Librería Servicio Médico

Author: Samuel Berkowitz

Language: English

Finishing: Hardcover, 982 pages

ISBN: 978-3-642-30769-0

Edition Number: 2013

Author Information:

Dr. Samuel Berkowitz, an orthodontist, was a Clinical Professor of Pediatrics and Surgery associated with the South Florida Craniofacial Anomalies Program at the University of Miami School of Medicine. He was also Adjunct Clinical Professor at Nova Southeastern University College of Dentistry – Orthodontic Department, and Adjunct Clinical Professor of Orthodontics at the University of Illinois College of Dentistry. His main goal is to develop teaching materials in cleft palate for professionals in plastic and oral surgery, orthodontics, and speech language pathology. He is a past President of the American Cleft Palate Association Educational Foundation, and the Florida Cleft Palate Association, and was President of the Miami Craniofacial Anomalies Foundation. Dr. Berkowitz was active in the American Association of Orthodontics, Florida Cleft Palate Association, and The Edward Angle Society of Orthodontists. He has published widely in medical and cleft palate journals and is the author of Volume I and the editor of Volume II of Cleft Lip and Palate Perspectives In Management – First Edition; he coauthored Plastic Surgery of the Facial Skeleton with S.A Wolfe, M.D, and wrote The Cleft Palate Story for parents of a child born with a cleft. Dr. Berkowitz is a popular speaker on cleft lip/palate topics and has presented many workshops and seminars in the USA and abroad.

His research interest focused on improving surgical-orthodontic treatment planning for cleft lip and palate children as well as those with other craniofacial anomalies. Dr. Berkowitz was project director of a clinical research program that was studying the long-term effects of various surgical treatment procedures on palatal and facial growth and development. He created a quantitative method for determining when to close the palatal cleft space, based on the 10% ratio of the cleft space to the area of the surrounding palatal surface medial to the alveolar ridges. He has created an audiovisual Power-Point lecture series for surgeons and orthodontists to enable them to better understand and teach others the effects of surgery on the face from birth through adolescence.

Dr. Berkowitz has been awarded the title “Honoree” by the Edward Angle Society of Orthodontists, and “Honoree” by the First World Congress of the International Lip and Palate Foundation for his many contributions to the field of cleft lip and palate treatment. His extensive serial clinical records of dental casts, lateral cephaloradiographs, facial and intraoral photographs, and panorexes are in the National Museum of Health and Medicine (associated with Walter Reed Hospital’s Institute of Pathology in Washington D.C), where they will be available for continued study.

Description:

• Reviews treatment concepts in all areas of cleft involvement, based on longitudinal facial and palatal growth studies
• Explains how all treatment goals – good speech, facial aesthetics, dental occlusion, and psychological development – may be realized
• Written by an international team of experienced clinicians
• Revised and updated edition, with several new chapters

Cleft Lip and Palate: Diagnosis and Management is an unparalleled review of treatment concepts in all areas of cleft involvement presented by an international team of experienced clinicians. A unique feature of the book is that it largely consists of longitudinal facial and palatal growth studies of dental casts, photographs, panorexes, and cephalographs from birth to adolescence. Throughout the discussion of growth and treatment concepts, the importance of differential diagnosis in treatment planning is underscored. The underlying argument is that all of the treatment goals – good speech, facial aesthetics, dental occlusion, and psychological development – may be realized without the need to sacrifice one for another.

In this third edition, further successful physiological treatment protocols are considered and the occurrence and prevention of relapses after some surgical treatments are discussed; again, all solutions are backed up by follow-up records. Additional topics not previously covered include strategies for coping with psychological effects on patients and intra-team conflict, the excellent clinical work being undertaken in Asia, and future multicenter palatal growth studies. It is the editor’s hope that, by drawing on the wealth of experience contained in the book, clinicians will be better able to evaluate current treatment practices and concepts and to improve planning of their own treatment procedures.

Table of Contents:

Part I Facial Embryology and Neonatal Palatal Cleft Morphology

• Embryogenetics of Cleft Lip and Palate 
• The Value of Longitudinal Facial and Dental Casts Records in Clinical Research and Treatment Analysis 
• Facial and Palatal Growth

Part II Types of Clefts

• The Effect of Clefting of the Lip and Palate and the Palatal Arch Form 
• Alternative Method Used to Correct Distorted Neonatal Cleft Arch Forms 
• Complete Unilateral Cleft of the Lip and Palate
• Complete Bilateral Cleft Lip and Palate
• Lip Pits: Orthodontic Treatment, Dentition, and Occlusion – Associated Skeletal Structures

Part III Facial Growth in Cleft Palate Children

• Characteristics of Facial Morphology and Growth in Infants with Clefts 
• A 25-Year Longitudinal Facial Growth Study of Unilateral Cleft Lip and Palate Subjects from the Sri Lankan Cleft Lip and Palate Project
• Airway Management in Patients with Robin Sequence 
• Pierre Robin Sequence

Part IV Audiology/Otology

• Management of Otopathology and Hearing Loss in Children with Cleft Palate and Craniofacial Anomalies

Part V Effects of Surgery and How It Was Utilized

• Palatal Wound Healing: The Effects of Scarring on Growth 
• Facial Growth Related to Surgical Methods

Part VI Lip and Palate Surgery: Millard–Berkowitz Protocol

• The Influence of Conservative Surgery on Growth and Occlusion 
• Choosing the Best Time for Palatal Surgery

Part VII Another Tested Good Surgical Procedure

• Two-Stage Palatal Surgery with Early Veloplasty and Delayed Hard Palate Repair: A Balanced View on Speech and Midfacial Growth Outcome

Part VIII Facial Growth: Time Is the Patient’s Ally

• Management of the Premaxilla/Maxilla in Bilateral Cleft Lip and Palate

Part IX Presurgical Orthopedics

• Neonatal Maxillary Orthopedics: Past to Present
• A Comparison of the Effects of the Latham–Millard POPLA Procedure with a Conservative Treatment Approach on Dental Occlusion and Facial Aesthetics in CUCLP and CBCLP

Part X Midfacial Orthodontic/Orthopedic and/or Surgical Changes

• Protraction Facial Mask 
• Protraction Facial Mask for Early Correction of Midfacial Retrusion: The Bergen Rationale
• LeFort I Osteotomy

Part XI Orthognathic Surgery

• Cleft Jaw Deformities and Their Management 
• Secondary Bone Grafting of Alveolar Clefts 
• The Need for Differential Diagnosis in Treatment Planning

Part XII Distraction Osteogenesis

• Rigid External Distraction: Its Application in Cleft Maxillary Deformities
• Remodeling the Mandible by Distraction Osteogenesis
• Management of Maxillary Deformities in Growing Cleft Patients 
• Preventing Relapse Following Distraction Osteogenesis for the Cleft Midface in Adults

Part XIII Speech

• Diagnostic Procedures and Instruments Used in the Assessment and Treatment of Speech
• Variations in Nasopharyngeal Skeletal Architecture 
• The Velopharyngeal Mechanism 
• Surgical Management of Velopharyngeal Dysfunction 
• Velopharyngeal Dysfunction Management Algorithms
• Optimal Age for Palatoplasty to Facilitate Normal Speech Development: What Is the Evidence? 
• Speech, Language, and Velopharyngeal Dysfunction: Management Throughout the Life of an Individual with Cleft Palate 
• Prosthetic Speech Appliances for Patients with Cleft Palate 
• Palatal Lift Prosthesis for the Treatment of Velopharyngeal Incompetency and Insufficiency

Part XIV Third World Cleft Treatment

• Cleft Palate Treatment in Developing Countries of Africa
• Birthing and Building Nascent Cleft Teams in Developing Countries
• Challenges in Cleft Care in Underdeveloped Countries

Part XV Psychological/Team Function

• Examining the Team Process: Developing and Sustaining Effective Craniofacial Team Care 
• Living with a Cleft: Psychological Challenges, Support and Intervention 
• Managing Teasing and Bullying

Part XVI Multicenter Clinical Reports

• Eurocleft and Americleft Studies: Experiments in Intercenter and International Collaboration

Part XVII Recording Patient Orthodontic/Surgical Findings

• Berkowitz Recording Patient Information Form

Part XVIII The Patient’s World

• Social, Ethical, and Health Policy Issues in the Care of Children with Major Craniofacial Conditions

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