Cleft Lip and Palate Surgery
Cleft Lip and Palate Surgery In the first weeks of development, a long time before the birth, the left and lips right sides are formed together with the palate. However, a normal association does not occur in approximately 1000 babies. Since lip and palate develop separately, cleft lip and palate can be seen in various […]
Cleft Lip and Palate Surgery
In the first weeks of development, a long time before the birth, the left and lips right sides are formed together with the palate. However, a normal association does not occur in approximately 1000 babies. Since lip and palate develop separately, cleft lip and palate can be seen in various variations. If your child has been borned with such a deformity, your doctor will recommend surgical repair for treatment. There have been significant advances in the treatment of children born with cleft lip and palate, and there is no obstacle for most of you to have a normal, healthy and happy life. Here you will be given basic information about surgical intervention. You may not find answers to some of your questions here because of individual differences. Do not hesitate to ask your doctor any questions about surgical intervention.
Children born with cleft lip and palate need help from various specialties due to various problems. In addition to the cleft repair that will be performed by plastic surgery, various problems may arise as the child grows in terms of nutrition, teeth, hearing, speech and psychological development. Therefore, it is important for families to apply to centers where they can receive team support. In general, this type of team includes a plastic surgeon, pediatrician, an ear-nose-throat specialist, speech and hearing specialist, psychologist, genetic counselor, dietician, nurse, and social consultant. The plastic surgeon is coordinated by whom when to apply.
A good result can be achieved if a plastic surgeon who is experienced in cleft lip and palate repair performs this surgery. However, there are various risks and complications that can be encountered in every operation. The most common problem after lip cleft repair is the lack of symmetry on either side of the lip. The main purpose of lip repair is to close the slit in a single operation, but occasionally a second procedure may be necessary. The main purpose of the cleft palate repair is to ensure that the opening in the palate is closed and the child is fed and talked properly. Various healing problems and speech disorders from time to time require a second attempt.
PLANNING OF THE SURGERY
You can learn about details such as where the surgery will be done, the kind of anaesthesia, the problems that may be encountered, the period of recovery, the cost of the procedure and the result that will arise. You can also learn about your child’s nutrition before and after surgery.
The lip cleft can range from a small notch on the upper lip to a full crevice extending to the base of the nose. The cleft may be unilateral or located on either side of the lip (bilateral). Surgical intervention is usually performed at the age of 6 to 10 weeks. In order to repair the cleft lip, muscle repair will be performed following the incision on both sides of the cleft. The mouth mucosa and skin repair will be performed and it slit will be closed. In this way, muscle function will gain and normal lip shape will be created. The deformity of the nose will also benefit from this intervention.
HEALING AFTER THE LIP SURGERY
Your child may have a restless period after surgery. A variety of medications to overcome this period will be recommended to you by your doctor. To keep your child’s hands away from the surgical field, it is necessary to use bandages to prevent the elbows from bending. Used dressings a? It will be removed after two days, skin sutures will be removed after 5 days or it will fall automatically depending on the material used. Your doctor will give you advice on feeding your child during the first few weeks. The surgery trail will become more red and wide during the first few weeks. This view will decrease with time, but the trace will never disappear completely. In many children, because of shadows in the nose and lip area, this trace will be visible hard.