Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1988 December; 81(12): 705–709.
PMCID: PMC1291882

Sri Lankan cleft lip and palate project: a preliminary report.


By means of a surgical expedition involving an independently financed team of surgeons, anaesthetists, nurses, orthodontists and speech therapists, 195 patients in Sri Lanka with cleft lip and palate were treated over a period of 4 weeks while over 300 patients were examined in detail to assess faciomaxillary growth, components of speech and the psychosocial impact of the untreated deformity in childhood and adult life. Lip surgery proved to be simple and safe but in certain older patients palatal closure was complicated by wide palatal shelf displacement, mucosal fibrosis and heavy bleeding. This is a preliminary report and much data has yet to be analysed but there is little doubt that impaired facial growth following palatal repair is predominantly an iatrogenic deformity.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.9M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bishara SE, Krause CJ, Olin WH, Weston D, Ness JV, Felling C. Facial and dental relationships of individuals with unoperated clefts of the lip and/or palate. Cleft Palate J. 1976 Jul;13:238–252. [PubMed]
  • Ortiz-Monasterio F, Serrano A, Barrera G, Rodriguez-Hoffman H, Vinageras E. A study of untreated adult cleft palate patients. Plast Reconstr Surg. 1966 Jul;38(1):36–41. [PubMed]
  • Blijdorp P, Müller H. The influence of the age at which the palate is closed on speech in the adult cleft patient. J Maxillofac Surg. 1984 Dec;12(6):239–246. [PubMed]
  • Witzel MA, Salyer KE, Ross RB. Delayed hard palate closure: the philosophy revisited. Cleft Palate J. 1984 Oct;21(4):263–269. [PubMed]
  • Bardach J, Morris HL, Olin WH. Late results of primary veloplasty: the Marburg Project. Plast Reconstr Surg. 1984 Feb;73(2):207–218. [PubMed]
  • Schweckendiek W, Doz P. Primary veloplasty: long-term results without maxillary deformity. a twenty-five year report. Cleft Palate J. 1978 Jul;15(3):268–274. [PubMed]
  • Mars M, Plint DA, Houston WJ, Bergland O, Semb G. The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate. Cleft Palate J. 1987 Oct;24(4):314–322. [PubMed]
  • Millard DR. Extensions of the rotation-advancement principle for wide unilateral cleft lips. Plast Reconstr Surg. 1968 Dec;42(6):535–544. [PubMed]
  • RANDALL P. A triangular flap operation for the primary repair of unilateral clefts of the lip. Plast Reconstr Surg Transplant Bull. 1959 Apr;23(4):331–347. [PubMed]
  • Ortiz-Monasterio F, Olmedo A, Trigos I, Yudovich M, Velazquez M, Fuente-del-Campo A. Final results from the delayed treatment of patients with clefts of the lip and palate. Scand J Plast Reconstr Surg. 1974;8(1-2):109–115. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press