Doctor insights on:
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
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
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
Relax: Part of the defect in clefts is an altered position of the muscles that pull up on the palate & effect the drainage of fluid from the middle ear into the throat. Poor drainage can lead to retained fluid & temporary reduced hearing & ear infections. Tubes are commonly put in cleft kids even before they have ear infections. With regular monitoring your kids hearing will be preserved. ...Read more
Surgery: No. It would not be safe for the patient nor the surgeon. ...Read more
Is cleft palate surgery ever fatal? My daughter is having it next month when she will be 11 months.
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
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
Many different medic:
There are a variety of medications that are traditionally used during other surgeries but may be administered in liquid form to avoid disrupting the repair.
This includes pain medications and antibiotics. ...Read more
My 21m daughter had cleft palate surgery at 1yr. She says 40 words but not putting two words together yet. Should I eval yet? Wait?
Evaluation.: Ask your pediatrician about a developmental evaluation. ...Read more
One dr one your board (Paul grin) says the mortality rate for cleft palate surgery is 1 in 300 while another says 1 in 100, 000. Huge discrepancy. Why?
Studies: I cannot speak for any doctor nor the actual figures reported. First, I do not believe there is any consensus on the figures as such studies of mortality rate for this procedure are scarce and will vary based upon who does the study, the size of the sampling, the geographic sampling, the year of the study, how the information was collected, etc. Concentrate on the need and benefit of the surgery. ...Read more
My two month old has a mild soft cleft palate. Will she have speech difficulties later in life? She will most likely have surgery at one year
Need team: Children w clefts are best treated by a cleft palate team consisting of nutritionist, orthodontist, oral and maxillofacial surgeon, pediatric dentist, pediatrician, speed pathologist, social worker, ent, and other specialties as required. Often centered in children's hospitals, these teams have brought order and stability to treating children with clefts. ...Read more
What to do if I wanna ask that a week ago my son had a cleft palate surgery and 3 days after the surgery the hole opend?
See your doctor:
The situation you describe is not uncommon but cannot be fully diagnosed without an exam by your son's doctor. Sometimes the problem is minor and the hole may close and sometimes it is more complicated.
Bring your son to see his surgeon and let the surgeon make the call. ...Read more
Another doctor on here said the post surgical mortality rate is 2%. That can't possibly be correct, even with cleft palate surgery right?
Procedure dependent: The risk of dying (mortality) and developing complications (morbidity) is dependent on the diagnosis, the procedure, the condition of the patient and the situation (emergent vs elective). Most elective procedures have very low mortality rates, clearly cleft palate surgery in a child without other risk factors (e.g. Cardiac defects) will be low, very low, on the order of 0.1% or less. ...Read more
Hi my 2.4 year son got cleft palate surgery last year in april. He does not have any problem with hearing. He only speak mama baba etc does its o.K?
Get ears checked: Many hospitals have cleft palate teams a member of which is an ENT doctor because there is a high incidence of ear fluid, deafnes and eustachian tube dysfunction in patients with cleft. At your child's age there should be intelligible speech so I would definitely recommend seeing an ENT doctor first who can check the ears and hearing, put in ear tubes if needed and get a speech therapist involved. ...Read more
Cleft palate surgery: Follow the post op instructions given by the surgeon. Ask them all of your questions. They are the best one to help you and your son thru this healing period. Good luck. ...Read more
My son just had a cleft palate surgery repair. Cleft lip repair and nose. How can I help them heal?
Listen to staff: Cleft surgery is common and highly successful. You surgical team will provide you with necessary instructions to allow your son to heal well and recover from this operation. The staff of surgeon and hospital will monitor him throughout the process. Ask if there are any support groups you may talk to or email for further help. Good luck. ...Read more
My daughter had the cleft palate surgery 6 years ago but for the last 3 years she has been getting frequent nose bleeds I initially chalked it up to a?
Nose bleeds: Best to have your daughter evaluated by an ENT and a Dentist, preferably practitioners who are part of a cleft-palate team. If there is no cleft team in your area ask your Pediatrician for referral. Note also that there are developmental decisions that should be addressed now by the Orthodontist and Prosthodontist on the cleft team. ...Read more
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 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
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
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 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
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
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
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
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
Team approach: The best approach for treating these problems is a team of specialists that work together as a team. ...Read more
Yes: Discuss this with a plastic surgeon who specializes in this management. ...Read more