It is most gratifying to be able to write a foreword to sity of Illinois School of Dentistry in 1959. From there this latest and most valuable addition to our com- he went to the University of Miami School of Medicine pendium of knowledge about cleft lip and palate. The to help develop,with Dr. D. Ralph Millard Jr. ,Chief of field has been close to my heart for over 50years,even Plastic Surgery,a craniofacial anomalies program and before I became Director of Research at Northwestern clinic (1960-1998). They collaborated in developing University's Cleft Lip and Palate Institute in 1948. an extensive collection of longitudinal records of den- It has been my good fortune to be associated with tal casts cephaloradiographs, panorexes, and pho- some of the outstanding pioneers in the Team Effort graphs from birth to adolescence. Dr. Berkowitz's approach - Herbert Cooper,Wayne Slaughter, Sam main goal was to create lasting treatment concepts Pruzansky, J. Daniel Subtelny, Howard Aduss, Jack based on a better understanding of the natural histo- Thompson, Alan Brodie, Herbert Koepp-Baker, ry of cleft palate and facial growth and development. Harold Westlake, Fred Merrifield, Wilton Marion This book discusses in detail the resulting treatment Krogman, Sam Berkowitz, Robert Ricketts, Margaret concepts,which are supported by in-depth case analy- Hotz, Rudi Hotz,Arnold Huddart, Sheldon Rosen- ses. stein, Bengt Johansson, Hans Friede, Mohammed Dr.

Inhalt
Facial Embryology and Neonatal Palatal Cleft Morphology.- Developmental Biology and Morphogenesis of the Face, Lip and Palate.- Prenatal Diagnosis of Oral Clefts.- The Value of Longitudinal Facial and Dental Casts Records in Clinical Research and Treatment Analysis.- Facial and Palatal Growth.- Alternative Method Used to Correct Distorted Neonatal Cleft Arch Forms.- Types of Clefts.- The Effect of Clefting of the Lip and Palate an the Palatal Arch Form.- Clefts of the Lip and Alveolus and Clefts of the Uvulae and Soft Palate.- Complete Unilateral Cleft of the Lip and Palate.- Complete Bilateral Cleft Lip and Palate.- Isolated Cleft Palate.- Submucous Cleft Palate.- Lip Pits; Orthodontic Treatment, Dentition and Occlusion; Associated Skeletal Structures.- Pierre Robin Sequence.- Facial Growth in Cleft Palate Children.- Characteristics of Facial Morphology and Growth in Infants with Clefts.- Facial Growth and Morphology in the Unoperated Cleft Lip and Palate Subject: The Sri Lanka Study.- A Brief Overview of Psychological Issues in Cleft Lip and Palate.- Craniofacial Psychology:New Directions.- Lip and Palate Surgery.- A Short History of Prepalatal Clefts.- Core Curriculum for Cleft Lip/Palate and other Craniofacial Anomalies.- Palatal Wound Healing:The Effects of Scarring on Growth.- Lip and Palate Surgery.- Diseases of the Ear in Children with Cleft Palate and Craniofacial Anomalies.- Timing of Cleft Palate Closure Should Be Based on the Ratio of the Area of the Cleft to That of the Palatal Segments and Not on the Age Alone.- Presurgical Orthopedics.- Neonatal Maxillary Orthopedics.- History of 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 andFacial Aesthetics in CUCLP and CBCLP.- Nasoalveolar Molding for Infants Born with Clefts of the Lip, Alveolus and Palate.- Surgical Treatment of Clefts of the Lip and Palate from Birth to Age Ten.- Midfacial Changes.- Protraction Facial Mask.- Protraction Facial Mask for the Correction of Midfacial Retrusion: The Bergen Rationale.- LeFort I Osteotomy.- Rigid External Distraction: Its Application in Cleft Maxillary Deformities.- Orthognathic Surgery.- Management of Maxillary Deformities in Growing Cleft Patients.- Remodeling the Craniofacial Skeleton by Distraction Osteogenesis - The Madible.- Cleft-Orthognathic Surgery.- Prevention of Relapse Following Cleftal Bone Grafting and the Future Use of BMP Cytokines to Regenerate Osseous Clefts Without Grafting.- Secondary Bone Grafting of Alveolar Clefts.- Speech Implication of Orthognathic Intervention.- The Nasopharyngeal Area.- Diagnostic Procedures and Instruments Used in the Assessment and Treatment of Speech.- Variations in Nasopharyngeal Skeletal Architecture.- The Velopharyngeal Mechanism.- The Nasal Airway in Breathing and Speech.- Surgical Management of Velopharyngeal Dysfunction.- Velopharyngeal Dysfunction Management Algorithms.- Speech.- 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.- The Future.- Summary of Treatment Concepts and a New Direction for Future Palatal Growth Studies.- Eurocleft An Experiment in Intercenter Collaboration.- Social, Ethical, and Health Policy Issues in the Care ofChildren with Major Craniofacial Conditions.