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Cleft Lip / Palate Surgery

Cleft Lip / Palate Surgery

Cleft lip and cleft palate surgery are reconstructive procedures performed to correct congenital conditions where a baby is born with a split in the upper lip, the roof of the mouth (palate), or both. These conditions occur when facial structures do not fully fuse during early pregnancy. Surgery is essential not only for cosmetic improvement but also for critical functions such as feeding, speech development, hearing, and dental health.

A cleft lip repair is usually performed within the first 3 to 6 months of life. The surgeon carefully closes the gap by reconstructing the lip muscles, skin, and the natural contour of the lip and nostril, which also helps improve appearance and function. A cleft palate repair (palatoplasty) is generally performed a bit later, often between 9 and 18 months, to close the opening in the roof of the mouth. This helps improve the ability to eat, speak, and prevent fluid from passing into the nose during swallowing.

 

Some children may require additional surgeries as they grow, such as revisions to improve speech, correct nasal asymmetry, or address dental and jaw development issues. Orthodontic treatment, ear tube placement, and speech therapy are often part of the long-term care plan, meaning treatment is typically managed by a multidisciplinary cleft team including surgeons, orthodontists, speech therapists, and ENT specialists.

The outlook after cleft lip and palate surgery is excellent, with most children able to eat, speak, and socialize normally as they grow. However, risks include scarring, wound breakdown, nasal deformity, or persistent speech problems that may require additional procedures or therapy.