The author presents the sequelae of labio-maxillo-palatal clefts in the specific framework of one surgeon’s professional experience in an overseas community; in terms of their surgical anatomy, showing the palatal, maxillary, and labio-nasal sequelae in order, emphasizing the intimate relationship of the lesions, which are most intricate in cases of complete labio-palatal clefts, and also the necessity of the treatment team’s taking a global approach in the techniques of facial surgery so the results will be well adapted to the social needs of patients.

Treatment teams use different approaches for correcting the alveolar cleft sector of labio-palatal clefts. Age of patient, whether or not bone grafts are used, and the type of bone grafted are some of the differences. Our team performs a gingivoperioplasty with a graft of iliac cancellous bone on patients 4 to 6 years old. This procedure is carried out within the framework of orthodontic treatment designed to restore transverse dimension pre-operatively with a quad helix and to retain the expansion with 6 months of retention. The gingivoperioplasty is accomplished in a zone free of any scar tissue that might have resulted from a primary cheiloplasty followed by closure of the palatal cleft. In our view all teams must eventually utilize cone beam X-rays for their radiographic evaluations because they are the only tool that provides results of objective analysis that are of high quality and have demanded a very low level of radiation.