Managing cleft lip and palate

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7008.765 (Published 23 September 1995) Cite this as: BMJ 1995;311:765
  1. Tony Markus,
  2. Peter Ward Booth
  1. Consultant surgeon Oral and Maxillofacial Surgery, Poole Hospital, Poole BH15 2JB
  2. Consultant surgeon Oral and Maxillofacial Surgery, Queen Victoria Hospital, East Grinstead RH19 3DZ

    Continental Europe may do it better than Britain

    The management of cleft lips and palates, owing to their complex and protean nature, is often unsatisfactory. Worryingly, the two British centres in a recent study of six European centres had the worst results.1 A Medline search shows that over the past two years 25 publications have reported the results of cleft surgery: 16 from continental Europe, four from the United States, two from other countries, and one from Britain. This year's July/August issue of the German maxillofacial journal, Deutsche Zeitschrift fur Mund-Kiefer und Gesichtschirurgie, is almost entirely devoted to cleft lip and palate surgery. Why are British results …

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