Long term results in cleft and palate repair with modified periosteal flap technique.

The authors describe their multidisciplinary approach to cleft lip and palate repair. The preoperative treatment is performed only in a few selected cases. The lip is operated on at 3 months of age with a periosteal flap, slightly modifying Skoog's technique. The cleft palate is closed at 18 months (Langenbeck method). The orthodontic treatment is undertaken at 6 or 7 years. 45 cases are periodically investigated (casts, masks, X-ray, cephalograms, records, films). Our follow-up covers a range of 9 years. Results are satisfactory.