Overview

Secondary deformities in cleft lip and palate arise from the original defect or surgery and require careful, multidisciplinary management. Revisions often occur around ages 4-5 and adolescence to address functional and social issues. Premaxillary setback with rhinoplasty corrects bilateral cleft deformities without harming growth. Alveolar bone grafting, timed with dental development, supports function and aesthetics. Severe maxillary hypoplasia is best treated with distraction osteogenesis, which provides stable advancement and less relapse than traditional surgery, improving outcomes in cleft patients. So the aim of this book is to cover various management of secondary deformity of cleft lip and palate.

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