ABSTRACT
Management of secondary maxillary and nasal deformities in the adolescent cleft patient can
present a formidable surgical challenge. The functional as well as aesthetic needs of each
patient must be given careful consideration. A team approach can optimize the preoperative
planning, procedure selection, and postoperative management. Teammembers include Speech
and Language Pathologist, Orthodontist, Dentist, Prosthodontist, and Psychologist. The
author’s management protocol for surgical correction of deformities of the midface and nose
in adolescent patients is presented. This has been successfully used at Children’s Healthcare of
Atlanta for over 17 years.
