CLEFT LIP & PALATE REPAIR
What is cleft lip & palate repair?Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly. They happen early during pregnancy. A baby can have a cleft lip, a cleft palate, or both.
A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This causes an opening in the upper lip. The opening can be a small slit or a large opening that goes through the lip into the nose. It can be on one or both sides of the lip or, rarely, in the middle of the lip.
Defects complications : -Children with a cleft lip or a cleft palate often have problems with feeding and talking. They also might have ear infections, hearing loss, and problems with their teeth.
Early Treatment: -Often, surgery can close the lip and palate. Cleft lip surgery is usually done before age 12 months, and cleft palate surgery is done before 18 months. Many children have other complications. They may need additional surgeries, dental and orthodontic care, and speech therapy as they get older. With treatment, most children with clefts do well and lead a healthy life.
Cleft Lip Treatment:in different age/phase : -Cleft Lip Treatment: A) At Birth Feeding, Lip taping, Pre- surgical orthopedics (pediatric dentistry) Ear tubes (otolaryngology)
B) 3 - 6 months Cleft lip Repair and Primary Rhinoplasty
C) 9m - 1 year Cleft palate repair, Palatoplasty
D) 2 – 3 years Speech evaluation, Craniofacial Clinic
E) 3 - 4 years Secondary Speech Therapy (if necessary)
F) 5 - 6 years (Preschool) Lip/nose scar revision
G) 7 – 8 years: Orthodontic Rx
H) 9 - 10 years: Alveolar bone grafting (if necessary)
I) 14 - 16 years: Secondary Rhinoplasty, Mid-facial growth monitoring
J) 16 - 18 years: Orthognathic Surgery