MULTISTAGE RECONSTRUCTIVE SURGICAL TREATMENT OF PATIENTS WITH CONGENITAL CLEFT LIP AND PALATE

Abstract

The article presents the experience of comprehensive surgical treatment of 685 children with congenital cleft lip and palate, performed at the Osh Interregional Joint Clinical Hospital. The aim of the study is to improve the effectiveness of surgical treatment for congenital clefts of the upper lip, palate, and alveolar process of the maxilla, as well as to restore the aesthetic integrity of the facial skeleton through rhinoplasty. Modern and adapted correction techniques are considered, including modified cheiloplasty, uranoplasty, autologous bone grafting of the alveolar process, and open rhinoplasty, taking into account the patients’ age and anatomical-physiological characteristics. The chosen strategy of staged surgical intervention – from early defect correction to final reconstructive operations during adolescence – makes it possible to achieve stable functional and aesthetic outcomes, contributing to the child’s full physical, speech, and psycho-emotional development. The high clinical efficacy of the staged approach, comprehensive patient management, and active involvement of their families in the treatment process is demonstrated. The obtained results confirm the importance of introducing the authors’ techniques and multidisciplinary rehabilitation to achieve stable functional-aesthetic outcomes and to improve the quality of life of children with congenital maxillofacial deformities. A comprehensive and innovative approach to the treatment of congenital maxillofacial deformities is the key to successful rehabilitation and socio-psychological adaptation of patients. This necessitates further research and the implementation of new technologies to optimize the treatment process.