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Doctor insights on: Cleft Lip And Palate Surgery

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What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old?

What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old?

A few things: Pain, and the different feeling inside the mouth after cleft palate repair are the two biggest problems to be expected after cleft palate surgery. Cleft lip also adds a little more pain. The children also don't like the use of arm restraints, even though most of us surgeons use them after lip repair, and sometimes after palate repair. ...Read more

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Palate (Definition)

The palate is the anatomical description of the roof of the mouth. It separated into two parts: the hard palate (more forward) and the soft palate (which is closer to the throat), it separates the mouth ...Read more


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What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old? We have adopted a one-year old child, that has a cleft lip and palate. What difficulties could be encountered during recovery? Will her breathing be affected

What recovery problems are to be expected from a cleft lip and palate surgery for a one-year old? We have adopted a one-year old child, that has a cleft lip and palate. What difficulties could be encountered during recovery? Will her breathing be affected

Cleft : Cleft lip and palate treatment consists of multiple staged operations that will occur over the life of your child as he/she reaches different developmental landmarks. Most typically, the cleft lip is repaired first and allowed to heal before proceeding to repair of the cleft palate. Because your child is older than the typical ages of repair of the cleft lip (3 months old) and palate (8-10 months old), some surgeons may decide to do more than one procedure in a single stage. This will depend on the experience and preferences of your surgeon, as well as considerations of your child's general health. Because repair of cleft lip and palate is an involved process involving multiple stages over the lifetime of your child, my strongest recommendation is to connect with an experienced craniofacial surgical center with an integrated, team approach. Excellent outcomes can be achieved when a child has integrated care from plastic surgeons, otolaryngologists, speech therapists, orthodontists, dentists, and social services coordinators. My own craniofacial surgery training was at stanford university, and i can personally recommend the stanford/ lucille packard cleft and craniofacial team to you as an excellent team. There are also other centers near you which have very good craniofacial programs. Please arrange to have your child evaluated by an experienced craniofacial team in order to get the best answers to your questions. All the best to you, dr. Skourtis. ...Read more

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How old does a child have to be in order to have cleft lip and palate corrective surgery? I'm hoping that the answer is sooner rather than later, given how this appearance will affect how a child is perceived by their peers.

How old does a child have to be in order to have cleft lip and palate corrective surgery? I'm hoping that the answer is sooner rather than later, given how this appearance will affect how a child is perceived by their peers.

Cleft : Cleft lip and/or palate is one of the most common birth defects in america, affecting about 1 in 800 children. This condition is characterized by a minor or significant separation of the upper lip and/or roof of the mouth. The surgery performed to correct this condition is called a palatoplasty. Most plastic surgeons recommend a palatoplast be performed between 6 months to 18 months and the decision to perform this surgery is based on the extent of the birth defect, the child's age, speech development, facial growth and risk. While many parents wish for the surgery to occur earlier, most sugeries occur around 10-12 months of age. This age is ideal due to healing times at this age. Also, the area around the affected facial are hasn't had much time to grow, which can help speed up the recovery time. Children at this age may also not recall the surgery later in life. At this age, speech development is still in its infancy. It has been found that children who undergo this procedure after the age of three are prone to having speech development issues. There is always risk involved with any surgery. Work with your doctor to determine the best path for your child and his/her surgery to determine best timing for this procedure. ...Read more

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What is orthognathic surgery for bilateral complete cleft lip and palate?

What is orthognathic surgery for bilateral complete cleft lip and palate?

Clefts and Jaw Sx: In cleft patients, it is common for the maxilla to fail to develop along normal growth patterns, a lot of this has to do with scarring from previous surgeries. In order to correct for this underdevelopment of the upper jaw, orthognathic surgery is performed. Typically, the upper jaw is advanced forward, and because it is a bilateral cleft, it will technically be a three-piece segmental LeFort. ...Read more

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What does orthognathic surgery for bilateral complete cleft lip and palate involve?

What does orthognathic surgery for bilateral complete cleft lip and palate involve?

Many surgeries : This surgery can include repair of the lip and nose by clipping then sewing the tissues together in the first 6 months of life. The palate (roof of mouth) repair around 12-18 months of age involves sewing the two sides together. A repair of a cleft in the gumline may involve adding bone and orthodontics (braces) usually 9-12 years old. ...Read more

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Orthognathic surgery for bilateral complete cleft lip and palate, can you tell me more?

Team approach: The best approach for treating these problems is a team of specialists that work together as a team. ...Read more

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How hard is the surgery to fix a cleft lip and palate?

How hard is the surgery to fix a  cleft lip and palate?

Routine: There are usually a couple of offices in any metropolitan area that form cleft palate "teams". They are usually made up of ent, plastic and oral surgeons. In the hands of one of these experienced groups, the surgeries are becoming more and more routine. While some defects can be more difficult to correct, they have amazing success rates and excellent outcomes. ...Read more

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Is corrective surgery a very successful solution for a cleft lip and palate?

Is corrective surgery a very successful solution for a cleft lip and palate?

Absolutely: It is the only way to fix the defect. Results vary based upon the severity of the defect and the experience of the surgeon. ...Read more

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Dr. Daniel Sampson
202 doctors shared insights

Cleft Palate (Definition)

A congenital fissure in the roof of the mouth, resulting from incomplete fusion of the palate during embryonic development. It may involve only the uvula or extend through the entire ...Read more


Dr. Daniel Sampson
361 doctors shared insights

Cleft Lip (Definition)

A lip that ...Read more