Cleft Lip and Palate
Integrated Surgery Plans
Clefts of the lip and/or the palate occur in approximately one out of 750 births. The vast majority of cases are isolated and not part of a more extensive syndrome of congenital deformities. Cleft lip results in a dramatic cosmetic deformity that is often very frightening for parents. Cleft palate results in significant long-term functional problems. The most critical functional issue is the effect on speech that occurs because of the inability to close the palate and separate the oral and nasal cavities. Fortunately, both the cosmetic and functional problems related to cleft lip and palate can be dramatically improved with properly timed reconstructive surgery, orthodontics, and speech therapy.
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Best Candidates for Surgery
The goal of cleft lip and palate surgery is to restore normal appearance and function. Surgery to repair a cleft lip is typically performed when the child is between 3 and 6 months old. Cleft palate surgery is usually performed between 9 and 18 months of age. In some cases, a two-stage approach may be necessary, with initial surgery to close the cleft lip followed by palate repair at a later date.
This reconstructive surgery is complex, and it is important to choose a surgeon who has significant experience with this type of surgery. The best results are achieved when the surgery is performed by a team of specialists that includes a plastic surgeon, an oral surgeon, and a speech therapist.
Recovery
After surgery, it is important to follow up with your child’s doctor to ensure that the healing process is progressing as expected. It is also important to follow the recommended schedule of speech therapy and orthodontic treatment. With proper care, children who have had surgery to repair a cleft lip and palate can expect to have normal appearing and functioning lips and palates.