title: [Care and management of cleft lip and palate by CLP Department hospital Robert Debre in Paris].
abstract: Cleft lip and palate repair must take a place at an early stage and respect physiology. Iatrogenic consequences harming maxillary growth must be avoided. Owing to early and reverse timing, short and long term results have been improved. Correction of the soft palate is performed at 3 months of age, lip and hard palate at 6 months without elevation of mucoperiosteum. A palatal plate is applied before and after each surgical stage. Patients receive phonetic, dental end ENT follow-up on a regular basis till end of growth. Correction of sequelae, especially of nasal tip, can be undertaken around grade school entrance at about 6 years of age. Nasal sequelae such as deviation of the septum must not be corrected before end of puberty. Surgery and follow-up must be conducted by an experienced multi-disciplinary team in which the surgeon plays the part of master of works.
authors.affiliation: Service de chirurgie infantile, unité de chirurgie plastique, hôpital Robert Debré, 48, boulevard Sérurier, 75019 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Oger
authors.forename: R
authors.initials: R
authors.lastname: Malek
authors.forename: H
authors.initials: H
authors.lastname: Martinez
authors.forename: C
authors.initials: C
authors.lastname: Trichet
mesh_terms: D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005602:France; D006748:Hospital Departments; D006801:Humans; D007223:Infant; D019651:Plastic Surgery Procedures / Q000379:methods*
vernacular_title: Prise en charge des fentes labio-palatines par l'équipe de l'hôpital Robert Debré à Paris.