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Cleft Lip and Cleft Palate Surgery - Why It Is Done?

Dr.Dhananjay K Mangal 89% (59ratings)
MD - Paediatrics, MBBS
Pediatrician, Jaipur
Cleft Lip and Cleft Palate Surgery - Why It Is Done?

Cleft lip and cleft palate are the two most common birth defects affecting children all over the world. What happens in the cleft lip is that the upper lip is incompletely formed and in cleft palate abnormalities, we see babies with an incompletely formed roof of the mouth. Both these can be found individually or can occur together. These conditions can be severe or mild and affect one or both sides of the face.

Causes
The fEtus undergoes the separation of the upper lip and the roof of the mouth pretty early. In certain cases, this separation does not happen or happens incompletely and certain parts of the upper lip and roof of the mouth fail to form properly leading to cleft lip and palate.

Repair through surgery

  1. Plastic surgery is the only way to repair a cleft lip and/or palate. Both of these impair vital functions like speaking, eating, breathing, and hearing properly.
  2. Surgery is done to restore function and to make the affected child look more normal.
  3. Most cleft lip and palate surgeries are done on very young children usually 3 months to a year old.
  4. Before the actual surgery, a team of specialist define a course of treatment, including repair of the cleft using surgery, which means plugging the hole in the lip or the palate; speech rehabilitation and dental restoration, as the child usually has no teeth in the affected parts of the upper palate.

The specialists required are:

  1. Plastic surgeon
  2. Pediatric dentist
  3. Ear, nose, and throat specialist
  4. Auditory or hearing specialist

What happens during surgery?
Usually, cleft lip surgery happens in children as young as 3-6 months old. It has to be carried out under general anaesthesia. If the condition is severe, and the cleft lip is wide, special procedures like lip adhesion or a moulding plate are used to bring the two parts of the lip closer and it is fully repaired.

Cleft palate repair surgery is done at the age of 9-12 months only.
What happens here is that plastic surgeons bring together the muscles of the upper soft palate and rearrange them to cover the gaping hole in the roof of the mouth. The surgery is usually done under general anaesthesia and requires a short hospital stay.

  • Without a normal palate, the child can’t speak properly. So, surgery helps to improve and normalise speech.
  • And that’s not all. The child may require more surgeries as he grows older to treat these two problems.
  • This is because the child’s facial structure changes and he or she may require advanced surgeries like pharyngoplasty, which helps improve speech, or alveolar bone grafts to provide stability for permanent teeth.
  • A bone graft is usually done when the child is 6-10 years old and it closes gaps in the bone or gums near the front teeth. If you wish to discuss about any specific problem, you can consult a pediatrician.
4640 people found this helpful

Cleft Lip Surgery And It's Benefits

Dr.Abhinav Likhyani 87% (51ratings)
MBBS, DNB - Orthopedics, MCh Plastic Surgery
Orthopedic Doctor, Chandigarh
Cleft Lip Surgery And It's Benefits

Development of a fetus within a mother's womb is a complicated biological process and also involves many intricate chemical processes. One well known deformity that has been reported fairly regularly with infants is that of a cleft lip. A statistics of average states that one baby in every 2000 births will be born with a cleft lip.

This is a condition that is easily treatable through surgery.

What is a Cleft Lip?

A cleft lip, which more often than not comes with a cleft palate as well, is a deformity where the lips of the baby's mouth aren't joined properly to the face on the upper lip. It appears to be like a slit on the upper lip that runs to the nose.

In most cases this is accompanied by the cleft palate where the slit may have the shape not just superficially, but the roof of the mouth may also be carved out in a similar shape.

Causes behind cleft lip development

Some of the factors that may lead to cleft lip and cleft palate developments are mentioned below:

Genetic - In most cases these deformities are usually passed on from one of the parents to the baby.
Medicinal - If the pregnant mother takes certain anti-seizure or anti convulsing drugs it may contribute to the defects.
Infections - If the mother gets infected with certain diseases, it may also contribute to this deformity.

Benefits and need for Cleft Lip Surgery

While for some, cleft lip surgery may be an absolutely a cosmetic procedure, for others it may be essential for correcting other issues.

Some of the major benefits of cleft lip surgery are:

Issues with eating food - With cleft lip surgery, difficulties in eating and consumption of food will be reduced or completely eliminated as many patients have reported difficulties in this area.

Speech problems - By far the most number of complaints with cleft lip deformities have been with speech problems, which the surgery along with speech therapy, can definitely help to correct.

Reducing the chance of ear nose and throat infections - Children who have a cleft lip and palate are at an increased risk of ENT infections and thus, a cleft lip correction surgery can help reduce the chances for that.

Dental problems - Another area where surgery may help is with dental problems as a cleft lip and palate is known to cause deformities in teeth as well.

2762 people found this helpful

Benefits of Cleft Lip Surgery

American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Benefits of Cleft Lip Surgery

Development of a fetus within a mother's womb is a complicated biological process and also involves many intricate chemical processes. One well known deformity that has been reported fairly regularly with infants is that of a cleft lip. A statistics of average states that one baby in every 2000 births is born with a cleft lip.  This is a condition that is easily treatable through surgery.

What is a Cleft Lip?
A cleft lip, which more often than not comes with a cleft palate as well, is a deformity where the lips of the baby's mouth aren't joined properly to the face on the upper lip. It appears to be like a slit on the upper lip that runs to the nose. In most cases, this is accompanied by the cleft palate where the slit may have the shape not just superficially, but the roof of the mouth may also be carved out in a similar shape.

Causes behind cleft lip development: Some of the factors that may lead to cleft lip and cleft palate developments are mentioned below:

  • Genetic: In most cases these deformities are usually passed on from one of the parents to the baby.
  • Medicinal: If the pregnant mother takes certain anti-seizure or anti-convulsing drugs it may contribute to the defects.
  • Infections: If the mother gets infected with certain diseases, it may also contribute to this deformity.

Benefits and need for cleft lip surgery: While for some, cleft lip surgery may be an absolutely a cosmetic procedure, for others it may be essential for correcting other issues. Some of the major benefits of cleft lip surgery are:

  • Issues with eating food: With cleft lip surgery, difficulties in eating and consumption of food will be reduced or completely eliminated as many patients have reported difficulties in this area.
  • Speech problems: By far the most number of complaints with cleft lip deformities have been with speech problems, which the surgery along with speech therapy, can definitely help to correct.
  • Reducing the chance of ear nose and throat infections: Children who have a cleft lip and palate are at an increased risk of ENT infections and thus, a cleft lip correction surgery can help reduce the chances for that.
  • Dental problems: Another area where surgery may help is with dental problems as a cleft lip and palate is known to cause deformities in teeth as well.
3528 people found this helpful

Cleft Palate - Know Risk Associated With It!

MBBS, MS - General Surgery, DNB - General Surgery
General Surgeon, Chennai
Cleft Palate - Know Risk Associated With It!

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:

1. Abnormal reactions to the medications

2. Bleeding

3. Problems in breathing

4. Need for more surgery

5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

3431 people found this helpful

How Cleft Lip Surgery Can Be Helpful?

M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
How Cleft Lip Surgery Can Be Helpful?

Development of a fetus within a mother's womb is a complicated biological process and also involves many intricate chemical processes.

One well known deformity that has been reported fairly regularly with infants is that of a cleft lip. A statistics of average states that one baby in every 2000 births will be born with a cleft lip.
This is a condition that is easily treatable through surgery.

What is a Cleft Lip?
A cleft lip, which more often than not comes with a cleft palate as well, is a deformity where the lips of the baby's mouth aren't joined properly to the face on the upper lip. It appears to be like a slit on the upper lip that runs to the nose.

In most cases this is accompanied by the cleft palate where the slit may have the shape not just superficially, but the roof of the mouth may also be carved out in a similar shape.

Causes behind cleft lip development
Some of the factors that may lead to cleft lip and cleft palate developments are mentioned below,
Genetic - In most cases these deformities are usually passed on from one of the parents to the baby.
Medicinal - If the pregnant mother takes certain anti-seizure or anti convulsing drugs it may contribute to the defects.
Infections - If the mother gets infected with certain diseases, it may also contribute to this deformity.

Benefits and need for Cleft Lip Surgery
While for some, cleft lip surgery may be an absolutely a cosmetic procedure, for others it may be essential for correcting other issues.

Some of the major benefits of cleft lip surgery are:
Issues with eating food - With cleft lip surgery, difficulties in eating and consumption of food will be reduced or completely eliminated as many patients have reported difficulties in this area.

Speech problems - By far the most number of complaints with cleft lip deformities have been with speech problems, which the surgery along with speech therapy, can definitely help to correct.

Reducing the chance of ear nose and throat infections - Children who have a cleft lip and palate are at an increased risk of ENT infections and thus, a cleft lip correction surgery can help reduce the chances for that.

Dental problems - Another area where surgery may help is with dental problems as a cleft lip and palate is known to cause deformities in teeth as well.

2815 people found this helpful

Can Cleft Lip Be Surgically Corrected?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mini Fellowship in Bariatric Surgery
General Surgeon, Meerut
Can Cleft Lip Be Surgically Corrected?

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

3493 people found this helpful

Cleft Palate - Know Procedure Of It!

Dr.Akshay Solanki 92% (10ratings)
MS- General Surgery
General Surgeon, Jodhpur
Cleft Palate - Know Procedure Of It!

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:

1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

2769 people found this helpful

Cleft Palate - Know Risks Of It!

FACRSI (Colo-Rectal Surgery), Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, FAIS, FICS, FIAGES-Advanced Laparoscopy, MBA (Hospital & Healthcare Management), MS - General Surgery
General Surgeon, Bikaner
Cleft Palate - Know Risks Of It!

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:

1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

3225 people found this helpful

Cleft Palate - Know Risks Associated With It!

MBBS, MS - General Surgery
General Surgeon, Hyderabad
Cleft Palate - Know Risks Associated With It!

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:

1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

3189 people found this helpful

Cleft Lip - How To Resolve It?

MBBS, MS - General Surgery, MRCS (UK)
Cosmetic/Plastic Surgeon, Mumbai
Cleft Lip - How To Resolve It?

Cleft lip is an oral and facial malformation that occurs in the early stages of pregnancy, when the foetus is still developing inside the mother’s womb. The lips are not formed properly because the tissue that is responsible for their formation does not completely develop before the baby is born. This leads to a gap in the upper lip. The gap can be small or extended to the edge of the nose. In some cases, the slit is in the middle of the lips, or on both corners of the lips.

In most cases, surgery is done to fix the cleft lip, making it possible for the child to lead a healthy and normal life.

Causes

Usually, the formation of the cleft lip is an interaction between genetic and environmental factors. Chances are that babies born with this defect may have a family member with the same problem.

Some other causes include:

  1. Certain drugs consumed during pregnancy
  2. Exposure to chemicals or viruses while the foetus is still developing in the womb
  3. Underlying medical conditions

Complications

Children with a cleft lip can have the following complications:

  • Might face difficulty in feeding on the mother’s breasts
  • Ear infections that might lead to loss of hearing
  • Dental problems arise if the gap extends to the upper gum
  • Speech problems
  • Emotional, behavioural and social issues may appear in children due to differences in the way they appear, compared to other normal children
3185 people found this helpful