients ranging from birth to skeletal maturity, the book provides orthodontists, plastic and oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, and prosthodontists with the information they need to evaluate and treat these conditions. Highlighting the multidisciplinary team approach, the book aids clinicians in developing a complete plan for their patients. Each chapter is organized to reflect clinical practice, making it easy to apply the information to the treatment setting. Additionally, a companion website offers video clips of surgical and orthodontic procedures to further aid in reader comprehension and application. Sample topics covered within the work include: Introduction to orofacial clefting: cleft lip and palate anatomy, cleft types and classification, epidemiology, and genetics of cleft lip and palate Early management of orofacial clefting: prenatal diagnosis and counselling, feeding infants with clefts, and development of nasoalveolar molding therapy Orthodontic treatment: interceptive orthodontics, management of anteroposterior and transverse discrepancies, preparation for alveolar bone grafting, and combined orthodontic-orthognathic management. Orthodontic and multidisciplinary management of twenty complex craniofacial conditions including craniofacial microsomia, Treacher-Collins syndrome, and syndromic craniosynostosis Orthodontists, plastic surgeons, craniofacial surgeons, oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, prosthodontists, and otolaryngologists can use this book to attain essential knowledge on managing patients with orofacial clefts and complex craniofacial conditions and understand how to apply that knowledge to practical patient settings.
This book intends to cover cleft-related topics which are mainly focused on the current concept of balancing excellence in outcome and burden of cleft care. The wide spectrum of covered topics includes the understanding challenges and needs to deliver the modern surgical cleft care worldwide and comprehending multidisciplinary-based longitudinal life-changing concept. The chapters are focused on professional-friendly technical descriptions from diagnosis to execution such as nasoalveolar molding, cleft lip repair, cleft palate repair, myringotomy tube insertion, primary and secondary rhinoplasties, oronasal fistula reconstruction, velopharyngeal insufficiency management, virtual-aided alveolar reconstruction, surgery-first approach in cleft orthognathic surgery, 3D computer-assisted orthognathic surgery, revisionary surgeries, and postoperative care. Traditional and current principle-based methods are itemized into many algorithms and protocols to aid in diagnosing, planning, and selecting the best therapeutic approach in order to balance excellence in outcome and burden of care. Many surgical-, orthodontic-, speech-, and postoperative care-related technical examples, intraoperative photos, and full-colour illustrative drawings can guide the professionals working in multidisciplinary teams through each traditional and newer hybrid operative procedure in a detailed step-by-step fashion with emphasis on how to perform each procedure, rather than on theoretical-only descriptions. This book provides time- and scientifically-tested treatment algorithms to guide multidisciplinary teams during decision making process for each clinical scenario of the longitudinal cleft care
The focus of this book is on speech production and speech processing associated with cleft palate, covering phonetic (perceptual and instrumental), phonological and psycholinguistic perspectives, and including coverage of implications for literacy and education, as well as cross-linguistic differences. It draws together a group of international experts in the fields of cleft lip and palate and speech science to provide an up-to-date and in-depth account of the nature of speech production, and the processes and current evidence base of assessment and intervention for speech associated with cleft palate. The consequences of speech disorders associated with cleft on intelligibility and communicative participation are also covered. This book will provide a solid theoretical foundation and a valuable clinical resource for students of speech-language pathology, for practising speech-language pathologists, and for others interested in speech production in cleft palate, including researchers and members of multi-disciplinary cleft teams who wish to know more about the nature of speech difficulties associated with a cleft palate.
This issue of Oral and Maxillofacial Surgery Clinics of North America is devoted to Orthodontics for the Craniofacial Surgery Patient and is edited by Drs. Michael R. Markiewicz, Sath Allareddy and Michael Miloro. Articles will include: Craniofacial growth: Current theories and influence on management; Overview of timeline of interventions in cleft lip and palate; Dentofacial orthopedics for the cleft patient (non-NAM techniques); Nasoalveolar molding (NAM) techniques; Orthodontic preparation and management of the cleft maxilla; Obturation and tissue transfer for large craniofacial defects; Orthodontic management for craniofacial syndromes; Orthodontics for cleft orthognathic surgery; Maxillary distraction osteogenesis in cleft lip and palate; Mandibular distraction osteogenesis; Technological adjuncts to craniofacial orthodontics and surgery; Orthodontics for unilateral and bilateral cleft deformities; Complications of craniofacial orthodontics and surgery; and more!
Majoradvances in the diagnosis and treatment of oral clefts have been made in the past 50 years, and recent genetics and epidemiological studies have led to new theories about the causes of cleft lip and palate. Addressing issues that are relevant to clinicians, researchers and family members, this book is a comprehensive, well-illustrated, and up-to-date account of the many facets of this common disorder. The authors describe the embryological and molecular mechanisms of cleft causation, present and illustrate the genetic and epidemiological methods used to identify risk factors for oral clefts, and describe treatments by the various professionals of the cleft team. A section is also devoted to the integration of research findings into public health practice, including ethical and financial considerations. The book draws together such diverse disciplines as craniofacial development, gene mapping, epidemiology, medicine, ethics, health economics, and health policy and management, and it will be an invaluable reference work.
