Cleft Palate Repair A cleft palate usually is repaired with surgery called palatoplasty (PAL-eh-tuh-plass-tee) when the baby is 10–12 months old. The goals of palatoplasty are to: Close the opening between the nose and mouth. Help create a palate that works well for speech. The most common type of cleft lip repair is a rotation advancement repair. The plastic surgeon will make an incision on each side of the cleft from the lip to the nostril. The two sides of the lip are then sutured together, using tissue from the area to rearrange and close the lip as needed. Children with a cleft lip or palate will need several treatments and assessments as they grow up. A cleft is usually treated with surgery. Other treatments, such as speech therapy and dental care, may also be needed. In general, procedures may include: Cleft lip repair. To close the separation in the lip, the surgeon makes incisions on both sides of the cleft and creates flaps of tissue. Cleft palate repair. Ear tube surgery. Surgery to reconstruct appearance. It usually takes about 3 to 4 weeks for the incision to heal. Your child may need to wear padded arm restraints for 1 to 2 weeks after surgery to prevent him or her from rubbing the surgery area. This care sheet gives you a general idea about how long it will take for your child to recover.
The causes of orofacial clefts among most infants are unknown. Cleft lip and cleft palate are thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy.
That varies from patient to patient. At the minimum, one surgery is needed to repair the lip and a separate surgery is needed to repair the palate. However, several surgeries are needed to make the lip appear as normal as possible. And sometimes additional surgeries involving the palate are needed to improve speech.
FACT: A cleft is not a 'disability'. It may affect a child in ways that mean they need extra help, but most children with a cleft are not affected by any other condition and are capable of doing just as well at school as any other child.
Medical Definition of cleft palate : congenital fissure of the roof of the mouth produced by failure of the two maxillae to unite during embryonic development and often associated with cleft lip. — called also palatoschisis.
Cleft lip repair: A cleft lip usually is repaired between 3 and 6 months of age. Many things will determine the right time for surgery; the right time for one child may not be good for another. Cleft palate repair: A cleft palate is commonly fixed between 9 and 14 months of age.
A cleft lip or cleft palate can affect the child's ability to develop speech and even language skills. The following aspects of verbal communication may be affected: Articulation (Speech)—the physical production of sounds to form spoken words.
Every year, 7. 9 million infants (approximately 6 percent of babies worldwide) are born with serious abnormalities. These can be related to the anatomy (such as clubfoot or cleft lip), chromosomal abnormalities (such as Down syndrome – Trisomy 21) or biochemical/genetic mutations (such as sickle-cell disease).
The cost of cleft lip surgery and/or cleft palate repair is estimated to run a minimum of $5, 000. However, most children born with clefts require ongoing care that could involve multiple surgeries or different types of treatments, the costs for which could accumulate to hundreds of thousands of dollars.
Cleft lip and cleft palate occur when tissues in the baby's face and mouth don't fuse properly. In some cases, babies inherit a gene that makes them more likely to develop a cleft, and then an environmental trigger actually causes the cleft to occur.
Cleft palate alone was associated with elevated risks for death (hazard ratio, 3. 4), intellectual disability (relative risk, 11. 5), anxiety disorders (RR, 2. 9), autism spectrum disorders (RR, 6. 6), severe learning disabilities, cerebral palsy, epilepsy, and musculoskeletal disorders, when compared with the unaffected
Can cleft palate be healed before birth? Cleft palate can cause serious complications, including difficulty eating and learning to speak. However, close regulation of important signaling molecules during palate formation may one day allow doctors to reverse a cleft palate before the baby is even born, Chai said.
Cleft lip repair usually leaves a small scar on the lip under the nose. At 9-12 months of age, a cleft palate usually can be repaired. Plastic surgeons connect the muscles of the soft palate and rearrange the tissues to close the cleft. This surgery requires general anesthesia and a short hospital stay for recovery.
Cleft treatment for adults. Adults born with a cleft lip and/or palate may require ongoing treatment despite having undergone surgery as children, teenagers and young adults. Such treatment can serve a functional and/or cosmetic purpose e. g. orthognathic surgery (jaw alignment) and rhinoplasty (nose surgery).
The causes of cleft lip and cleft palate (or both) are unknown, although hereditary (genetic) factors sometimes play a small role. A cleft lip or cleft palate (or both) is not caused by anything the parents did or did not do during the pregnancy.