title: Management of cleft lip and palate and cleft orthognathic considerations.
abstract: Cleft lip and palate are among the most common congenital anomalies in humans. The treatment of this group of patients is best conducted by a multidisciplinary team approach. This article discusses the accepted treatment algorithm and timeline, as well as special considerations for this patient group when performing orthognathic surgery. Patients with cleft lip and palate often present with significantly more technical and challenging procedures, so clinicians should familiarize themselves with these special considerations before attempting to care for these individuals.
authors.affiliation: Cleft and Craniofacial Surgery, Department Oral and Maxillofacial Surgery, The University of Oklahoma, 1201 North Stonewall Avenue, Oklahoma City, OK 73117, USA; Department of Oral and Maxillofacial Surgery, Louisiana State University, New Orleans, LA; San Antonio Military Oral & Maxillofacial Surgery Residency, Joint Base San Antonio, TX, USA.
authors.forename: Jeffrey N
authors.initials: JN
authors.lastname: James
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, USA.
authors.forename: Bernard J
authors.initials: BJ
authors.lastname: Costello
authors.affiliation: Craniofacial Disorders Program, Department of Pediatric Craniomaxillofacial Surgery, Arnold Palmer Hospital for Children, 83 West Columbia Street, MP 197, Orlando, FL 32806, USA. Electronic address: ramon.ruiz@orlandohealth.com.
authors.forename: Ramon L
authors.initials: RL
authors.lastname: Ruiz
mesh_terms: D000465:Algorithms; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D007223:Infant; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019857:Osteogenesis, Distraction; D010347:Patient Care Planning; D010348:Patient Care Team; D014681:Velopharyngeal Insufficiency / Q000601:surgery
keywords: Cleft lip and palate; Cleft orthognathic surgery; Distraction osteogenesis; Velopharyngeal insufficiency