# SUMMARY

SUMMARY

Cleft care has been the subject of  significant reorganisation in recent years. Coordinated care is provided in most countries by MDTs. Specific training pathways exist in many countries for cleft surgery . Better collection and collation of  outcome data will drive evidence-based improvements in care and service development. Summary box 50.6 - Summary of care for patients with cleft lip and/or palate /uni25CF s /uni25CF /uni25CF /uni25CF - /uni25CF 

Cleft surgery in infants is time sensitive
Aesthetic and functional outcomes are important and are
measured
Surgery involves restoration of muscle position to as close to
normal as possible
Planned surgery includes bone grafting in children with
alveolar involvement
Revision/secondary surgery optimises aesthetic and functional
outcomes



(b)
Figure 50.11
(a)
Pro
/f_i
le of a class III skeletal relationship and maxillary
hypoplasia and mandibular prognathism.
(b)
Lateral skull radiograph.
(c)
Pro
/f_i
le following bimaxillary osteotomy.
(d)
Postoperative radio
graph following bimaxillary osteotomy demonstrating internal
/f_i
xation.
(e)
Schematic representation of bimaxillary osteotomy with maxillary
advancement and mandibular retrusion (courtesy of William P Smith).
(d)
(e)
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