Cleft lip and palate repair--best at birth or later?

Lip by 3 months. Lip repair is usually done by 3 months old, and palate repair by 10 months before speech begins. The age of lip repair is not critical, and most surgeons do not feel that the risks of early (ie 0-4 weeks old) outweigh the theoretical benefits. So, repair at birth is frowned on by most cleft centers and surgeons.
Depends. Early closure of the outer defect is often to fascilitate feeding while the inner palate work is put off until the child is older.The best timing & work is done with input of the expert hands of the teal/surgeons who do the work.
First year of life. Both are best repaired during the first year of life - the lip/nose at around 3 months of age, and the palate at between 9 months and a year.

Related Questions

Before cleft lip and palate reconstructive surgery was invented, what was done for people with this birth 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. Read more...
Pressure. Types of cintures or binders and braces were tried. In many third world countries children and adults are living with the defect. Read more...
Not much. Some dentists could make appliances to plug the whole in the palate. There were crude attempts to close the lips. Read more...

What other preparations are done before unilateral cleft lip and palate repair? My newborn daughter has a cleft lip that extends up to her nose, and she has a large separation in her palate. How often are both the cleft lip and palate corrected in the ini

Typically . Typically the cleft lip and nose are repaired together early when the child is about 3 months of age. The hard palate is rarely repaired at that time because doing so will effect the normal growth of the upper jaw. The hard palate is usually repaired anywhere ranging from 9-18 months. Other preparations to consider is that the child will usually also need ear tubes placed at the same time as the cleft lip repair since it is very common to have fluid build up in the ears in children who have cleft palates. This will help preserve normal hearing. Read more...
Talk to the surgeon. With any type of surgery, it is best to have a thorough discussion with the surgeon who will perform the procedure. That person will want to answer all of you questions so that you are completely knowledgeable about every aspect of the procedures to be performed. Read more...

What do you suggest if my son had a cleft lip/cleft palate repair?

Not much. If you child's cleft palate has been repaired, his team did a terrific job. Please rephrase your question if you need further info. Read more...
Rehabilitation. involves the action of a multidisciplinary team like pediatrician, ENT, Orthodontist, plastic surgeon,psychologist and related specialties. Read more...
Suggest ?????? You get the most from this site when you provide detailed background on a current problem and ask a specific related question. What about your kids repair are you interested in ? When you ask a broad question we cannot focus on specifics. The only reasonable response to your query is to follow up with your kids docs. You are welcome to start over. questions are not linked. Read more...

I am looking for an excellent surgeon to repair a bilateral cleft lip and palate. What should I search for?

Operation Smile. If you call operation smile at 888-677-6453 or 757-321-7645, they can refer you to a number of resources in searching out a cleft lip/palate plastic surgeon. Many universities have multispecialty cleft clinics and can be an excellent source of information and treatment options. Good luck! Read more...
Cleft surgeons. I suggest looking at the nearest academic hospital and calling to see if they have a craniofacial team experienced in cleft lip and palate repair. The team will include the surgeon, ent, dentist, speech therapist, nurse, and social worker, all of whom will have had significant experience in treating these children and assisting their families. In the nyc area, i recommend nyu. Best, /nsn. Read more...
Try ACPA. The american cleft palate association has a list of multi-disciplinary teams that focus on a team approach to care for these patients. You can find this on-line. Read more...

Are there any long term adulthood effects after getting a cleft lip or palate repaired?

Cleft lip and palate. Ideally, once a cleft lip or palate is repaired, there will be normal growth and speech development. However, there are inherent risks with surgery for cleft lip and palate. The biggest of these risks lies with cleft palate surgery, where an opening in the palate may recur leading to a nasal voice and passage of liquids between the nasal and oral cavity. Treatment requires further surgery. Read more...
Possible. Hopefully the correct procedures were done at the correct time. However, long term dental arch relapse is possible if retainers are not worn correctly. Scar tissue can retract and change arch shape. Incomplete closure of bony fissures can cause problems with periodontal defects. However, usually no problems! Read more...
Yes, sometimes. Yes, dental, speech, appearance, sinus, and psychosocial issues can all appear or persist into adulthood. Many cleft teams will see adults, or the individual team members will in their offices. Read more...
Yes. Cleft lip and palate can significantly affect the tooth formation as well as maturation of the nose and mid face. Hopefully the cleft palate repair will prevent future speech problems but that is not guaranteed. Most children will eventually need additional surgery as they get older. Read more...

My son had a cleft lip/cleft palate repair. How long until he recovers?

Cleft. Tissue heals in 7-10 days. Bone takes 12 weeks. Your son should be back to normal activity depending on the size of the cleft in3-4 weeks please check with the surgeon. Read more...

What is the best treatment for cleft lip or palate?

Repair. These are complex deformities that are best repaired by a team that includes plastic surgeons, ENT surgeons, speech pathologists, orthodontists, and others. These are often found at university hospital centers and give the best options for continuing care of these patients. I would encourage you to look for one of these clinics. Read more...
Surgical repair. While there are other options other than surgery like obturators, surgery is by far the best option in children. Read more...