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Cleft Lip Repair Tips

Cleft Lip and Palate Surgery: After Care Tips!

Dr. Pk Talwar 87% (152 ratings)
FAPS (Cosmetic Surgery)-USA,, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Cleft Lip and Palate Surgery: After Care Tips!

Cleft lip and palate repair surgery is a surgical procedure, which is used to fix problems of the upper lip and palate. A cleft may be a small patch on the lip or a complete furrow that extends all the way to the lower part of the nose. A child usually has one or both of these conditions at birth. This is a serious birth defect and can only be corrected with specialized plastic surgery techniques.

Why it is needed?

Cleft lip and palate surgery is necessary to correct abnormal development of upper lip in a child and to restore a normal appearance and function. The surgery can improve the child's ability to speak, hear and eat. In most cases the surgery is done when the child is between nine months to 1 year old, so as to allow the palate to change along with the growth of the baby.

Steps to be taken before the procedure

A therapist needs to be consulted before the surgery, as the therapist would analyze the best way to feed the child before surgery. The child must gain weight and has to be healthy before the surgery is performed. The health provider may do some blood tests and carry out a complete physical examination of the child. About 10 days prior to the surgery, it is necessary to stop giving the child aspirin, ibuprofen, warfarin and any other drug that inhibits the clotting of blood.

Risk factors

  1. Risks from anesthesia include breathing problems, reaction to the medicine, bleeding and infections in some cases.
  2. Problems caused by the surgery itself may include abnormal growth of the bones in the middle of the face and abnormality in the connection between the mouth and the nose.

Post surgical care tips

The child will be kept in the hospital for 5 to 7 days after surgery and complete recovery may require up to 4 weeks. The following tips need to be followed for quicker recovery:

  1. The surgery wound must be kept clean by washing it with soap, water or any other cleaning liquid.
  2. The wound must be kept moist with ointment.
  3. It is advised to prevent the child from picking at the wound by using arm cuffs and splinters. If you wish to discuss any specific problem, you can consult a cosmetic-plastic-surgeon.
3109 people found this helpful

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

Dr. Dhananjay K Mangal 89% (59 ratings)
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 And Palate Surgery - Post Surgical Care Tips

Dr. Vijay Kakkar 90% (862 ratings)
M. Ch. (Plastic Surgery), MS - General Surgery, MBBS
Dermatologist, Delhi
Cleft Lip And Palate Surgery - Post Surgical Care Tips

Cleft lip and palate repair surgery is a surgical procedure, which is used to fix problems of the upper lip and palate. A cleft may be a small patch on the lip or a complete furrow that extends all the way to the lower part of the nose. A child usually has one or both of these conditions at birth. This is a serious birth defect and can only be corrected with specialized plastic surgery techniques.

Why it is needed?

Cleft lip and palate surgery is necessary to correct abnormal development of upper lip in a child and to restore a normal appearance and function. The surgery can improve the child's ability to speak, hear and eat. In most cases, lip is operated at 3-4 month of age, so as to allow the palate to change along with the growth of the baby. The child in kept in the hospital for 2-3 days.

Steps to be taken before the procedure

A therapist needs to be consulted before the surgery, as the therapist would analyze the best way to feed the child before surgery. The child must gain weight and has to be healthy before the surgery is performed. The health provider may do some blood tests and carry out a complete physical examination of the child. About 10 days prior to the surgery, it is necessary to stop giving the child aspirin, ibuprofen, warfarin and any other drug that inhibits the clotting of blood.

Risk factors

  1. Risks from anesthesia include breathing problems, reaction to the medicine, bleeding and infections in some cases.
  2. Problems caused by the surgery itself may include abnormal growth of the bones in the middle of the face and abnormality in the connection between the mouth and the nose.

Post surgical care tips

The child will be kept in the hospital for 5 to 7 days after surgery and complete recovery may require up to 4 weeks. The following tips need to be followed for quicker recovery:

  1. The surgery wound must be kept clean by washing it with soap, water or any other cleaning liquid.
  2. The wound must be kept moist with ointment.
  3. It is advised to prevent the child from picking at the wound by using arm cuffs and splinters. If you wish to discuss about any specific problem, you can consult a pediatrician.
3342 people found this helpful
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