What is orthognathic surgery for bilateral complete cleft lip and palate?

Clefts and Jaw Sx. In cleft patients, it is common for the maxilla to fail to develop along normal growth patterns, a lot of this has to do with scarring from previous surgeries. In order to correct for this underdevelopment of the upper jaw, orthognathic surgery is performed. Typically, the upper jaw is advanced forward, and because it is a bilateral cleft, it will technically be a three-piece segmental LeFort.
Teenage possibly. Because maxillary growth is impaired secondary to cleft repair a lefort I advancement which releases the retracted midface bones and pulls them forwards is often done once a child's face has reached skeletal maturity.
Alignment of teeth. Orthagnathic surgery ifor bilateral complete cleft lip and palate realigns the teeth by surgical movement ot the upper or lower jaw or both.
Aligned teeth. Orthognathic surgery generally refers to procedures that attempt to get your teeth in alignment to achieve a normall occlusion. When it comes to clefts this typically involves surgery to advance the upper teeth forward.
Alignment. This surgery is used to correct the growth disturbance in the uuper jaw caused by the original clefts. It is performed in the teens to early twenties depending on the situation. Repair of all the clefts has been done previously during the critical times of development. This will allow alignment of the teeth and jaws. The surgery allows proper function and esthetics.

Related Questions

What does orthognathic surgery for bilateral complete cleft lip and palate involve?

Bone grafting. Typically these procedures involve a lot of bone grafting, often enough that it has to be completed in multiple surgeries. Block grafts of bone are typically held in place by screws and plates to stabilize them during the healing phase.
Facial balance. Most people with bilateral cleft lip have decreased projection of the maxilla (midface) which gives a flattened appearance below the eyes, cheeks and upper lip. Orthognatic surgery corrects this.
Many surgeries. This surgery can include repair of the lip and nose by clipping then sewing the tissues together in the first 6 months of life. The palate (roof of mouth) repair around 12-18 months of age involves sewing the two sides together. A repair of a cleft in the gumline may involve adding bone and orthodontics (braces) usually 9-12 years old.
Clefts and Jaw Sx. In cleft patients, it is common for the maxilla to fail to develop along normal growth patterns, a lot of this has to do with scarring from previous surgeries. In order to correct for this underdevelopment of the upper jaw, orthognathic surgery is performed. Typically, the upper jaw is advanced forward, and because it is a bilateral cleft, it will technically be a three-piece segmental LeFort.

Orthognathic surgery for bilateral complete cleft lip and palate, can you tell me more?

Team approach. The best approach for treating these problems is a team of specialists that work together as a team.
Clefts and Jaw Sx. In cleft patients, it is common for the maxilla to fail to develop along normal growth patterns, a lot of this has to do with scarring from previous surgeries. In order to correct for this underdevelopment of the upper jaw, orthognathic surgery is performed. Typically, the upper jaw is advanced forward, and because it is a bilateral cleft, it will be technically be a three-piece segmental LeFort.

What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old?

VARIED. Surgical results are often varied--dependent primarily upon the severity of the defect being corrected. The surgical team of specialists that care for your baby will be the best source of potential outcomes and risks. In general, the earlier the treatment, the better the potential results can be. Good luck.
A few things. Pain, and the different feeling inside the mouth after cleft palate repair are the two biggest problems to be expected after cleft palate surgery. Cleft lip also adds a little more pain. The children also don't like the use of arm restraints, even though most of us surgeons use them after lip repair, and sometimes after palate repair.
Breathing, eat, drink. Monitor breathing is the must. Watch for sign of airway difficulties such as sucking in of the lower lip, postop airway obstruction from edema, bleeding or exudates in the respiratory tract or certain drugs. Soft diet is commenced after 24-48 hrs, continue up to 6 wks. Pain meds for comfort. Clean suture regularly, applied antibiotic cream. Regular fluid to keep mouth moist and clean.

What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old? We have adopted a one-year old child, that has a cleft lip and palate. What difficulties could be encountered during recovery? Will her breathing be affected

Cleft. Cleft lip and palate treatment consists of multiple staged operations that will occur over the life of your child as he/she reaches different developmental landmarks. Most typically, the cleft lip is repaired first and allowed to heal before proceeding to repair of the cleft palate. Because your child is older than the typical ages of repair of the cleft lip (3 months old) and palate (8-10 months old), some surgeons may decide to do more than one procedure in a single stage. This will depend on the experience and preferences of your surgeon, as well as considerations of your child's general health. Because repair of cleft lip and palate is an involved process involving multiple stages over the lifetime of your child, my strongest recommendation is to connect with an experienced craniofacial surgical center with an integrated, team approach. Excellent outcomes can be achieved when a child has integrated care from plastic surgeons, otolaryngologists, speech therapists, orthodontists, dentists, and social services coordinators. My own craniofacial surgery training was at stanford university, and I can personally recommend the stanford/ lucille packard cleft and craniofacial team to you as an excellent team. There are also other centers near you which have very good craniofacial programs. Please arrange to have your child evaluated by an experienced craniofacial team in order to get the best answers to your questions. All the best to you, dr. Skourtis.
Visit with a surgeon. The best answers can be obtained from the office of the surgeon who performs these surgeries. They can help you to anticipate what life would be like following surgery. They also understand the severity of this condition in your child.

Before cleft lip and palate reconstructive surgery was invented, what was done for people with this birth defect?

Not much. They generally had o suffer with nothing or a partial or full denture. Clefts can disfigure if severe enough and can interfere with the ability to eat and swallow.
Pressure. Types of cintures or binders and braces were tried. In many third world countries children and adults are living with the defect.
Not much. Some dentists could make appliances to plug the whole in the palate. There were crude attempts to close the lips.

Does cleft lip and palate surgery leave behind a lot of scarring? My son will have his first cleft lip and palate surgery next month, and I'm concerned about scarring. Do the reconstruction surgeries normally cause a lot of scarring? Is scar removal a com

All. All surgery leaves scars. The quality and the location of the scar is the important factor (assuming excellent tech)it is very important to investigate your surgeons training & reputation..
Possible. The technology today in cleft lip and palate reconstruction is very good. The scarring is usually minimal and not noticeable. Many famous people you've seen on tv have had cleft lip surgery and you don't even know it. I wouldn't worry about the scarring; the most important thing is restoring form and function to your child's mouth.
Yes and no. The first surgery is for gross closure and much of it's cosmetic success is depending upon what the surgeon has to work with. There will be many opportunites for revision of the scar as the child grows and the end result should be fine. The first surgery puts you in the ballpark. The seats are arranged later.