Main description:

Globally there is a burden of approximately 1, 70,000 new cases of cleft lip and palate every year, yet there is no single comprehensive resource on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft palate cases; from Primary repair to management of palatal fistula. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and his team has performed more than 44,000 surgeries, restoring Smile and good speech to thousands of patients across the globe. It covers all variants and different types of cleft palate cases, including both primary cases as well as in previously operated cases. It starts with an in-depth elaboration on anatomy, physiology, and pathology of the (normal) palate and cleft palate, moving towards classification and identification of different types of palatal fistula and their management with the help of clear flow charts and simple algorithms, enabling better diagnosis and decision making. With over 1500 high definition colored images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each and every type of cleft palate and palatal fistulae. . The underlying objective of such surgeries is to best restore a barrier between the nasal and oral cavities. and better speech production, which is highlighted amply in each chapter.

This atlas is a valuable resource for all plastic surgeons, pediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate surgeries.

Contents:

Section 1: Anatomy and Patho-Phsyiology of Cleft Palate
1. Anatomy of Normal Palate2. Anatomy of Cleft Palate3. Physiology of Normal Palate4. Patho-Physiology of Cleft Palate
Section 2: Classification of Cleft Palate
5. Bifid Uvula, 6. Cleft of 50% of soft palate, 7. Complete cleft of Soft Palate, 8. Incomplete Cleft Palate( involving posterior half of hard palate,9. Incomplete Cleft Palate involving anterior half of hard palate10. Bilateral Incomplete Cleft Palate involving anterior half of hard palate11. Bilateral Complete Cleft Palate12. Bilateral Asymmetric Cleft Palate 13. Sub Mucous Cleft Palate14. Wide Cleft Palate
Section 3: Objectives of Palate Repair
15. Rationale of Cleft Palate Repair16. Repair of Bifid Uvula17. Repair of Cleft of 50% of soft palate, 18. Repair of Complete cleft of Soft Palate, 19. Repair of Incomplete Cleft Palate involving anterior half of hard palate20. Repair of Incomplete Cleft Palate involving posterior half of hard palate21. Repair of Bilateral Incomplete Cleft Palate22. Repair of Bilateral Complete Cleft Palate23. Repair of Bilateral Asymmetric Cleft Palate 24. Repair of Sub-Mucous cleft palate25. Repair of wide cleft palate
Section 4: Techniques & Innovations
26. Radical Dissection of Greater Palatine Artery 27. Continuous Running sutures for Palate Repair28. Methods of Lengthening of Short Palate
Section 5: Types of Repair
29. Langenbeck Repair 30. Modified Langenbeck Repair. Right incision only 31. Modified Langenbeck Repair. Left Incision only32. Soft Palate Repair with no lateral incisions33. Modified Furlow's Repair34. Bardach Two Flap Palatoplasty for Unilateral Cleft Palate35. Vomer Flap for Unilateral Cleft Palate36. Bardach Two Flap for Bilateral Complete Cleft Palate37. Pharyngeal Flap during Primary Palate Repair38. Third Generation Veloplasty
Section 6: Post Operative Management of Cleft Palate Repair
39. Post-Op Management Protocol
Section 7: Complications of Cleft Palate Repair
40. Post operative bleeding and Red Code41. Fistula, 42. Dehiscence43. Short Palate44. Velopharyngeal Incompetence
Section 8: Pakistan Comprehensive Fistula Classification
45. Midline Fistulae46. Lateral Fistulae47. SubTotal Fistula48. Multiple Fistulae (MF)49. Fistula Adjacent Regions (FAR)
Section 9: Management of Midline Fistulae
50. Management of M1/M2 Fistula51. Management of M3 Fistula52. Management of M4 Fistula53. Management of M5 Fistula54. Management of M6 Fistula

Section 10: Management of Lateral Fistula
55. Management of La Fistula56. Management of Ra Fistula57. Management of Lb Fistula58. Management of Rb Fistula59. Management of Rc & Lc Fistula

Section 11: Management of Subtotal Fistulae
60. Subtotal Left Fistula61. Subtotal Right Fistula 62. Subtotal Bilateral Fistula
Section 12: Management of Multiple Fistulae
63. Multiple fistulae in Midline64. Multiple fistulae in Midline & Other locations
Section 13: Management of FAR (Fistula Adjacent Regions)
65. Management of FAR: M2-M366. Management of FAR: M2-M3-M467. Management of FAR: M2-M3-M4-M5
Sections 14: Difficult to Repair Secondary Palate Patients
68. Lengthening Anterior Palate by Unfolding of Distal Portion of Mucoperiosteal Flap in Anterior Fistula69. Management of patient with no pedicle during Palate Revision
Sections 15: Speech Therapy
70. Speech scoring system71. Speech therapy protocol after palate repair