Survivors of cleft lip and palate number in the thousands in Brazil and have long been a concern of the medical professionals there. In 1992, in the small town of Bauru, a multidisciplinary international team of medical professionals joined forces to implement a scientific approach to treatment that would successfully repair the defect and then reintegrate the person into society. This book documents the first ever international team approach to providing complete surgical and prosthetic rehabilitation 23 adults with severe craniomaxillofacial defects. Each had experienced significant functional and psychosocial problems and had not responded successfully to prior treatment. The team of professionals provided comprehensive treatment including not only surgical repair of the defect and facial esthetic improvement, but also speech correction, psychologic issues, and prosthetic management, typically with osseointegrated implants. Each case study summarizes in detail what was achieved for the patient and explains how the team adapted their surgical and prosthetic experience to achieve successful rehabilitation. Includes clinical photos and a step-by-step analysis of each treatment plan and follow-up care.
148 pp; 344 illus;