The Treatment of Cleft Lip and Palate in the Author’s Experience

YOSHIMURA Yohko

doi:10.11224/cleftpalate.47.194

This paper describes the author’s experience of treating cleft lip and palate and 40-year personal history as a plastic surgeon. The author has come to the conclusion that cleft lip and palate should be treated by a team of multidisciplinary members who are specialized at least in surgery, speech, and orthodontics. In the team of Fujita-Health University, the author has been responsible for lip repair, and through experience has learned the following: 1）Although the first lip surgery is the best opportunity to get the best result, it may sometimes leave an unsatisfactory result. 2）Cutting off too much tissue may make it impossible to repair or perform any surgery at a later date. 3）The scar tissue resulting from the surgery may disturb the growth of the tissue. 4）Without scar, the change and growth over time often progress in a more desirable direction. 5）It is beneficial for all patients to attain an average result by all team members rather than having an outstanding result by only one skilled surgeon. 6）Clear demonstration of the surgical procedure helps improve the skills of the team members. 7）Follow-up of surgical results and improvement of surgical procedures based on meticulous reviews should be continued.

The Treatment of Cleft Lip and Palate in the Author’s Experience

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