Image Materials

Contents:
Part I: Shoulder. A: Rotator cuff. Acromioplasty
Rotator cuff repair: open technique for partial-thickness or small or medium full-thickness tears
Rotator cuff repair: arthroscopic technique for partial-thickness or small or medium full-thickness tears
Open repair of rotator cuff tears
Arthroscopic repair of massive rotator cuff tears
Operative fixation of symptomatic os acromiale
B: Arthritic shoulder. Humeral head resurfacing arthroplasty
Humeral hemiarthroplasty with biologic glenoid resurfacing
Total shoulder arthroplasty
Rotator cuff tear arthroplasty: open surgical treatment
Open unconstrained revision shoulder arthroplasty
C: Instability. Closed treatment of shoulder dislocations
Arthroscopic treatment of traumatic anterior instability of the shoulder
Open treatment of anterior-inferior multidirectional instability of the shoulder
Arthroscopic treatment of anterior-inferior multidirectional instability of the shoulder
Anterior glenohumeral instability associated with glenoid or humeral bone deficiency: the Latarjet procedure
Open treatment of posterior-inferior shoulder instability
Arthroscopic treatment of posterior-inferior multidirectional instability of the shoulder
Open Bankart procedure for recurrent anterior shoulder dislocation
D: Biceps tendon. Mini-open biceps tenodesis
Arthroscopic biceps tenodesis
SLAP lesion: arthroscopic reconstruction of the labrum and biceps anchor
Treatment of the unstable shoulder with humeral head bone loss
E: Clavicle. Open distal clavicle excision
Arthroscopic distal clavicle resection
Open treatment of acute and chronic acromioclavicular dislocations
Sternoclavicular joint reconstruction using semitendinosus graft
F: Trauma. Open reduction and internal fixation of acute midshaft clavicular fractures
Intramedullary fixation of clavicle fractures
Operative treatment of two-part proximal humerus fractures
Open reduction and internal fixation of three- and four-part proximal humerus fractures
Percutaneous fixation of proximal humerus fractures
Proximal humerus fractures: hemiarthroplasty
Operative management of scapular fractures
G: Miscellaneous. Surgical approaches to the shoulder
Arthrodesis of the shoulder
Open and arthroscopic suprascapular nerve decompression
Scapular surgery
Adhesive capsulitis
Arthroscopic treatment of calcific tendinitis in the shoulder
Nerve transfers for shoulder and elbow restoration after upper trunk brachial plexus injuries
Thoracic outlet syndrome
Suprascapular nerve neuropathy
Part II: Elbow. A: Introduction. Surgical approaches for open treatment of the elbow
B: Elbow Arthroscopy. Arthroscopy of the elbow: setup and portals
Elbow arthritis and stiffness: open treatment
Elbow arthritis and stiffness: arthroscopic treatment
C: Arthroplasty. Radial head fractures: radial head replacement
Total elbow arthroplasty
Total elbow arthroplasty for the treatment of complex distal humerus fractures
Radiocapitellar replacement
Revision total elbow arthroplasty
D: Soft tissue pathology. Medial epicondylitis: open treatment
Lateral epicondylitis: arthroscopic and open treatment
Repair of distal biceps tendon ruptures
Repair and reconstruction of the ruptured triceps
E: Nerves. Endoscopic cubital tunnel release
Submuscular ulnar nerve transposition
Surgical decompression for radial tunnel syndrome
F: Trauma. Distal humerus fractures, including isolated distal lateral column and capitellar fractures
Radial head fractures: open reduction and internal fixation
Open treatment of complex traumatic elbow instability
Surgical reconstruction of longitudinal radioulnar dissociation (Essex-Lopresti injury)
Ulnar collateral ligament reconstruction using the modified Jobe technique
Lateral ulnar collateral ligament reconstruction
G: Miscellaneous. Soft tissue coverage
Operative management of olecranon bursitis
Elbow arthroscopic débridement for osteochondritis dissecans.

Summary: This book focuses on evidence-based standards for simulation in nursing education. The foundational principle of simulation excellence and its relevance to nursing is defined and infuses throughout the book. It also discusses necessary components for quality simulation from development to implementation. These areas include (but are not limited to): theoretical background, accreditation and approval standards, the simulation environment, developing and implementing simulations, and debriefing. These subject areas are approached following a thorough review of the literature and current practices identified from the International Nursing Association for Clinical Simulation and Learning (INACSL), Society for Simulation in Healthcare (SSH), National League for Nursing (NLN) and State Boards of Nursing. This quick reference title will become the best practice standards for simulation excellence in nursing education.

Contents:
Chapter 1: Simulation in Nursing Education
Chapter 2: Standards in Simulation
Chapter 3: Simulation Environments
Chapter 4: Developing Simulations
Chapter 5: Implementing Simulations
Chapter 6: Putting It All Together.

Summary: This richly illustrated and comprehensive book covers a broad range of normal and pathologic conditions of the vertebral column, from its embryology to its development, its pathology, its dynamism and its degeneration. The dynamic anatomy of the living subject is viewed using the latest technologies, opening new perspectives to elucidate the pathology of the spine and improve spinal surgery. The respective chapters review in depth all sections of the vertebral column and offer new insights, e.g. the 3D study of vertebral movements using the "EOS system," which makes it possible to define an equilibrium of posture and its limits. New histological and chemical findings on the intervertebral disc, as well as detailed descriptions of the aponeuroses and fasciae, are also provided. Bringing together the experience of several experts from the well-known French school, this book offers a valuable companion for skilled experts and postgraduate students in various fields: orthopedic surgery, neurosurgery, physiotherapy, rheumatology, musculoskeletal therapy, rehabilitation, and kinesiology.

Contents:
Intro
Foreword
Preface
Contents
Part I: Phylogenesis and Ontogenesis
Comparative Anatomy of the Axial Skeleton of Vertebrates
Introduction
The Organization Plan for the Vertebrates
Adaptive Constraints of the Living Environment
Constraints of the Aquatic Environment
Constraints of the Terrestrial Air Environment
Fish
Terrestrial Vertebrates
Amphibians (About 7000 Species)
Reptiles (Approximately 8950 Species)
The Cervical Spine
Birds (Approximately 10,000 Species)
Mammals (About 5500 Species)
The Cervical Spine
Structure
Movements The Craniovertebral Musculature
Postures
Thoracic Spine and Lumbosacral
Structures
Musculature
Postures
References
Embryology of the Vertebral Column
Genetic and Biochemical Considerations
Embryology of the Vertebromedullary Axis
Early Development
Trilaminar Embryo
The Notochord
Primary Neurulation
Secondary Neurulation
Formation and Differentiation of Somites
References
The Growing Spine
A Mosaic of Growth Cartilage
Vertebral Growth Is Growth by Endochondral Ossification
Embryology Holds First Truths The Fetal Period: The Strongest of All Growth Is the Intra-Uterine Period
Vertebral Curves Are Not Primitive But Acquired
At Birth, 30% of the Spine Is Ossified
The First Five Years of Life Are Decisive: Living Growth
Growth Between 5 Years and the Beginning of the Puberty
Puberty, a Decisive Turn: New Acceleration
Each Level of the Spine: A Different Growth
The Cervical Spine
Central Spinal Canal at the End of Growth
Cervical Spine Height
The Superior Cervical Spine
The Growth of the Atlas (Figs. 27, 28, and 29)
The Growth of the Axis Is Even More Complex The Lower Cervical Spine
The T1-S1 Segment (Figs. 31a, b, 32, and 33)
The Thoracic Spine T1-T12 (Figs. 34 and 35)
The Lumbar Spine L1-L5 (Figs. 36 and 37)
The Sacrum
The Intervertebral Disc
The Growth of the Thorax: 4th Dimension of the Spine
Bodyweight
Parasol Effect
What Size Deficit for Which Arthrodesis?
First Scenario: Arthrodesis of the Thoracic Spine
Second Scenario: Arthrodesis of the Lumbar Spine
All Scoliosis Will in Time Become Identified as a Growth Cartilage Disease
The Growth of the Spine: From Normal to Pathological Managing Infantile Scoliosis Is Controlling the Vilebrequin Effect
Suggested Readings
The Growth Cartilages of the Spine and Pelvic Vertebra
Neurocentral Cartilage (NCC)
The Ring Apophysis
Ossification of the Pelvic Vertebra
Bone Age During Puberty
References
Morphologic and Functional Evolution of the Aging Spine
Age-Related Structural Alterations
The Intervertebral Disc
Structural Modifications
A Fragile Avascular Tissue
A Genetic Predisposition?
Genesis and Contributions to Aging on Histomorphological Features
Aggravating Factors

Summary: Featuring a set of 3-D anatomic images of ear surgery based on innovative photographic devices, this book introduces anatomical details of ear surgery in the main areas of the temporal bone and lateral skull base. After overviewing basic anatomy of temporal bone and lateral skull base, the following 8 chapters covers step by step anatomic and surgical procedures of various ear surgeries, including transcanal approach, retroauricular approach, translabyrinthine approach, middle fossa approach, retrosigmoid approach, infratemporal fossa approach, and the stereoscopic virtual anatomy of the temporal bone. It is a practical and useful resource for residents in head and neck surgery, and related field.

Contents:
1 Overview
2 Bony Landmarks of the Temporal Bone
3 Transcanal approach
4 Postauricular Approach
5 Translabyrinthine Approach
6 Middle Cranial Fossa Approach
7 Retrosigmoid Approach
8 Infratemporal Fossa Approach
9 Stereoscopic Virtual Anatomy of Temporal Bone.

Contents:
Histology
The cell
Epithelial cells
Support cells and the extracellular matrix
Contractile cells
Nervous tissue
Blood cells
Immune system
Blood and lymphatic circulatory systems and heart
Respiratory system
Alimentary tract
Liver
Musculoskeletal system
Endocrine system
Urinary system
Male reproductive system
Female reproductive system
Skin and breast
Special senses.

Contents:
Histology
The cell
Epithelial cells
Support cells and the extracellular matrix
Contractile cells
Nervous tissue
Blood cells
Immune system
Blood and lymphatic circulatory systems and heart
Respiratory system
Alimentary tract
Liver
Musculoskeletal system
Endocrine system
Urinary system
Male reproductive system
Female reproductive system
Skin and breast
Special senses
Self-assessment questions.

Summary: "Using a practical, case-based format, this superbly illustrated atlas by Dr. Paul Sorajja is a comprehensive collection of more than 130 professional experiences in treating structural heart disease. Organized by pathology, each case presents key clinical points for practitioners at all levels, from beginner to expert. Cases are provided by interventionalists and surgeons with extensive hands-on experience, and edited by experts in the field"--Publisher's description.

Contents:
Section I: Mitral disease. Transcatheter repair
Uncomplicated transcatheter mitral valve repair with MitraClip
Commissural mitral regurgitation therapy
Advanced steering in the left atrium for an aortic hugger
Transcatheter repair of ruptured papillary muscle
Optimal intraprocedural guidance for mitral therapy
Challenges of transcatheter therapy for functional mitral regurgitation
The zip-and-clip technique in transcatheter mitral valve repair
Mitral annular calcification and transcatheter mitral valve repair
Optimization for multiple clip placement
Importance of hemodynamics for assessing residual regurgitation
Use of low profile pressure wire for simultaneous left atrial pressure during repair
Barlow's valve therapy
Transcatheter mitral repair for cardiogenic shock
A space too small for additional clipping
Treatment of leaflet perforation with vascular plugs
Occluder therapy for residual mitral regurgitation after transcatheter repair
Clip-to-annuloplasty ring
Transcatheter repair of severe mitral regurgitation after surgical annuloplasty
Unsuccessful transcatheter repair after prior cardiac surgery
MitraClip in a patient with radiation heart disease
A difficult case of transcatheter mitral valve repair
Stuck on the atrial septum
Ensuring mitral leaflet insertion
One of my most difficult transcatheter repair cases
Single leaflet device attachment and clip embolization
Lessons learned from a difficult MitraClip case
Percutaneous treatment of ventricular dysfunction and secondary mitral regurgitation (Accucinch)
Percutaneous annuloplasty for severe mitral regurgitation (MitraAlign)
Left ventricular therapy for mitral regurgitation (Myocor)
Coronary sinus approach for mitral regurgitation (Carillon)
Plugging a hole near a mitral surgical ring
Anatomical intelligence and image fusion for image guidance of transcatheter mitral valve repair
Valve replacement
Computed tomography imaging for transcatheter mitral replacement
Retrograde transcatheter mitral valve replacement for mitral regurgitation (Twelve)
Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tendyne)
Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tiara)
Antegrade valve replacement in severe mitral annular calcification
Self expanding prosthesis for severe mitral annular calcification
Retrograde valve replacement in severe mitral annular calcification with a rail
Management of LVOT obstruction from mitral valve replacement
Transcatheter valve placement in a mitral ring
Balloon commissurotomy
Hemodynamic assessment of mitral disease
Balloon mitral valvuloplasty for rheumatic mitral stenosis
Rupture of mitral valve with balloon mitral valvuloplasty
The banking technique for Inoue balloon movement
Section II: Aortic valve disease. Valve replacement
Caseous mitral annular calcification distorting the aortic annulus
Transfemoral balloon-expandable transcatheter aortic valve replacement (Sapien 3)
Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis
Transvenous antegrade transcatheter aortic valve replacement
Valve embolization in transcatheter aortic valve replacement
Transcatheter aortic valve therapy for ascending aortic dissection with aortic regurgitation
Superior placement to overcome severe left ventricular outflow tract calcification
Retrieval of transaortic sheath marker loss
Left ventricular perforation during transcatheter aortic valve replacement
Subaortic ring therapy
Bicuspid aortic valve therapy - transcatheter challenges
Transcatheter aortic valve-in-valve therapy with high risk of coronary obstruction
A difficult case of transcatheter aortic valve replacement
Valve embolization during transcatheter aortic therapy
Transcaval transcatheter aortic valve replacement
Subclavian management during transcatheter aortic valve replacement
Rapid ventricular pacing and demise of left ventricular function
Pure aortic regurgitation treatment
Aortic regurgitation treatment in the presence of a left ventricular assist device
Prosthetic valve thrombosis
Fractures and twists during transcatheter aortic valve implantation
Transcatheter aortic valve therapy without pre-procedural computed tomography
Section III: Prosthetic valve. Paravalvular regurgitation
Computed tomography for paravalvular leak closure
Retrograde repair of aortic paravalvular regurgitation
Retrograde repair of mitral paravalvular regurgitation
Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique
Antegrade repair of mitral paravalvular regurgitation
Benefit of accurate transseptal puncture in paravalvular closure
Challenging echocardiographic imaging for leak closure
Coronary dissection from paravalvular leak closure
Treatment of Coronary Obstruction after Paravalvular Leak Closure
Papillary muscle rupture during paravalvular leak closure
Step up technique with coronary guidewire use for paravalvular leak closure
The anchor wire technique for aortic paravalvular leak closure
Venous-arterial rail and anchor
Simultaneous plug placement for paravalvular leaks
Closure of aorta to right ventricle fistula
The aortic-arterial rail technique
Repair of paravalvular regurgitation in a balloon-expanding prosthesis
Valve-in-valve
Mitral valve-in-valve therapy with an apical rail
Antegrade mitral valve-in-valve therapy
Bioprosthetic valve fracture at the time of valve-in-valve TAVR
Self-expanding prosthesis for aortic valve-in-valve
Small prosthesis therapy
Transcatheter valve-in-valve therapy for tricuspid disease
Complex self-expanding aortic valve therapy
A very difficult case of valve-in-valve therapy
Antegrade balloon-expandable valve for tricuspid valve-in-valve therapy
Complex tricuspid valve-in-valve therapy
Fusion imaging for apical access and mitral valve placement
Fusion Imaging for Mitral Valve-in-Valve Replacement
Challenging case of surgical mitral ring therapy
Section IV: Cardiomyopathy. Hypertrophic cardiomyopathy
Mitral valve abnormalities in hypertrophic cardiomyopathy
Closure of eccentric atrial septal defect" and place in congenital section
Reversed pulsus paradoxus
Percutaneous mitral valve repair in hypertrophic cardiomyopathy
Recurrent obstruction after percutaneous plication in hypertrophic cardiomyopathy
Complicated alcohol septal ablation
Untoward myocardial targeting with contrast during alcohol septal ablation
Case selection for alcohol septal ablation
Assessment of aortic stenosis in hypertrophic cardiomyopathy
Dilated cardiomyopathy
Volume reduction through infarct exclusion
Section V: Congenital abnormalities, pseudoaneurysms, and shunts. Patent ductus arteriosus
Closure of patent ductus arteriosus
Patent foramen ovale
Complicated patent foramen ovale closure
Techniques of ASD Closure with Deficient Rims
Closure of patent foramen ovale (Helex)
Coarctation of the aorta
Transcatheter open-cell stent implantation for treatment of native coarctation of the aorta
Ventricular septal defect
Transcatheter device closure of a post myocardial infarction ventricular septal defect
Gerbode therapy
Congenital muscular ventricular septal defect closure
Treatment of post-infarct ventricular septal defect
Patent foramen ovale closure from the right internal jugular vein
Pulmonary
Pulmonary homograft therapy
Treatment of a chicken wing left atrial appendage
Complicated left atrial appendage closure
Pearls from a case of left atrial appendage closure
Residual leak treatment after left atrial appendage closure
Pseudoaneurysm
Closure of multiple pseudoaneurysms in the ascending aorta
Apical pseudoaneurysm
Transventricular therapy of pulmonary homograft
Atrial shunt creation
Induction of left-to-right atrial shunting for heart failure (Corvia)
Section VI: Tricuspid disease. Tricuspid regurgitation
Transcatheter tricuspid valve annuloplasty with pledgets implantation for severe tricuspid regurgitation
Imaging for the tricuspid valve: tips and techniques
Tricuspid transcatheter repair
Transcatheter tricuspid valve repair with the FORMA Repair System
Transapical valve in tricuspid ring.

Summary: This Atlas summarizes current surgical strategy for cerebral revascularization in the treatment of complex neurovascular diseases. It focuses on complex intracranial aneurysms, which are mostly large/giant, irregular and short of enough collateral compensation. In the first part, it starts from the extracranial-intracranial (EC-IC) bypass strategy. For the complex middle cerebral artery aneurysms, the types of EC-IC bypass are determined based on the angioarchitecture. Furthermore, various intracranial-intracranial (IC-IC) bypasses are introduced, with the advantage of no need for graft vessel harvesting and preferable matching of donor and receipt arteries. This Atlas provides useful knowledge and cases about this basic and indispensable skill for neurosurgeons.

Contents:
External carotid artery - Radial artery - Middle cerebral artery bypass
Superficial temporal artery - Radial artery - Middle cerebral artery bypass
Superficial temporal artery - Middle cerebral artery bypass
Anterior cerebral artery (A3) - Anterior cerebral artery (A3) bypass
Middle cerebral artery - Middle cerebral artery bypass
Occipital artery - Posterior inferior cerebellar artery bypass
Posterior cerebral artery - Posterior cerebral artery bypass
Posterior inferior cerebellar artery - Vertebral artery bypass
Anterior cerebral artery (A2) - Radial artery - Anterior cerebral artery (A4) bypass
Carotid endarterectomy
Computational fluid dynamics of cerebral revascularization
Functional magnetic resonance imaging study of cerebral revascularization
Perspective: The topographic model of cerebral revascularization.

Summary: Globally there is a burden of approximately 1, 60,000 new cases of cleft lip and palate every year, yet there is no single comprehensive source on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft lip and palate cases. 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 has performed more than 34,000 surgeries, restoring function to numerous patients across the globe. It covers all variants and types of cleft lip and palate defects, 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 defects with the help of clear flow charts and simple algorithms enabling better diagnosis and decision making. With over 1500 high definition images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each type of defect. The underlying objective of such surgeries is to best restore the good function of the palate and enable better speech production, which is highlighted amply in each chapter. This atlas is a valuable resource for all plastic surgeons, paediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate defect surgeries.

Contents:
Anatomy and Patho-Phsyiology of Cleft Palate
Classification of Cleft Palate
Management of Cleft Palate Patient
Objectives of Palate Repair
Different Techniques of Palate Repair
New Techniques and Innovations
Post Operative Management of Cleft Palate Repair
Complications of Cleft Palate Repair
Pakistan Comprehensive Fistula Classification
Management of Midline Palatal Fistula
Management of Lateral Palatal Fistula
Management of Subtotal Fistulae
Management of Multiple Fistulae & FAR
Dehiscence/Almost Total Loss of Palatal Tissue
Difficult to Repair Secondary Palate Patients
Speech Therapy
Orthognathic Surgery after Cleft Palate Repair.

Summary: This book provides a comprehensive surgical atlas of functional single ventricle and hypoplastic left heart syndrome, based on theoretical insights and a wealth of clinical practice. It offers anatomical morphology and descriptive texts, while also highlighting key aspects of each procedure. The book is divided into three major parts, the first two of which illustrate the procedures for the palliation of functional single ventricle and hypoplastic left heart syndrome respectively, including the fundamental concepts, derivatives, evolutionary process, and criterion for the staged Fontan procedure. In turn, part three highlights advances in computational simulation for cardiological applications. Featuring well-illustrated, clearly structured instructions, the book offers a valuable guide to functional single ventricle and hypoplastic left heart syndrome for cardiologists around the globe.

Contents:
Functional single ventricle
Hypoplastic left heart syndrome
Part III.

Contents:
A brief history of perforator flaps
Anatomy, classification and nomenclature
Intra-operative techniques in perforator dissection
Pedicled perforator flaps
Combined perforator flaps
Thinned perforator flaps
Flow-through perforator flaps
Lateral Arm Perforator Flap
Medial arm perforator flap
Radial Artery Perforator Flap
Ulnar Artery Perforator Flap
posterior interosseous artery perforator flap
Posterolateral mid-forearm perforator flap
Dorsal Metacarpal Artery Perforator Flaps
Dorso-ulnar metacarpal perforator flap of the little finger
Digital artery perforator flap
Perforator flaps in the lateral thoracic region
Deep inferior epigastric artery perforator (DIEP) flap
Anterolateral thigh perforator flap
Vastus medialis perforator flap
Saphenous artery perforator flap
Posterior thigh perforator flap
Anterior tibial artery perforator flap
Posterior tibial artery perforator flap
Peroneal artery perforator flap
Medial sural artery perforator flap
Peroneal artery anterolateral supramalleolar flap
Anterior supramalleolar perforator flap
Medial supramalleolar perforator flap
Dorsal metatarsal artery perforator flap.

Summary: This atlas depicts and describes the newest arthroscopic and open techniques for dealing with sports orthopaedic injuries and problems. More than 75 surgical procedures are presented step by step with the aid of superb illustrations. Arthroscopic views, artist drawings, X-rays, and clinical and operative photographs are all included to demonstrate exactly how each procedure should be performed. Individual sections are devoted to the shoulder, elbow, pelvis/hip, knee, and ankle/foot. By offering complete illustrated guidance on the surgical management of sports-related injuries, the Surgical Atlas of Sports Orthopaedics and Sports Traumatology will prove invaluable to both novice and experienced surgeons.

Contents:
Shoulder: Positioning, Portals
Subacromial Space
Rotator Cuff
Instability
Osteochondral Lesion
Osteoarthritis Shoulder. Elbow: Positioning, Portals
Cartilage
Tendon. Pelvis / Hip: Positioning, Portals
Tendon. Knee: Positioning, Portals
Meniscus
Ligaments
Patella
Osteochondral Lesion
Osteotomy
Osteoarthrosis. Ankle / Foot: Positioning, Portals
Instability
Osteochondral Lesion
Osteoarthrosis.

Summary: This atlas provides comprehensive, step-by-step guidance on surgical management of the cleft lip, alveolus, and palate. In particular, it demonstrates how an anatomical approach to management provides a sound basis for dealing with the many variations in cleft type. The displaced anatomical borders and landmarks, as well as the functional and aesthetic units, are fully described. The art of dissecting them from their abnormal position is illustrated, and their reconstruction into a normal and functional shape is meticulously explained. The main treatment philosophy underlying the described approach is that children born with cleft deformity should be “cleftless” by the time they enter the first grade of primary school. They must have normal speech. They should not have a fistula or residual cleft in the palate and/or the alveolus. And they should have a normal face so that they can confront the challenges of life without cleft stigma. Both novice and more experienced surgeons will find this atlas to be a valuable aid to optimal treatment, and readers will have online access to videos of the described surgical procedures.