One-Stage and Two-Stage Surgical Closures of Cleft Lip and Palate: A Review
Oro-facial clefts are the most common facial defects that challenge treatment success. Treatment for these particular defects needs a proper interdisciplinary approach, which includes medical and dental assessments. Primary surgical repair of nose, lip and/or palate in patients with complete clefts is the fundamental step in treatment. Protocols for the primary treatment vary; however, two approaches are generally accepted, albeit with controversy. One is the repair of all those structures in one surgical session or “one-stage closure.” The other is the separation of the operations on the nose /lip and palate, known as “two-stage closure.” The background and a comparison of those different approaches are revealed in this article.
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