Surgical Atlas of Cleft Palate and Palatal Fistulae

13. Sub Mucous Cleft Palate

48. Multiple Fistulae (MF)

Section 13: Management of FAR (Fistula Adjacent Regions)

Globally there is a burden of approximately 1, 70,000 new cases of cleft lip and palate every year, yet there is no single comprehensive resource on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft palate cases; from Primary repair to management of palatal fistula. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and his team has performed more than 44,000 surgeries, restoring Smile and good speech to thousands of patients across the globe. It covers all variants and different types of cleft palate cases, including both primary cases as well as in previously operated cases. It starts with an in-depth elaboration on anatomy, physiology, and pathology of the (normal) palate and cleft palate, moving towards classification and identification of different types of palatal fistula and their management with the help of clear flow charts and simple algorithms,  enabling better diagnosis and decision making. With over 1500 high definition colored images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each and every type of cleft palate and palatal fistulae. . The underlying objective of such surgeries is to best restore a barrier between the nasal and oral cavities. and better speech production, which is highlighted amply in each chapter.  

This atlas is a valuable resource for all plastic surgeons, pediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate surgeries. 

Dr. Ghulam Qadir Fayyaz M.B.BS, M.S (Plastic surgery) graduated from Punjab Medical College, Faisalabad in 1983. He is currently working as a chief Plastic Surgeon at CLAPP Hospital, Lahore Pakistan. He has worked as former professor & head of the department of plastic surgery at Services Institute of Medical Sciences, Lahore. Dr. Fayyaz is the founder general secretary of CLAPP (Cleft Lip & Palate Association of Pakistan). He operates one of the highest cleft lip and palate correction programs in the world and his team has performed more than 42,000 cleft surgeries since 2003. He is also the life member, former president of Pakistan Association of Plastic Surgeons (PAPS 2020-22) and currently he is the chairman board of trustees of PAPS. He is the most sought international volunteer for free cleft lip & palate surgeries for Operation Smile International. Dr. Fayyaz is a well-recognized cleft surgeon across the globe and frequently performs cleft surgeries in high incidence countries such as Rwanda, Philippine, Mexico, Paraguay, Egypt, Malawi Ecuador and Morocco.