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Cleft lip and palate repair
A cleft lip and palate repair is a surgical procedure to repair birth defects of the upper lip and roof of the mouth. A cleft lip is an abnormal opening in the middle of the upper lip. A cleft palate is an opening in the roof of the mouth (palate).
Cleft lip repair is usually done within 6 to 12 weeks of age. Cleft palate repair is generally postponed until later to take advantage of the palatal changes that occur with normal growth. Most surgeons repair a cleft palate between 9 months to 1 year before the child develops faulty speech habits.
DescriptionWhile the baby is anesthetized and asleep (general anesthesia), the tissues around the defect are trimmed and sewn together with several layers of stitches (absorbable sutures). The skin is sewn together with very small, fine stitches (sutures) to make the scar as small as possible. In cleft palate repair, tissue from the roof of the mouth may be shifted over to cover the deficient soft palate. Occasionally more than one surgery is required for complete palate closure.
IndicationsCleft lip repair and cleft palate repair are indicated for:
RisksRisks for anesthesia are:
Expectations after surgeryMost babies heal without complications. The cosmetic result often depends on the severity of the deformity and is usually quite good.
The average hospital stay is 5 to 7 days. Complete recovery may take up to 4 weeks. Some children continue to have speech defects after the surgery because of muscle problems in the palate. Speech therapy is then required.
Update Date: 11/4/2003Hebe Molmenti, M.D., Ph.D., Private Practice specializing in Plastic and Reconstructive Surgery, Baltimore, MD. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT