Surgically closing a cleft lip is simpler than repairing a cleft palate. The procedure is usually performed within three to four months after birth, and the scar usually fades as the child gets older.
With a cleft palate, surgery is delayed until the child is one to two years old, when the upper jaw has reached normal growth. If the damage is extensive, surgery may be put off until the child is between five and seven to prevent structural problems. In some cases, surgery is not possible or may not totally close the opening. In this case, a denture-like appliance, called an obturator, is made to cover the opening and allow normal eating.
Depending on the severity of the cleft palate, multiple surgeries may be required over an extended period of time. A plastic and/or maxillofacial surgeon performs corrective surgery on the face, while a general dentist, oral surgeon, otolaryngologist and/or orthodontist make appliances to correct any defects.
Your healthcare team will provide guidance and encouragement during the difficult time from birth to treatment. With the advances in surgical techniques and corrective appliances, the outlook for children born with cleft lips and palates is excellent. As the child gets older, little sign of the cleft should remain.
11/15/2010