Cleft Maxillary Reconstruction

This book aims to teach the reader about all aspects of maxillary cleft reconstruction, with emphasis on management of the patient born with a congenital anomaly, cleft lip and palate, which will usually have been managed by several different providers during earlier childhood. Clinical anatomy, clinical and imaging assessment (including the role of CBCT), orthodontic considerations, surgical repair techniques, the approach in special situations, and outcome evaluation are all thoroughly described. While the focus is especially on the patient with mixed dentition, due attention is paid to prior influences on that stage, as well as to the changes that will occur subsequently.

Maxillary cleft reconstruction is a uniquely multidisciplinary component in reconstruction of cleft lip and palate. It is one of the most complex phases of rehabilitation, wherein orthodontics, dentistry, and surgery are immediately involved but presentation and eventual outcomes are heavily influenced by operations during the first year of life and by growth that is unpredictable and iatrogenically altered. This book will be of high educational and practical value to all who have an interest in the management of patients with cleft lip and palate. 

 Chapter 2: Clinical and Diagnostic Anatomy

 Chapter 3: Clinical and Diagnostic Findings During Mixed Dentition

 Chapter 4: Orthodontic Considerations for Patients with Cleft Lip and Palate

 Chapter 6: Surgical Repair of Maxillary Unilateral Cleft Defect

 Chapter 7: Surgical Repair of Maxillary Bilateral Cleft Defect

 Chapter 8: Special Situations

 Chapter 10: Establishing the Final Occlusion

 Chapter 11: Patient Outcomes forMaxillary Cleft Management: Literature Review and Guiding Principles

Pat Ricalde, DDS, MD, FACS, works in private practice at the Florida Craniofacial Institute (FCI), where she is the Director of the FCI fellowship program in cleft and craniofacial surgery, as well as the Director of the Tampa Bay Cleft and Craniofacial Center.  She is also an associate professor at the University of South Florida. After graduating magna cum laude from dental school at the University of Maryland in Baltimore, Dr. Ricalde continued her education in Baltimore, first completing medical school and then an Oral and Maxillofacial Surgery residency at the University of Maryland and Shock Trauma Center. After finishing residency, she completed a fellowship with internationally renowned Dr. Jeffrey C. Posnick.  Dr. Ricalde is the author of numerous publications and book chapters and lectures both nationally and internationally on the subject of pediatric craniofacial surgery. She often participates in international mission trips, and is a passionate advocate for children with facial differences.