Treatment of cleft lip and palate ordinarily requires multiple interventions spanning the time of birth to adulthood. Restriction of facial growth, a common occurrence in affected children, is due to multiple factors. There are multiple surgical and therapeutic options, which may have influence on facial growth in these patients. As restriction to facial development can have significant implications to form, function, and psychological well-being, practitioners should have an appreciation for the effects of the different cleft therapies to facial growth. We have outlined and thoroughly reviewed in chronological order all of the interventions from birth to adulthood necessary in the comprehensive care of the patient with cleft lip and palate, along with the effects they may or may not have on facial growth.
From the *Division of Plastic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX; and
†Department of Plastic Surgery, NYU Langone Health Hansjörg Wyss, New York, NY.
Received October 14, 2018, and accepted for publication, after revision November 24, 2018.
Conflicts of interest and sources of funding: none declared.
Reprints: Scott J. Farber, MD, University of Texas Health Science Center San Antonio, Division of Plastic Surgery. E-mail: firstname.lastname@example.org.