Top
30
Doctor insights on: What Is The Recovery Period For A Child With Cleft Palate Surgery

Share
1

1
What is the recovery period for a child with cleft palate surgery?

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

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


2

2
How does one prevent fistula from forming after a cleft palate surgery in a six month old child?

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

3

3
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

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

4

4
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

6

6
Is cleft palate surgery ever fatal? My daughter is having it next month when she will be 11 months.

Is cleft palate surgery ever fatal? My daughter is having it next month when she will be 11 months.

Nothing is 100%: But I have never heard of a fatality from cleft palate surgery. These cases are usually planned in stages over years, are well planned out, and are common enough. ...Read more

7

7
Is surgery for soft cleft palate generally safe?

Is surgery for soft cleft palate generally safe?

Yes: It is a common surgery done usually at a children's hospital and is generally safe and successful to help the child with problems with eating and speech. ...Read more

8

8
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

9

9
I wondered if anyone here does volunteer cleft palate surgery?

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

10

10
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

11

11
What medications are used during a cleft palate repair surgery?

What medications are used during a cleft palate repair surgery?

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

13

13
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?

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

14

14
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

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

15

15
Cleft palate and palatine processes for surgery?

Good if needed: Have your orthodontist and your oral surgeon both review your situation. The co-ordination between the 2 of them generally gives better results. ...Read more

16

16
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?

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

17

17
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

18

18
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

19

19
What do you suggest if my son just had a cleft palate surgery repair. Cleft lip repair and nose?

What do you suggest if my son just had a cleft palate surgery repair. Cleft lip repair and nose?

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

20

20
My son just had a cleft palate surgery repair. Cleft lip repair and nose. How can I help them heal?

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

21

21
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?

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

22

22
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

23

23
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

24

24
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

25

25
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

26

26
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

27

27
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

28

28
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

29

29
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

Dr. Daniel Sampson
204 Doctors shared insights

Cleft Palate (Definition)

Also called palatoschisis, it is 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 ...Read more


Dr. Daniel Sampson
363 Doctors shared insights

Cleft Lip (Definition)

A lip that ...Read more