Ramazan Isufi


Graduated from Facultyof Medicine, University of Tirana, on 1980 Postgraduatedspecialization PhD on 1999, Prof As on 2007, Prof on 2012 in medicine. Research interests:Research activity of Ramazan Isufi is focused on Reconstructive surgery; Orthognatic Surgery , Cleft Surgery and Oncology.


Current Position is Head of Department of Oral&Maxillofacial surgery and senator in Medicine University, Lecturer from 1991, Head of O.MF. Service from 1995-2015.


Author of 11 published books, 65 articles and 150 scientific presentations in national and international forums and actively participated in more than 500 national and international scientific activities.

Our Protocol for the Management of Congenital Defects of the Lip and Palate and The Unification of the Controversies for This Problem

Congenital lip and palate defects in Albania have begun to be treated by Prof. Dhori Pojani and Prof. Samedin Gjini since 1970. The management protocol of congenital lip and palate defects in Albania has been unified and updated since the beginning of the 2000s by Prof. Ramazan Isufi and his staff. In Albania, despite the success achieved in the treatment of these defects, there is still no organized team for clefts.


We will present our protocol in the management of children with cleft lip and palate, based on the possibilities offered by our health system.


The diagnosis of cleft children is established in the first trimester of pregnancy, thanks to 3D echography. Based on our protocol, we perform primary cheiloplasty at the age of 3 - 6 months, palatoplasty at the age of 12 - 18 months, and in clefts associated with surgical syndromes, we perform it 3 - 5 years before school age. Regarding cheiloplasty, we prefer the Tenysson and Millard technique, applying cheilo - periosto - gingival - primary rhinoplasty, while in palatoplasty we prefer the Langenbeck technique with intravelar - veloplasty, as well as the Furlow technique. In Albania, children with clefts are treated by the OMF surgeon. In velo-pharyngeal incontinence, after we have determined the exact diagnosis, we trust speech therapy more to the mother than to the child. Despite the results in the treatment of congenital defects of the lip and palate, we think that these are still a challenge for the surgeon, the patient and the family.