SURGICAL TACTICS TO ELIMINATE COMPLEX VARIANTS OF CONGENITAL CLEFT PALATE

Abstract

The scientific justification and practice of surgical methods ofcorrection of congenital cleft lip and palate are widely presented in the specialized literature concerning various types of lesions of the maxillofacial region [7, 13, 20, 21, 23-25]. At the same time, the results of international and domestic experienceand scientific research on these issues contribute to the development and implementation of new methods for correcting facial and jaw deformities, continuous improvement of surgical and rehabilitation techniques, the application of innovations in the pediatric healthcare system itself and the accumulation of experience in specialized areas of practice [1, 4, 17 , 19, 20, 23, 24]. In addition, the use of "additional materials" -types of implants (for example, plastic, biologically inert metal), which are surgically implanted into the destroyed structures of the maxillofacial region and meet the requirements of safety, indifference to surrounding tissues, targeted regeneration and the formation of adequate support for the restoration of the upper jaw, including using existing "classic" techniques, detailed and updated. classic" techniques, detailed and updated [5, 6, 8, 9, 15]. In most cases, the use of new surgical techniques of zygoplasty and ureteroplasty requires comprehensive medical and rehabilitation measures with the participation of highly qualified specialists of various profiles, however, it should be emphasized that the main stage of the algorithm of comprehensive care is the operation must be performed [7, 11, 13, 14, 16, 18, 21]. In parallel, theauthors of scientific research note that surgical methods for eliminating congenital clefts of the face and palate are constantly developing and becoming more rational: multi-stage surgical interventions are excluded, and the restoration of maxillofacial structures is achieved by two to three years of a child's life [2, 3, 7, 11].