Cleft lip

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1. Discuss incidence, genetics, causes and abnormal anatomy seen in cleft lips.

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2. When should you schedule a newborn with a cleft lip for repair?  Why?

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3.  How is a lip adhesion done? Why is it advocated by Millard?

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4.  Discuss preoperative orthodontics. What applicances are used? When and how are they used?

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5.  Discuss Millard's rotational repair for a unilateral cleft lip.

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6.  What are two ways of repairing a unilateral cleft lip other than Millards rotation advancement?

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7.  Name three repairs used for bilateral cleft lip. What are the common problems
after the repair?

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8.  When and how will you repair a cleft nose deformity initially?

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9.  What do you do with a severely protruding maxilla in a bilateral cleft lip?

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10.  When should you bone graft the alveolus?

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11.  Discuss in utero repair of a cleft lip.

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12.  Discuss the advantages and disadvantages of lip repair at 1 week of age.

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13.  What postop routine is used for a cleft lip patient?

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14. Can a cleft lip breast feed pre-op? Post-op?

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15. How do repaired lips do long term? PRS 96:549, 1995.

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16. When is enough enough? Read Clinic in PS Jan 1990, pg 37.

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