Methodological algorithm for eliminating congenital asymmetric cleft of the upper lip and palate

Abstract

Relevance. The current view of the problem of specialized care for children with congenital cleft upper lip and palate in the literature is described as a system-forming complex of medical and surgical aids. The issue of the further development of individual methods and algorithms for the rehabilitation of children of complex types of cleft, showing a pronounced asymmetry of the affected tissues, remains an urgent issue. The creation of «special» algorithms for therapeutic tactics and the choice of the method of surgical benefits of asymmetric forms of cleft upper lip and palate involves the interaction of each specialist, taking into account the variety of clinical characteristics of complex defects.Purpose. On specific clinical material describe the features of the algorithm for eliminating the asymmetric cleft of the upper lip and palate, taking into account the author’s methods of cheilorino-palatoplasty.Materials and methods. For the period 2015-2019. a group of patients (62 patients) with congenital asymmetric cleft of the upper lip and / or palate, including those with deficiency of their own tissues, was studied in the Multiprofile Clinical Medical Center «Bonum». The study used clinical, anthropometric, statistical methods, analysis of photographs of patients.Results. An algorithm has been developed to eliminate a complex variant of damage to tissues and structures of the maxillofacial region, taking into account the proprietary technologies for surgical care.Conclusions. The proposed methodological algorithm for the treatment tactics of complex clinical and anatomical variants of the cleft of the upper lip and / or palate allows us to assess the severity of damage of the maxillofacial region, establish indications for the use of additional therapeutic methods for orthodontic-surgical preparation for cheilorino-palatoplasty and adequately choose the method of surgical intervention.The use of original methods for surgical removal of asymmetric clefts of the upper lip and / or palate, including “wide” crevices with a deficit of their own tissues, increases the effectiveness of surgical and rehabilitation tactics in the general complex of specialized care for patients with complex tissue lesions of the maxillofacial region.The awareness of maxillofacial surgery doctors and rehabilitation dentistry specialists about modern methods of surgical care, about an improved methodological algorithm for eliminating asymmetric cleft upper lip and / or palate, including with deficiency of own tissues, can serve as a «road map» for the development of a specialized interdisciplinary health recovery complex this category of patients.