Cleft Palate

Chapter 4 of Volume 2, Head, Neck & Craniofacial. Revision notes for the FRCS (Plast).

What this chapter covers

• Palatogenesis: Formation of the Secondary Palate
• I. Functional Anatomy of the Palate
• I. Non-syndromic Clefts
• II. Syndromic Clefts
• Etiologic Factors of Clefts
• Palatoplasty and Maxillary Growth Why does palatoplasty affect growth?
• Oslo Protocol (Scandinavia two-stage palatoplasty)
• UK one-stage approach
• Von Langenbeck technique
• Two-flap technique (Bardach)
• Hybrid repair (Clarke)
• Veau-Wardill-Kilner (Pushback) Technique
• Vomerine flap closure of the hard palate
• Repair of the Soft Palate Reconstruction of the LVP muscle achieve normal velopharyngeal closure.
• Post-operative recovery
• Shprintzen’s Syndrome (22q11.2 Deletion Syndrome / Velocardiofacial Syndrome)
• Van der Woude Syndrome
• Stickler Syndrome (Hereditary Arthro-Ophthalmopathy)