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Primary Lip and Palate Repair Using Morphofunctional Technique: Long Term Outcomes
Time:
Thursday, 04/Sept/2025:
9:00am - 12:30pm
Location:20-06 Pre Congress 1
Presentations
9:00am - 9:13am Masterclass (3,5h)
PRIMARY LIP AND PALTE REPAIR USING MORPHOFUNCTIONAL TECHNIQUE – LONG TERM OUTCOMES
Gosla Reddy, Srinivas1,2,3,4
1GSR Institute of Craniomaxillofacial and Facial Plastic Surgery, Hyderabad, India; 2Hermann Sailer Chair of Craniofacial Surgery and Visiting Professor, Krishna Institute of Medical Sciences, Karad, India; 3Head and Senior Consultant, Department of Craniomaxillofacial and Facial Aesthetic Surgery, Continental Hospitals, Hyderabad, India; 4Senior Consultant, Apollo Hospitals, Hyderabad, India
“Unlocking the Secrets of Optimal Cleft Care: A Paradigm-Shifting Approach to Primary Lip and Palate Repair” The management of cleft lip and palate is undergoing a revolutionary transformation, driven by a pioneering approach that yields unparalleled aesthetic and functional outcomes. At the forefront of this revolution is the morpho-functional technique, a game-changing approach that is redefining the boundaries of cleft care. By integrating meticulous surgical craftsmanship with a profound understanding of facial growth and development, this technique has been shown to achieve remarkable long-term results, with significant improvements in lip and palate morphology, nasal symmetry, and speech outcomes. A retrospective analysis of patients who underwent primary lip and palate repair using this technique has demonstrated a high degree of stability and durability, with minimal revision rates. A study was conducted to evaluate the outcomes of patients who underwent complete unilateral and bilateral cleft lip and palate repair using morpho-functional cheiloplasty and palatoplasty at the GSR Institute of Facial Plastic Surgery, Hyderabad, India, between 2005 and 2007, with a minimum follow-up period of 18 years. The study included 800 patients with unilateral clefts and 160 patients, with an equal number of patients from each subgroup to minimize bias. Patients were assessed using Gosla's Index, with outcomes graded as excellent, good, fair, or poor. The results of the study revealed that 43% of bilateral cleft patients and 38% of unilateral cleft patients achieved excellent long-term outcomes, while 38% of bilateral cleft patients and 35% of unilateral cleft patients achieved good outcomes. These findings underscore the effectiveness of the morpho-functional technique in achieving optimal aesthetic and functional outcomes in patients with cleft lip and palate, and highlight its potential to transform the lives of individuals with this condition. This lecture will provide a comprehensive overview of the morpho-functional technique, including a stepwise procedure of both cleft lip and palate repair. Attendees will gain a deeper understanding of the underlying principles, technical nuances, and clinical applications of this innovative approach, and will be inspired by the transformative power of optimal cleft care.
