title: Orthognathic surgery for the adult patient with cleft lip and palate.
abstract: A review of the surgical management of adult patients with cleft lip and palate is presented together with the anatomical relationship to surgical procedures. There is still a much higher tendency to relapse after maxillary osteotomy in cleft patients compared to non-cleft patients. However relapse can be reduced by prolonged cranio-maxillary fixation or by direct skeleton fixation with bone plates. Techniques which mobilise the badly scarred palate and avoid dragging it forward with the osteotomy also reduces relapse.
mesh_terms: D000328:Adult; D000539:Alveolar Process / Q000002:abnormalities / Q000601:surgery; D002971:Cleft Lip / Q000145:classification / Q000601:surgery*; D002972:Cleft Palate / Q000145:classification / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000601:surgery*; D008437:Maxilla / Q000254:growth & development / Q000601:surgery*; D008445:Maxillofacial Development; D009666:Nose / Q000002:abnormalities; D010027:Osteotomy / Q000379:methods