Unità Operativa di Chirurgia Plastica e Sezione di Microchirurgia, Pisa
THE TREATMENT OF CLEFT-PALATE
Key words: Cleft palate
This is a review article on the treatment of
cleft palate particularly devoted to stress the
importance of a multidisciplinary approach.
In Italy, the overall incidence of the different
forms of cleft palate is 1:830 newborns.
Cleft palate may be associated to
congenital heart disease (5%), lower limbs
abnormality (11%) and ears defects (21%)
and may be a part of the clinical picture of
chromosomal diseases such as monosomy
4 and trisomy 11 and 13.
The Authors present their experience in approaching
the problem as a multidsciplinary
team. All cases are seen very early by
the plastic surgeon who plans the timing
and the technique of surgical interventions.
The geneticist is involved for genetic counselling
and the psychologist for communication
of diagnosis. Ent specialist and neurologist
are also consulted in all cases with
cleft palate. The importance of orthodontical
and of neuroradiological follow-up for
obtaining a succesfull correction of cleft palate