gms | German Medical Science

There are numerous types of congenital craniofacial anomalies, the most common of which is cleft lip and/or palate, facial clefts and/or other craniofacial deformities. Although the incidence figures for more complex anomalies or syndromes such as Apert syndrome, Pierre Robin syndrome, Crouzon disease, mandibulofacialdysostosis or hemifacialmicrosomia are much lower than that for cleft lip and/or palate, the impact of craniofacial birth defects must be viewed in terms of the aggregate effect rather than the impact of any single entity.

Although the treatment of children with cleft lip/palate and other types of craniofacial anomalies in India has improved dramatically. The complex nature of many types of craniofacial anomalies often necessitates multiple operative procedures at different stages of development.Cleft repair is an integral part of the modern craniomaxillo-facial surgical spectrum and remains a challenge because of insufficient and malformed tissue (minor to major) at the site of the deformity. Clefts may involve the mouth, cheeks, eyes, ears and forehead and may continue into the hairline. This in itself will influence the short and long term aesthetic & functional outcomes. In addition, the type of surgical repair and at what age of repair also has a significant influence on the aesthetic and functional outcomes.

Our centre in the state of Odisha, India is dedicated to the treatment of all types of paediatric craniofacial deformities with over 2400 surgeries till date. The aim of this paper is to present the various defects and their clinical significance and special emphasis to team care.

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