Question - How is cleft palate surgery done?

Answered by: Andrew Roberts  |  Category: General  |  Last Updated: 21-06-2022  |  Views: 626  |  Total Questions: 14

In this surgery, a plastic surgeon will: Close the cleft in layers. Rearrange and repair the muscles of the soft palate so they work better during speech. Make two incisions (cuts) on each side of the palate behind the gums to ease tension on the palate repair. 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. Cleft palate repair: A cleft palate is commonly fixed between 9 and 14 months of age. If there is a separation in the gum line, it usually is repaired when a child is 8-10 years of age. A child's cleft/craniofacial team will determine the best time for cleft palate surgery. Cleft palate repair is surgery to fix a split (cleft) in the roof of the mouth, which is called the palate. Your child may need pain medicine for the first few days after surgery. The area around your child's mouth may be swollen for the first 1 to 2 weeks after surgery. He or she may be more fussy than usual. Doctors Who Treat Cleft Lip/Cleft Palate. Many children born with cleft lip/cleft palate are treated by a craniofacial team that provides coordinated care by a group of specialists with expertise in craniofacial problems, including: A surgeon (plastic surgeon, oral maxillofacial surgeon, or neurosurgeon)

https://www.clapa.com/treatment/school-years-5-12/at-school/

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.

https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

While most babies with cleft lip can breast-feed, a cleft palate may make sucking difficult. Ear infections and hearing loss. Babies with cleft palate are especially at risk of developing middle ear fluid and hearing loss. Dental problems.

https://www.webmd.com/oral-health/cleft-lip-cleft-palate

Cleft lip, with or without cleft palate, affects one in 700 babies annually, and is the fourth most common birth defect in the U. S. Clefts occur more often in children of Asian, Latino, or Native American descent. Compared with girls, twice as many boys have a cleft lip, both with and without a cleft palate.

https://www.aboutkidshealth.ca/Article?contentid=380&language=English

Concerns of cleft lip and palate They may go through many emotions, including shock, denial, sadness, and anger, before they can finally accept what is happening. If left untreated, cleft lip and palate can present other challenges for a baby, including problems with feeding, hearing, dental development, and speech.

https://www.yourdentistryguide.com/cleft/

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.

https://www.merriam-webster.com/dictionary/cleft%20palate

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.

https://www.ncbi.nlm.nih.gov/pubmed/21780940

A total of 21 deaths were in the isolated cleft palate group, with a calculated death rate of 68. 1 per 1000. One child each from the cleft lip and the cleft lip and palate groups died. The causes of death were mainly due to associated congenital anomalies (61%) and infection (17%).

https://www.ntperi.com/conditions/birth-defects

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).

https://myhealth.alberta.ca/health/AfterCareInformation/pages/conditions.aspx?HwId=zc2658

Most children are back to their usual behaviour about a week after surgery. 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.

https://www.ncbi.nlm.nih.gov/pubmed/27070669

A surgical outlier subset of 17 patients (24%) was identified who had more than 10 surgeries. These patients also had, on average, 11. 3 (unilateral cleft lip and palate) and 11. 8 (bilateral cleft lip and palate) anesthesia events; this is in contrast to the nonoutliers who had, on average, 4. 1 to 8 anesthesia events.

https://www.smiletrain.org/sites/default/files/medical/for-patients/speech-services/Handout-Cleft-Pa

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.

https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

Cleft lip may be detected with ultrasound beginning around the 13th week of pregnancy. As the fetus continues developing, it may be easier to accurately diagnose a cleft lip. Cleft palate that occurs alone is more difficult to see using ultrasound. However, most often the cause of cleft lip and cleft palate is unknown.

https://www.houstoncraniofacial.com/cleft-lip-palate/adult/

Some of the common treatments for adult cleft lip and palate are: Plastic and reconstructive surgery – to fix palatal fistulas (small hole in the roof of the mouth), hypernasal speech, deviated septums and breathing problems, clefts in the gums (alveolar), and lip or nasal contour and asymmetry.

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cleft-palate-and-cleft-lip

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. an associated genetic condition.