Why ACRP Matters
The ACRP is a modern cleft care treatment based on modern embryology and incorporating modern reconstructive surgical principles. We thank you for visiting us to learn more about this ground-breaking cleft-palate surgical philosophy that is changing lives and saving resources worldwide.
Who developed ACRP?
Robert J. Mann M.D.
Associate Professor of Surgery and Pediatrics: Michigan State University, College of Human Medicine.
Emeritus Director of the Oral Cleft Program: Helen DeVos Children’s Hospital, and Spectrum Health Medical System, Grand Rapids, Michigan, USA
Dr. Mann received the ASMS ( American Society of Maxillofacial Surgeons) President’s Honorary Award in 2023, during the annual American Society of Plastic Surgeons meeting for his countless contributions and service and enormous impact on field of maxillofacial surgery by educating and mentoring generations of plastic surgeons.
Dr. Mann graduated from Michigan State University, College of Human Medicine in 1978. Dr. Mann completed plastic surgery residencies in Grand Rapids Michigan, and a pediatric plastic surgery fellowship, at Children’s Memorial Hospital, in Chicago Illinois. Dr. Mann established the cranial facial program in Grand Rapids in 1985 and has been the director of the Oral cleft programs in Grand Rapids from 1987 – 2020. He is best known for his work in cleft lip and palate care.
Over a 35-year surgical career Dr Mann developed the Anatomic Cleft Restoration Philosophy (ACRP).
About
What is the ACRP?
The ACRP is a modern cleft care treatment philosophy based on modern Embryology and incorporating modern reconstructive surgical principles.
Below are a few of the operations developed by Dr. Mann for cleft lip and palate repair based on the ACRP:
The Double Opposing Z-Plasty +/- Buccal Flap
(DOZP+/-BF): A repair for the cleft palate: This very versatile palate repair effectively re-establishes the correct soft palate muscle anatomy while also replacing ligamentous and mucus membrane structures missing from the cleft defect. The versatility of design allows for the development of multiple surgical patterns so surgeon’s can match the operations to the wide variety of cleft palate anatomic presentations.
Double Opposing Buccal Flap Palatal Lengthening
A surgery to treat Velopharyngeal Dysfunction. This secondary speech surgery restores normal speech by replacing tissue missing from the cleft defect that was not replaced at the initial palate surgery.
The Tongue Lip Adhesion Suspension
Designed for the treatment of children born with Pierre Robin Sequence. Children with Pierre Robin Sequence can die from asphyxiation due to a small mandible and retro placed tongue. This operation stabilizes a better tongue position to ensure a safe airway.
The No Touch Cleft Palate Repair
A palate reconstruction specifically for infants born with a cleft palate and very small palate muscles
The Functional Palate Suspension
An operation to reposition the soft palate to improve speech for a child born with a cleft palate.
The Natural Lip Sequence Repair
For the treatment of the complete cleft lip.
The Step Rhinoplasty
A cleft nasal reconstruction to improve the result for the patient born with the bilateral cleft lip and nose defect.
Dr Mann published a 29 – year follow up of the Double Z-Plasty +/- Buccal Flap Repair. The results showed for the first time a surgeon was able to achieve similar excellent speech results for every child born with a facial cleft, regardless of cleft severity or classification.
Dr Mann published a study using MRI technology that showed when using the Double Z Plasty + Buccal Flap cleft palate repair, patients achieved near normal soft palate anatomy. Modern medicine cannot yet accomplish the replacement of soft palate muscles. The DOZP+ BF achieves the best speech result by positioning the available muscles deeper into the soft palate to optimize function.
Growth Partners
A volunteer, non-profit organization dedicated to helping children all over the world who are in need of specialized medical and surgical care that is not available to them in their home country.
Ohana One cultivates surgical training programs in developing areas around the world and in collaboration with like-minded organizations. Their work is not limited to single mission trips, but to establishing long-term sustainable surgical training programs utilizing mentorship and advanced technology.
By 2035, through the use of ACRP, our faculty will have positively impacted 225,500 children.
Impact Goal
On average, most children born with a cleft palate require 3.5 surgeries. Our goal is to reduce that number to 1.5 surgeries which provides benefits not only to the patient but to health care systems as a whole.
Evidence-based best care for clefts
With ACRP, the percentage of repeat or repair surgeries typically declines by X% as opposed to traditional cleft palate procedures. This has been proven through 35 years of tracking and almost 200 patients.
ACRP Development Program
This is the story and promise of the Anatomic Cleft Restoration Philosophy (ACRP), the new approach that will make this possible.
Video Library
Educational and instructional videos from physicians about the ACRP. Dr. Mann often hosts webinars, information sessions, and other trainings.
Faculty
We have gathered a group of physicians who have agreed to participate in workshops to teach ACRP.
Documents
Training materials, instructions, and publications about ACRP and where you can find any resources you may need.
Calendar
Dr. Mann’s calendar for surgical observations and presentations. Join for an event and learn more about ACRP!
Ohana One / ACRP Smart Glass Program
Ohana One works with the ACRP training by pairing mentors and mentees to work together via cutting-edge technology to bridge the surgical gap.
Feedback
A place to submit videos, papers etc. to be approved and posted to this site as well as a place to share feedback about the training program.