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Doctor insights on: How Many Surgeries To Fix Cleft Palate In Child

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Is 20 mcg/kg of IV Propofol enough for a 1 y/o baby on a cleft palate repair? Could he experience awareness?

Is 20 mcg/kg of IV Propofol enough for a 1 y/o baby on a cleft palate repair? Could he experience awareness?

Talk to Drs: That dose is not a real dose. If you have concerns about your baby's anesthetic, please discuss it with your anesthesiologist. ...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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How many surgeries to fix cleft palate in child?

How many surgeries to fix cleft palate in child?

Depends: That is a very difficult question and it depends on how much of the palate is affected. If it is a simple cleft, it can be repaired in one surgery. If it involves a lot of the roof of the mouth it might need to be done in stages. ...Read more

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What is the recovery period for a child with cleft palate surgery?

Depends on repair: Cleft lip and palate may involve a wide range of associated conditions effecting the hard and soft palates as well as the dentition and auditory and speech musculature. Treatment may require more than one surgery and recovery may take more than one period. Typically within one year healing will be completed and speech therapy will be instituted. ...Read more

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How does one prevent fistula from forming after a cleft palate surgery in a six month old child ?

Teamwork: Proper evaluation, surgical technique and aftercare are all very important in reducing the risk of an oro-nasal fistula after cleft palate repair. Even under the best circumstances it can happen and additional surgery is needed for closure. The best way to prevent this is finding an experienced, board certified surgeon in your area, and following directions. ...Read more

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My child who is 3 months has a moderate cleft palate. Surgery at 10 months. Can cleft palate lead to deafness? I know it can cause hearing loss

Cleft team: A cleft of the palate commonly causes middle ear fluid build up and infections and require placement of ear tubes usually within the first few months of birth. You have answered your own question - yes it can cause hearing loss(partial deafness) and issues with speech. Your child's plastic surgeon, ENT surgeon ; cleft team will work together to minimize the impact of the cleft by early treatment. ...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.

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 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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Has there any been any death from surgery for a cleft palate?

Yes, rare: There can be deaths from any surgical procedure; there can be adverse reactions to anesthesia, abnormal bleeding, infections etc. Fortunately such deaths are rare. You should discuss these concerns with a surgeon. ...Read more

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I wondered if anyone here does volunteer cleft palate surgery?

Shriner's Hospitals: The shriner's hospitals as well operation smile are wonderful organizations for finding cleft palate teams that offer their services at minimal costs to patients meeting their criteria. ...Read more

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Are there any long term complications to the cleft palate surgery?

Depends: Depending on the severity of the cleft, there can be growth restriction of the middle portion of the face that begins to show up as the child ages. Whether this is due to the surgery or some underlying problem with the facial bones is unknown, but scarring from the surgery (no matter what technique is used) is thought to contribute to the problem. ...Read more

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Dr. Daniel Sampson
201 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
359 doctors shared insights

Cleft Lip (Definition)

Cleft lip and palate are birth defects that affect the upper lip and the ...Read more