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Cleft lip and palate is a congenital condition that involves defects in the lip, gum, and palate. It can also impact the development of the middle face during growth, leading to midface retrusion or class III malocclusion.
In the field of orthopaedic surgery, much effort focuses on improving the facial structure of patients with cleft lip and palate. I recall my mentor often saying that cleft lip and palate are particularly worth addressing compared to other congenital conditions. Many serious congenital diseases require extensive treatment, yet patients may still need lifelong care and might not achieve independence. Prevention through prenatal screenings is key for those. In contrast, cleft lip and palate primarily involve appearance-related issues, and with proper care, patients can lead lives much like anyone else.
By providing comprehensive treatment for cleft lip and palate, we not only help the individual but also contribute to society by enabling more people to thrive independently. This is why orthopaedic surgery for cleft lip and palate can be more challenging and prolonged than typical procedures, yet it brings me great satisfaction each time.
I assumed I wouldn't see more patients with cleft lip and palate after leaving my previous role, but Miss Johnson approached me a few months ago seeking jaw surgery. She had bilateral cleft lip and palate and had undergone the initial repair shortly after birth but hadn't returned for follow-up. She was my last orthopaedic surgery case last year.
Joaquin Phoenix—I wonder if he has cleft lip and palate, but I admire how well some people carry their scars. His performance in Her was one of my favorite films last year.