title: [Secondary treatment of cleft lip and palate].
abstract: For 18 years our protocol has corrected the cleft lip nose and achieved an intravelar veloplasty at the time of the first operation, leaving the least scaring as possible. No doubt that the best treatment of the sequellae is their prevention: - the oro-nasal fistulas have disappeared; the nostril is almost normal; the continuity of a wide maxillary arch is restored in primary dentition - all that favor a nasal ventilation. This context has changed the nature of the secondary treatment described here. When lip and nose are not good enough we must address the residual deformities with the primary surgery principles. The velopharyngeal insufficiency calls for a velar re-repair and the pharyngeal depth is to be reduced by lipofilling. The rare cases of failure are improved by an Orticochea sphincteroplasty.
authors.affiliation: Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France. Electronic address: jeanclaude.talmant@libertysurf.fr.
authors.forename: J C
authors.initials: JC
authors.lastname: Talmant
authors.affiliation: Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France. Electronic address: talmantsecretariat@yahoo.fr.
authors.forename: J C
authors.initials: JC
authors.lastname: Talmant
authors.affiliation: Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Lumineau
mesh_terms: D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D014681:Velopharyngeal Insufficiency / Q000601:surgery
keywords: Cleft lip; Cleft palate; Développement maxillo-facial; Facial growth; Fente labiale; Fente palatine; Maxilla; Maxillaire; Nez; Nose