PURPOSE: The controversy regarding the timing of repair of the deformities associated with @entity3384 still exists. The goal of this article is to present a versatile, universal philosophy of management of these deformities involving early repair. @entity1 AND METHODS: Over 20 years, 2,698 new @entity1 with @entity3384 deformities were treated. These included 1,298 unilateral and 320 @entity3384 @entity1 . The remaining @entity1 (1,018) had isolated @entity2419 . All @entity1 were operated according to the same protocol and the same surgical procedure. The treatment philosophy was based on early, wide myoperiosteal-periosteo-sutural reconstruction by a modified @entity177 at 3 months, followed by soft and hard functional palatoplasty at 9 months. RESULTS: All @entity1 were followed longitudinally and retrospectively. The parameters investigated were facial symmetry, presence or absence of @entity851 , and oropharyngeal and nasal function. The parameters studied indicated that when this treatment schedule was followed and the procedures were performed on time and according to the protocol, there was minimal @entity851 of the maxilla. When @entity8658 was performed in 25% of the @entity1 there was a sufficient amount of alveolar bone for eruption of the primary and permanent dentition. This negated the need for secondary alveolar bone grafting. The development of the upper lip was harmonious, and usually no further corrective procedures were necessary. The nose was usually well developed and functionally normal. CONCLUSION: Optimal rehabilitation of the @entity1 was achieved by following the principles and treatment strategies described. If the treatment principles are not incorporated in the functional repair (ie, joining of the primary and the secondary growth centers during corrective procedures), compromised results are to be expected.

Comprehensive management of XXXX deformities.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity8658 :: ('MESH:C580055', 'Disease') :: ['early gingivoperiosteoplasty'] @entity851 :: ('MESH:D006130', 'Disease') :: ['growth retardation'] @entity177 :: ('MESH:D051437', 'Disease') :: ['Delaire functional cheilorhinoplasty and alveolar gingivoperiosteoplasty'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['palatal clefts'] @entity3384 :: ('MESH:D002971', 'Disease') :: ['cleft lip and palate', 'bilateral cleft lip and palate']
@entity3384 :: (MESH:D002971,Disease) :: ['cleft lip and palate']
