Surgical Atlas of Cleft Palate and Palatal Fistulae

ISBN-13: 9789811581236 / Angielski / Twarda / 2022

Ghulam Qadir Fayyaz

Spis treści

Section 1: Anatomy and Patho-Phsyiology of Cleft Palate

1. Anatomy of Normal Palate

2. Anatomy of Cleft Palate

3. Physiology of Normal Palate

4. Patho-Physiology of Cleft Palate

Section 2: Classification of Cleft Palate

5. Bifid Uvula, 

6. Cleft of 50% of soft palate, 

7. Complete cleft of Soft Palate, 

8. Incomplete Cleft Palate( involving posterior half of hard palate,

9. Incomplete Cleft Palate involving anterior half of hard  palate

10. Bilateral Incomplete Cleft Palate involving anterior half of hard  palate

11. Bilateral Complete Cleft Palate

12. Bilateral Asymmetric Cleft Palate 

13. Sub Mucous Cleft Palate

14. Wide Cleft Palate 

Section 3: Objectives of Palate Repair 

15. Rationale of Cleft Palate Repair

16. Repair of Bifid Uvula

17. Repair of Cleft of 50% of soft palate, 

18. Repair of Complete cleft of Soft Palate, 

19. Repair of Incomplete Cleft Palate involving anterior half of hard palate

20. Repair of Incomplete Cleft Palate involving posterior half of hard palate

21. Repair of Bilateral Incomplete Cleft Palate

22. Repair of Bilateral Complete Cleft Palate

23. Repair of Bilateral Asymmetric Cleft Palate 

24. Repair of Sub-Mucous cleft palate

25. Repair of wide cleft palate

Section 4: Techniques & Innovations

26. Radical Dissection of Greater Palatine Artery 

27. Continuous Running sutures for Palate Repair

28. Methods of Lengthening of Short Palate 

Section 5: Types of Repair

29. Langenbeck Repair 

30. Modified Langenbeck Repair. Right incision only 

31. Modified Langenbeck Repair. Left Incision only

32. Soft Palate Repair with no lateral incisions

33. Modified Furlow’s Repair

34. Bardach Two Flap Palatoplasty for Unilateral Cleft Palate

35. Vomer Flap for Unilateral Cleft Palate

36. Bardach Two Flap for Bilateral Complete Cleft Palate

37. Pharyngeal Flap during Primary Palate Repair

38. Third Generation Veloplasty

Section 6: Post Operative Management of Cleft Palate Repair

39. Post-Op Management Protocol

Section 7: Complications of Cleft Palate Repair

40. Post operative bleeding and Red Code

41. Fistula, 

42. Dehiscence

43. Short Palate

44. Velopharyngeal Incompetence

Section 8: Pakistan Comprehensive Fistula Classification 

45. Midline Fistulae

46. Lateral Fistulae

47. SubTotal Fistula

48. Multiple Fistulae (MF)

49. Fistula Adjacent Regions (FAR)

Section 9: Management of Midline Fistulae

50. Management of M1/M2 Fistula

51. Management of M3 Fistula

52. Management of M4 Fistula

53. Management of M5 Fistula

54. Management of M6 Fistula

Section 10: Management of Lateral Fistula

55. Management of La Fistula

56. Management of Ra Fistula

57. Management of Lb Fistula

58. Management of Rb Fistula

59. Management of Rc & Lc Fistula

Section 11: Management of Subtotal Fistulae

60. Subtotal Left Fistula

61. Subtotal Right Fistula 

62. Subtotal Bilateral Fistula

Section 12: Management of Multiple Fistulae

63. Multiple fistulae in Midline

64. Multiple fistulae in Midline & Other locations

Section 13: Management of FAR (Fistula Adjacent Regions)

65. Management of FAR: M2-M3

66. Management of FAR: M2-M3-M4

67. Management of FAR: M2-M3-M4-M5

Sections 14: Difficult to Repair Secondary Palate Patients

68. Lengthening Anterior Palate by Unfolding of Distal Portion of Mucoperiosteal Flap in Anterior Fistula

69. Management of patient with no pedicle during Palate Revision 

Sections 15: Speech Therapy

70. Speech scoring system

71. Speech therapy protocol after palate repair

O autorze

Dr. Ghulam Qadir Fayyaz M.B.BS, M.S (Plastic surgery) graduated from Punjab Medical College, Faisalabad in 1983. He is currently working as a chief Plastic Surgeon at CLAPP Hospital, Lahore Pakistan. He has worked as former professor & head of the department of plastic surgery at Services Institute of Medical Sciences, Lahore. Dr. Fayyaz is the founder general secretary of CLAPP (Cleft Lip & Palate Association of Pakistan). He operates one of the highest cleft lip and palate correction programs in the world and his team has performed more than 42,000 cleft surgeries since 2003. He is also the life member, former president of Pakistan Association of Plastic Surgeons (PAPS 2020-22) and currently he is the chairman board of trustees of PAPS. He is the most sought international volunteer for free cleft lip & palate surgeries for Operation Smile International. Dr. Fayyaz is a well-recognized cleft surgeon across the globe and frequently performs cleft surgeries in high incidence countries such as Rwanda, Philippine, Mexico, Paraguay, Egypt, Malawi Ecuador and Morocco.

Blurb

Globally there is a burden of approximately 1, 60,000 new cases of cleft lip and palate every year, yet there is no single comprehensive source on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft lip and palate cases. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and has performed more than 34,000 surgeries, restoring function to numerous patients across the globe. It covers all variants and types of cleft lip and palate defects, including both primary cases as well as in previously operated cases. It starts with an in-depth elaboration on anatomy, physiology, and pathology of the (normal) palate and cleft palate, moving towards, classification and identification of defects with the help of clear flow charts and simple algorithms enabling better diagnosis and decision making. With over 1500 high definition images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each type of defect. The underlying objective of such surgeries is to best restore the good function of the palate and enable better speech production, which is highlighted amply in each chapter. 

This atlas is a valuable resource for all plastic surgeons, paediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate defect surgeries.