From birth to maturity: A group of patients who have completed their protocol management. Part III. Bilateral cleft lip-cleft palate

David John David, Ian Smith, Michael Nugent, Christina Richards, Peter John Anderson

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26 Citations (Scopus)


Background: The optimal management of cleft lip-cleft palate patients presents a formidable challenge to the cleft surgeon. This is especially so in the case of bilateral cleft lip-cleft palate, and the long-term management in a multidisciplinary setting is essential. This study presents the results of the specific management protocol at the Australian Craniofacial Unit for patients with bilateral cleft lip-cleft palate who have completed their protocol treatment under the care of a single surgeon (D.J.D.) during the period 1974 to 2006. Methods: A retrospective study of the outcomes in relation to facial growth, speech, hearing, and occlusion is presented of patients with bilateral cleft lip-cleft palate. Results: Nineteen cases were identified from the departmental database, 12 male patients and seven female patients. Six patients with severe craniofacial deformities who had bilateral cleft lip-cleft palate were excluded. Cephalometric analysis at skeletal maturity identified that a majority of cases had midface hypoplasia requiring midface advancement in 14 cases. Speech and hearing outcomes were worse when compared with other clefting types. Conclusion: Overall, these results demonstrate that facial growth is more affected in bilateral cleft lip-cleft palate patients than in either unilateral cleft lip-cleft palate or isolated cleft palate patients.

Original languageEnglish
Pages (from-to)475-484
Number of pages10
JournalPlastic and Reconstructive Surgery
Issue number2
Publication statusPublished or Issued - Aug 2011
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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