Before cleft lip and palate reconstructive surgery was invented, what was done for people with this birth defect?

Not much. Some dentists could make appliances to plug the whole in the palate. There were crude attempts to close the lips.
Pressure. Types of cintures or binders and braces were tried. In many third world countries children and adults are living with the defect.
Not much. They generally had o suffer with nothing or a partial or full denture. Clefts can disfigure if severe enough and can interfere with the ability to eat and swallow.

Related Questions

Why do children with cleft lip and palate have a higher incidence of cavities than children born without this defect? We are having my son's cleft lip and palate surgically corrected. How many surgeries are will be needed in the coming years? I've also he

Because . Because the teeth are often misaligned and difficult to brush and floss. Read more...
DIFFICULT TO CLEAN. The cleft leaves a large opening in the mouth where bacteria can accumulate that causes cavities.It is difficult to clean area. Read more...
Team approach. These children should be treated only by a dedicated cleft palate team containing all the specialites and who have a support system for the parents to gain the knowledge needed for the best care for their child. Poor diet choices because of feeding difficulites is the biggest reason for more dental disease. Nutritional help is most important and will be part of the team approach. Read more...

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...
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 be technically be a three-piece segmental LeFort. 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 . 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...
Visit with a surgeon. The best answers can be obtained from the office of the surgeon who performs these surgeries. They can help you to anticipate what life would be like following surgery. They also understand the severity of this condition in your child. Read more...

Does cleft lip and palate surgery leave behind a lot of scarring? My son will have his first cleft lip and palate surgery next month, and I'm concerned about scarring. Do the reconstruction surgeries normally cause a lot of scarring? Is scar removal a com

All . All surgery leaves scars.The quality and the location of the scar is the important factor(assuming excellent tech)it is very important to investigate your surgeons training & reputation. . Read more...
Possible. The technology today in cleft lip and palate reconstruction is very good. The scarring is usually minimal and not noticeable. Many famous people you've seen on tv have had cleft lip surgery and you don't even know it. I wouldn't worry about the scarring; the most important thing is restoring form and function to your child's mouth. Read more...
Yes and no. The first surgery is for gross closure and much of it's cosmetic success is depending upon what the surgeon has to work with. There will be many opportunites for revision of the scar as the child grows and the end result should be fine. The first surgery puts you in the ballpark. The seats are arranged later. 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 . 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...
Lip-6-10 weeks. Cleft lip repair is usually done at 6-10 weeks old, and palate repair around 10-11 months old. No need to wait longer than that in most cases, although there are exceptions on occasion. Go see the cleft surgeon soon for advice. Read more...

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

Easy. As with any surgical procedure - experience is key. An experienced cleft surgeon can repair a simple cleft lip in 30 minutes while a more complex procedure might take 2 hours. 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...
Complicated in Steps. Every cleft is different and its repair will depend on the position of the premaxilla ( the bone that normally supports the 4 incisors which may be quite forward in the newborn) and the amount & quality of available surrounding tissue to design flaps to close the defect. It usually requires a team to plan and patient need years of follow-up as they grow and teeth erupt. Read more...