Craniofacial Anomalies Final Exam
cheiloplasty
cleft lip repair
Rule of 10s
Before receiving a cheiloplasty (cleft lip repair), the baby must meet a list of requirements of 10
weeks old, 10 pounds, and 10 gm of hemogoblin
all of the above
Why would someone delay receiving a cheiloplasty (cleft lip repair)?
A) surgery is risky, even for "healthy" individuals
B) gives time to investigate other potentially serious problems
C) presurgical orthopedics (NAMs) have more time to work
D) all of the above
presurgical orthopedics
helps narrow cleft segments and repositions the nasal cartilages
taping
a type of presurgical management involves bringing the cleft lip's two sides closer together
before surgery.
used in a unilateral or bilateral cleft lip
usually paired with a "bonnet" device for bilateral cleft lip
Latham appliance
A type of presurgical management that involves a dental appliance being pinned to segments of
the palate
The screw in the appliance is turned daily to close the gap,
takes 3-4 weeks
,nasal alveolar mold
a type of presurgical management that involves a combination of the Latham appliance and an
acrylic extension that helps form the nostril
It is labor intensive, requires the skills of a pedodontist or orthodontist
controversy of NAMS
relapse of structure formation is possible, lack of normal cartilage tissue in the nose, &
additional data is needed later in childhood after growth ceases.
lip adhesion
a type of presurgical management that is a surgical procedure similar to gluing.
goal is to have less tension at the line of repair
requires gen. anesthesia, therefore has limited acceptance
this is a TEMPORARY closure
around 2.5-3 months old (between 4 and 12 weeks)
When is a unilateral cleft lip normally repaired?
A) around 1.5-2 months old (between 2 and 10 weeks)
B) around 2.5-3 months old (between 4 and 12 weeks)
C) around 3.5-4 months old (between 6 and 14 weeks)
D) around 4.5-5 months old (between 8 and 16 weeks)
False, one side may go first and the other a few weeks later
True or false: Bilateral cleft lips are surgically corrected simultaneously on both sides in the
same surgery.
A) True
B) False, one side may go first and the other a few weeks later
philtral ridges
Plastic surgeons attempt to place scars along naturally occurring lines, such as....
, Millard repair
"cut as you go"
also known as "rotation advancement flap"
is used in 80% of cases of cleft lip repair
most anatomical
more difficult to repair
requires more artistry
Advantages of Millard repair
Normal philtrum is preserved, scar mimics the philtral ridge, and tissue is inserted at the top of
the lip (better nasal configuration)
upper lip is too short
What is the most common problem of the Millard repair?
A) upper lip is too long
B) upper lip is too short
C) lower lip is too long
D) lower lip is too short
Randall-Tennison repair
"cookie cutter"
also called "triangular flap technique)
used in 20% of cases
precise and measured surgery
Advantages of Randall-Tennison repair
Surgeons may like the security of a "fixed" technique.
Attempts to hide scar along the reconstructed ridge of the philtrum on the side of the cleft
nasal results are not as good
What is the most common problem of the Randall-Tennison repair?
A) nasal results are horrible
B) nasal results are not as good
C) voice quality is dramatically altered
D) voice quality is not as good
cheiloplasty
cleft lip repair
Rule of 10s
Before receiving a cheiloplasty (cleft lip repair), the baby must meet a list of requirements of 10
weeks old, 10 pounds, and 10 gm of hemogoblin
all of the above
Why would someone delay receiving a cheiloplasty (cleft lip repair)?
A) surgery is risky, even for "healthy" individuals
B) gives time to investigate other potentially serious problems
C) presurgical orthopedics (NAMs) have more time to work
D) all of the above
presurgical orthopedics
helps narrow cleft segments and repositions the nasal cartilages
taping
a type of presurgical management involves bringing the cleft lip's two sides closer together
before surgery.
used in a unilateral or bilateral cleft lip
usually paired with a "bonnet" device for bilateral cleft lip
Latham appliance
A type of presurgical management that involves a dental appliance being pinned to segments of
the palate
The screw in the appliance is turned daily to close the gap,
takes 3-4 weeks
,nasal alveolar mold
a type of presurgical management that involves a combination of the Latham appliance and an
acrylic extension that helps form the nostril
It is labor intensive, requires the skills of a pedodontist or orthodontist
controversy of NAMS
relapse of structure formation is possible, lack of normal cartilage tissue in the nose, &
additional data is needed later in childhood after growth ceases.
lip adhesion
a type of presurgical management that is a surgical procedure similar to gluing.
goal is to have less tension at the line of repair
requires gen. anesthesia, therefore has limited acceptance
this is a TEMPORARY closure
around 2.5-3 months old (between 4 and 12 weeks)
When is a unilateral cleft lip normally repaired?
A) around 1.5-2 months old (between 2 and 10 weeks)
B) around 2.5-3 months old (between 4 and 12 weeks)
C) around 3.5-4 months old (between 6 and 14 weeks)
D) around 4.5-5 months old (between 8 and 16 weeks)
False, one side may go first and the other a few weeks later
True or false: Bilateral cleft lips are surgically corrected simultaneously on both sides in the
same surgery.
A) True
B) False, one side may go first and the other a few weeks later
philtral ridges
Plastic surgeons attempt to place scars along naturally occurring lines, such as....
, Millard repair
"cut as you go"
also known as "rotation advancement flap"
is used in 80% of cases of cleft lip repair
most anatomical
more difficult to repair
requires more artistry
Advantages of Millard repair
Normal philtrum is preserved, scar mimics the philtral ridge, and tissue is inserted at the top of
the lip (better nasal configuration)
upper lip is too short
What is the most common problem of the Millard repair?
A) upper lip is too long
B) upper lip is too short
C) lower lip is too long
D) lower lip is too short
Randall-Tennison repair
"cookie cutter"
also called "triangular flap technique)
used in 20% of cases
precise and measured surgery
Advantages of Randall-Tennison repair
Surgeons may like the security of a "fixed" technique.
Attempts to hide scar along the reconstructed ridge of the philtrum on the side of the cleft
nasal results are not as good
What is the most common problem of the Randall-Tennison repair?
A) nasal results are horrible
B) nasal results are not as good
C) voice quality is dramatically altered
D) voice quality is not as good
