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Skeletofacial Reconstruction for Cleft-Related Deformities: Four Decades of Evolving Cleft Care.
- Source :
-
Annals of plastic surgery [Ann Plast Surg] 2020 Jul; Vol. 85 (1), pp. 3-11. - Publication Year :
- 2020
-
Abstract
- Skeletofacial reconstruction in skeletally mature patients with cleft lip/palate can be challenging because of multifaceted condition-specific anatomical features in addition to several repercussions from surgical intervention during the growing period. This surgical report presents the history and evolving philosophy of cleft-skeletofacial reconstruction at the Chang Gung Craniofacial Center, a referral center for cleft care in Taiwan. The maximization of satisfactory function and the appearance outcome-burden ratio have been the fundamental aims for this team to develop and upgrade cleft-skeletofacial reconstruction over the past 4 decades, with more than 10,000 mature patients treated. The study highlights key lessons learned in outcome-based and patient-oriented changes over time until the current approach, which focuses on patient-centered care with a comprehensive, multidisciplinary, and team-based model. Substantial advances in surgical, orthodontic, anesthetic, and computer imaging aspects have contributed to improving and optimizing the correction of a broad spectrum of facial and occlusal deformities while ensuring safety, predictability, efficiency, and stability in outcomes. Understanding the development and refinement of cleft-skeletofacial reconstruction over the time and transferring these time-tested and scientifically validated protocols and principles to clinical practice may serve as a reliable foundation to continue the advancement and enhancement of the delivery of surgical cleft care worldwide.
Details
- Language :
- English
- ISSN :
- 1536-3708
- Volume :
- 85
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of plastic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 31913899
- Full Text :
- https://doi.org/10.1097/SAP.0000000000002187