title: [Therapeutic approach of cleft lip and palate at Caen University Hospital].
abstract: The therapeutic approach of facial cleft in Caen University Hospital depend on two teams: primary treatment by the Pediatric Plastic Unit (60 cases/year), and secondary treatment by the department of Plastic and Maxillofacial Surgery (more than 30 cases/year). The lip closure is realised before the age of one month with the Tennisson's technic. The palate closure is performed between 6 and 12 months old. Each patient is presented at a multidisciplinary consultation which include a surgeon, an orthodontist, an orthophonist, a psychologist and otologist. At about 5 years old, the orthodontic approach begins with palatal expansion with a modified quadhelix to prepare function its treatment is underwent at this age too. After the age of 9-10 years the orthodontic treatment continued on the permanent teeth. If necessary, the sequelae on maxilla, lips and nose are treated at the end of the adolescence.
authors.affiliation: Service de stomatologie, chirurgie maxillo-faciale et chirurgie plastique, (Pr. J.F. Compère), CHU, avenue Côte de Nacre, 14033 Caen, France. compere-jf@chu-caen.fr
authors.forename: H
authors.initials: H
authors.lastname: Bénateau
authors.forename: J L
authors.initials: JL
authors.lastname: Roffé
authors.forename: D
authors.initials: D
authors.lastname: Cabouret
authors.forename: D
authors.initials: D
authors.lastname: Labbé
mesh_terms: D000046:Academic Medical Centers; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005602:France; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009971:Orthodontics, Corrective / Q000379:methods; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods*
vernacular_title: Prise en charge des fentes labio-maxillo-palatines au centre hospitalier universitaire de Caen.