title: Cleft Palate Repair, Gingivoperiosteoplasty, and Alveolar Bone Grafting.
abstract: Repair of the cleft palate intends to establish the division between the oral and nasal cavity, thereby improving feeding, speech, and eustachian tube dysfunction all while minimizing the negative impact on maxillary growth. Before palate repair candidacy, timing and surgical method of repair is dependent on comorbid conditions, particularly cardiac disease, mandibular length, and palate width. Additionally, management of the alveolar cleft and the indications for gingivoperiosteoplasty versus secondary alveolar bone grafting is a controversial topic that weighs the risks and benefits of potentially sparing the patient an additional surgery against iatrogenic restriction of facial growth and malocclusion.
authors.affiliation: Department of Otolaryngology, Emory University School of Medicine, 550 Peachtree Street NE, 9th Floor MOT, Atlanta, GA 30308, USA. Electronic address: Steven.goudy@emory.edu.
authors.forename: Ashley M
authors.initials: AM
authors.lastname: Dao
authors.affiliation: Division of Pediatric Otolaryngology, Emory University School of Medicine, Children's Healthcare of Atlanta, 2015 Uppergate Drive, Atlanta, GA 30322, USA.
authors.forename: Steven L
authors.initials: SL
authors.lastname: Goudy
mesh_terms: D064728:Alveolar Bone Grafting / Q000379:methods; D002972:Cleft Palate / Q000145:classification / Q000175:diagnosis / Q000235:genetics / Q000601:surgery*; D005260:Female; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D056888:Patient Positioning; D019990:Perioperative Care / Q000379:methods; D011247:Pregnancy; D011296:Prenatal Diagnosis; D013997:Time Factors
keywords: Alveolar bone grafting; Cleft palate; Cleft palate repair; Furlow palatoplasty; Gingivoperiosteoplasty