title: Evidence-Based Medicine: Cleft Palate.
abstract: OBJECTIVE
  After studying this article, the participant should be able to: 1. Describe the incidence of cleft palate and risk factors associated with development of an orofacial cleft. 2. Understand differences among several techniques to repair clefts of both the hard and soft palates. 3. Discuss risk factors for development of postoperative fistulas, velopharyngeal insufficiency, and facial growth problems. 4. Establish a treatment plan for individualized care of a cleft palate patient.
  
  
  CONCLUSIONS
  Orofacial clefts are the most common congenital malformations of the head and neck region, and approximately three-quarters of these patients have some form of cleft palate deformity. Cleft palate repair is generally performed in children between 6 and 12 months of age. The goals of palate repair are to minimize the occurrence of fistulas, establish a normal velopharyngeal mechanism, and optimize facial growth. This Maintenance of Certification review discusses the incidence and epidemiology associated with cleft palate deformity and specifics associated with patient care, including analgesia, surgical repair techniques, and complications associated with repair of the cleft palate.
authors.affiliation: Providence, R.I.|From the Division of Plastic and Reconstructive Surgery, Department of Surgery, The Warren Alpert Medical School of Brown University.
authors.forename: Albert S
authors.initials: AS
authors.lastname: Woo
mesh_terms: D000367:Age Factors; D002972:Cleft Palate / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D007223:Infant; D021362:Palate, Hard / Q000601:surgery; D010160:Palate, Soft / Q000601:surgery; D011183:Postoperative Complications; D013060:Speech