Cleft Lip & Palate Surgery


Cleft Lip & Palate Surgery

A long time before the rising of the child, left and right edges of the lip and palate occur together in first few weeks of development. However, normal merger does not occur in every 1000 infant approximately. Cleft lip and palate can be seen in various variations because they have developed in separate lip and palate. In this way, if your child was born with a deformity, your doctor will recommend surgical repair for treatment. Treatments have been significantly improved for children who are born with cleft lip and palate, there is not any obstacle to spend normal, healthy and happy life. Here you will get basic information related to surgical intervention. You may not find answers to your questions here, because of individual differences. Do not hesitate to ask questions which are attached to your mind about the surgery.

The Importance Of Team Approach

Children born with cleft lip and palate will need help from different specialties due to various problems. Plastic repair of cleft surgery will do as well as nutrition, teeth, hearing, speaking, and will change as the child grows a variety of problems may arise in terms of psychological development. For this reason, it is important to apply the team support centers. In general, this type of team should include plastic surgeon, pediatrician, ear-nose-throat specialist, speech and hearing specialists, psychologists, genetic counselor, dietician, nurse and social worker. Coordination will be done by the plastic surgeon for applications which are including these experts.

Every Surgery Has Some Uncertainties And Risks

Surgical intervention for cleft palate and lip should repair by an experienced plastic surgeon because you need to achieve a good result. However, we can face various risks and complications encountered as with any operation. The most common problem after repair of cleft lip is the lip of failure to provide both sides of the symmetry. The main purpose of repair of cleft lip is closure in single operation, but second operation may be required from time to time. The main purpose of repair of a cleft palate is providing normal feeding and good speech of child’s by closed open area. Sometimes second operation requires in various healing problems and speech disorders.

Planning Surgery

Surgery place, anesthesia type, encountered problems, the recovery period, transaction costs and information about such details as the outcome, you can learn first meeting with your doctor. You can get information about nutrition of your child before and after the surgery periods. Social security systems (the Pension Fund, Social Insurance Institution, Bag-Kur), provide all the costs for cleft lip and palate operations. If you use private insurance, you should care to policy covers your child and limits of your policy for surgical procedures.

Cleft Lip Surgery

Lip slots can vary widely from upper lip which is a small notch to the nose extending base split. Split can be unilateral cleft lip and also it can be placed on either side. Generally surgical intervention was performed for child 6-10 weekly. To repair slot of lip, muscle repair will be made on both sides of the slot through incision. Cleft closed by doing oral mucosa and skin repair. Muscle gain function and normal lip shape will be created in this way. Deformity of the nose also will benefit from this initiative.

Cleft Lip Healing After Surgery

Your child can spend uneasy period after surgery. Various drugs are proposed to you by your doctor to get over this period. To keep child’s hands away from surgical field you should use bandages to prevent bending the elbows for a period. Dressings will be removed after two days, seams of the skin will be removed after 5 days or reduced itself depending on the material. During the first few weeks, recommendations for child nutrition will be given to you by your doctor. During the first few weeks, trace of the surgery will become more red and a broad. This view will be reduced over time but trace will never disappear completely. Trace can be seen difficultly because of the nose and lip shape in turn into shadows in many children.

Cleft Palate Surgery

Palate clefts, small notch that affects small language in some children, sometimes it reach to lip region. Repair of cleft palate can be made between 3-12 months according to surgeon, anesthetist and the patient condition. This way is easier to tolerate the surgical operation of the child. During surgical repair, incisions made on either side of the slot and edge tissues brought closer in the midline, eventually, provided the integrity of palate. During this reparation, soft muscles of palate repaired, good nutrition and free talking ability is also provided to the child.

Recovery After Cleft Palate Surgery

The first few days after surgery, you can be feel pain and complaints of discomfort which can be easily controlled with drugs. In this period, you should start to feed your child through vein because oral feeding of children is not enough and you should provide the necessary support. In the early days, you should take the bandages to prevent the child’s hands from his mouth, it is necessary to prevent the bending of the elbows. Necessary recommendations will be given to you by your doctor about your child’s nutrition after surgery for the first few weeks. You should comply these recommendations because recovery of smooth palate is required for you.