Cleft lip repair techniques ppt


modern cleft lip repair, or cheiloplasty. He used a simple repair by incising the cleft margins, pulling the opposing raw surfaces together and securing them with sutures. Today, there are many techniques to repair the unilateral cleft lip deformity. Despite the numerous eponymous techniques, all are derive The timing of the lip repair is generally between 2 and 3 months of age, calculated from the expected due date. Limitations regarding timing of lip repair are often related to the age and size of the baby. Although not absolute, a general and easy rule for timing of cleft lip repair is a rule of 10s: at least 10 pounds and at least 10 weeks of age Cleft lip surgical repair -Various methods of CL repair aimed to lengthening the philithral ridge on the cleft side to correct the nose deformaties have much as possible -The lip is closed in three layers - mucosa, muscles,skin - Most favorable surgical operations are Millerd's rotations advancement flap, Tennison Randal repair, Veau repair Basic steps for Millard's technique

INTRODUCTION. Surgical techniques for cleft lip and palate are continuously evolving, more so the techniques of cleft palate repair. The techniques, their variations, the outcome and rehabilitation procedures are very well described in the available literature technique, known as Straight-Line Advanced Release Technique (StART), and its application in treating several cases of unilateral cleft lip. Methods The preoperative design of the surgical method is drawn on the skin, the vermilion, and the oral mucosa. A total of 13 points are marked (points 0-12). The A flap, B flap, triangular flap, M (medial mucosal) flap, and L (lateral mucosal) flap.

Cleft lip surgery has evolved from a geometrically defined cookie-cutter type approach to a more adaptable repair using the principles outlined by Millard's elegant rotation advancement technique. [ 3 , 22 ] Skin flap design has led to a better understanding of the underlying musculature that is disrupted by the cleft and the importance of. Repair of bilateral cleft lip and nose by the Mulliken method: a case report Jae-Seok Lim1, Gyu-Tae Lee1, Young-Soo Jung1,2 cleft lip3, and the surgical technique has gradually developed from the staged closure applying unilateral cleft lip surgery to simultaneous closure2,4. In the past, attention was focused o The procedure is a unilateral cleft lip and nasal repair and Dr. Khosla and his team will be performing an anatomic subunit reconstruction of the upper lip..

Cleft lip and palate - SlideShar

  1. Lip and/or Nasal Revision (cleft rhinoplasty) Primary cleft lip repair (cheiloplasty) The goals of primary cleft lip repair involve reconstruction of the normal anatomy and function of the lip, correction of the nasal deformity, and construction of the floor of the nose and proper alignment of the maxillary segments (gum-line)
  2. The patient is a 3-month-old baby from Pathankot in Punjab, India. She was born with a right-sided cleft lip, palate and alveolus. Of note, there is a family history of an uncle with a cleft lip, palate and alveolus deformity.Her father's younger brother was born with the same deformity on the left side
  3. Cleft Lip Repair Old rule of 10s Hb, age, weight Fetal or newborn risks Muscle and vertical height Nasal tip - when? Techniques Cleft Lip Repair Surgical Techniques. Cleft Lip Repair unilateral rotation-advancement flap developed by Millard complications dehiscence - infection thin white roll - excess tension Nasal Tip Revisions - Unilatera
  4. Cleft lip nasal deformity offers a unique challenge to the reconstructive surgeon for many reasons. First, clinical presentation of cleft lip varies widely, requiring a host of surgical techniques. Second, deformity may be quite severely asymmetric, making surgical correction difficult. Third, patients with cleft lip may have been previously.

cleft lip - SlideShar

Cleft lip and palate is a fairly common deformity and occurs in 1:800 live births. It is commoner in males, especially of oriental descent. Cleft lip and palate deformity does run in families. It can occur as an isolated defect or it can be part of the craniofacial syndrome i.e. Treacher Collins, Pierre Robin sequence etc. CLEFT LIP REPAIR. Epidemiology and Etiopathogenesis Among the cleft lip and palate population, the most common diagnosis is cleft lip and palate (46%), followed by isolated cleft palate (33%) and isolated cleft lip (21 %). The majorityof bilateral cleft lips (86%) and unilateral cleft lips (68%) areassociated with a deft palate. Unilateral clefts are nine timesas common as bilateral clefts and.

Cleft lip and palate slideshar

  1. This surgical tutorial illustrates the steps in bilateral cleft lip repair. Bilateral cleft lip repair shares many of the same goals with unilateral repair. The orbicularis muscle should be reunited at the midline when possible, the philtrum should be recreated, and the white roll continuity should be reestablished
  2. Cleft lip and/or cleft palate occurs in 1 of every 600 babies born annually, making it the most common birth defect in the United States. Cleft lip and cleft palate are conditions affecting the upper lip and the roof of the mouth. A cleft or gap forms when the developing facial structures do not join (fuse) fully during gestation
  3. g of repairs may differ from child to child. There are several methods of repairing a cleft lip (also called a cheiloplasty), and the surgeon will choose the type of repair that is appropriate depending on the type of cleft lip your baby has
  4. Diagnosis and presentation at birth Prenatal ultrasonography can detect cleft lip/palate as early as 16 weeks of dentofacial orthopedics and surgical repair of the cleft lip and nasal deformity. Cleft palate is closed before the age of one year. Problems with hearing ar
  5. Cleft Lip and Palate Association in the UK describe a cleft lip as an opening in the upper lip between the mouth and the nose. It can range from a slight notch in the coloured portion of the lip to the complete separation in one or both sides of the lip extending up into the nose (Glenny et al., 2008 p.2 ). A cleft lip can be unilateral o
  6. 3 Unilateral Cleft Lip H. S. Adenwalla, P. V. Narayanan, and Karoon Agrawal ¾ Introduction ¾ Anatomical Landmarks of the Lip and Nose • Lip • Nose ¾ Embryology of the Lip and Nose ¾ Surgical Anatomy of the Lip and Nose • Lip • Nose ¾ Evaluation of the Cleft and the Nature of the Deformity ¾ History and Evolution • Early Techniques
  7. Post Op feeding - Lip repair. A cleft lip is usually repaired at 3 to 4 months of age. Surgery routinely involves a 2-5 day stay in hospital and establishment of feeding before going home. You will then return approximately 1 week later for another day surgery to remove stitches unless dissolving type are used

Babies with a cleft palate may need extra help to feed, which could include using specialised bottles and teats, or in some cases using a nasogastric (NG) tube. For babies with a cleft lip, the size and shape of the cleft may make forming a seal around the breast or bottle difficult. Babies born with Pierre Robin Sequence have a small lower jaw. Nasoalveolar molding (NAM) is an effective tool for both unilateral and bilateral cleft lip repair. Intheunilateralcleftlip,NAMappliances acttoreducethegapbetween thegreaterandlesserseg-ments and the corresponding lip elements, realign the cleft alar base, elevate the cleft-sided lower lateral cartilage, and straighten the deviated columella

Cleft lip repair. Surgery. Cleft lip repair, usually performed by a plastic surgeon, is a major part of the treatment of a newborn with cleft lip, palate, or both; some surgeons favor early repair, before the newborn is discharged from the hospital; other surgeons prefer to wait until the newborn is 1 to 2 months old, weighs about 10 lbs, and is gaining weight steadily INTRODUCTION. A cleft lip is a craniofacial malformation that occurs during the embryonic stage of life. [] The embryonic stage of life occurs from implantation of the fertilized egg until about the 10 th week of pregnancy, when the embryo becomes a fetus. The cleft lip and palate association in the UK describes a cleft lip as an opening in the upper lip between the mouth and the nose Cleft Lip Repair: This first surgery is generally done between 3-6 months of age. Timing will depend on your infant's weight and general health as well as the progress of any pre-surgical treatment that is part of your treatment plan. Lip repair is generally done as a day surgery procedure and you will take your baby home the same day Veau-Wardill-Kliner technique was used to repair 270 (74.6%) of the cases. In 84 (23.2%) cases, Von Langenback technique was used. While Bardach Salyer technique was used in only 5 (1.4%) cases and Furlow repair in 3 (0.8%) cleft palate cases. Table 3 shows the different techniques used for different types of clefts

PPT - Cleft Lip and Cleft Palate PowerPoint presentation

  1. Surgical Technique As in the Afroze incision described to repair the unilateral cleft lip,8 the incision to repair the primary bilateral cleft lip was also based on a combination of the Millard6 and the Pfeifer techniques.9,10 Here, the Millard incision was per-formed on the cleft segment and the Pfeifer inci-sion was performed on the prolabium
  2. Pre-surgical Techniques One thing that you will come across when you first start researching cleft lip repair are all the different types of pre-surgical techniques that are used. Every surgeon is completely different on their approaches and the best way to start narrowing down cleft teams would be to first choose what route you want to take.
  3. The repair of a cleft palate requires careful repositioning of tissue and muscles to close the cleft and rebuild the roof of the mouth. Incisions are made on either side of the cleft and specialized flap techniques are used to reposition the tissues of the hard and soft palate
  4. Cleft lip with or without cleft palate is the second most common birth defect in the United States, affecting one in every 940 births and resulting in 4,437 cases every year (Parker et al., 2010). Reported prevalence estimates range from 7.75 to 10.63 per 10,000 live births (Parker et al., 2010; Tanaka et al., 2012)
  5. This image accompanies the article Unilateral Cleft Lip Repair: Bilateral Rotation with Lateral Advancement Technique. In this paper, the author describes a variation on the Moher modification of the Millard technique. Thus the illustration depicts only the key steps in his variation, omitting standard aspects of the procedure
  6. This technique practiced in the last 6 years in the Oral and Maxillofacial Surgery Department at Prince Sultan Military Medical City, Riyadh, Saudi Arabia. A total of 309 patients were operated using the True Triangle (TT) technique (Al- Atel Technique) to repair the CL; the final cleft lip repair results showed positive outcomes
  7. There are several operative techniques for cleft lip reconstruction. The Millard rotation advancement (R-A) technique is the most widely accepted form of repair. This method involves rotation of the entire philtral dimple (groove in the upper lip) and Cupid's bow (double curve of the upper lip)

Cleft lip, with or without cleft palate, is the second most common birth defect in the United States, affecting one in every 940 births and resulting in 4,437 cases every year (Parker et al., 2010). Cleft Palate Causes and Risk Factors. There is no one cause of cleft lip and palate In large series, the distribution of clefts is about 50% cleft lip and palate, 30% cleft palate only, and 20% cleft lip only. Cleft lip occurs most often on the left side; the distribution of left to right to bilateral cleft lip is approximately 6:3:1. Right-sided clefts are more commonly associated with syndromes 12% required revision of the Cleft-Lift. Patients who had previous failed surgery had a 21% chance of requiring revisional surgery, compared to 8% in patients in their initial presentation. Once primary healing was obtained, there were no late recurrences. The infection rate was 1%. Conclusions The Cleft-Lift operation is Typically, surgical repair of the cleft lip is performed at 3 to 6 months and the repair of the cleft palate at 9 to18 months of age. Pharyngoplasty, performed for velopalatal insufficiency, is usually performed later at 5 to 15 years of age. Historically, the safe criteria for cleft lip repair was rule of ten; age 10 weeks, weight of10 lbs, Hb 10 gms% and WBC less than 10,000/mm 3

Cleft lip and cleft palate Treatment. Cleft lip and palate is usually treated with surgery. The initial surgery is usually performed by the time a baby is 3 months old. Repair of a cleft palate often requires multiple surgeries over the course of 18 years A cleft results when the tissues do not join together properly. A cleft lip is a physical separation of the two sides of the upper lip, and appears as a narrow or wide opening or gap in all layers of the upper lip. This separation can include the gum line or the palate. A cleft palate is a split or opening in the roof of the mouth

ICD-11; Clefts of lip, alveolus or palate - LA40 Cleft lip - Isolated cleft lip is a fissure type embryopathy extending from the upper lip to the nasal base.. LA40.0 Cleft lip, unilateral | LA40.2 Cleft lip, median. LA41 Cleft lip and alveolus - Cleft lip and alveolus is a fissure type embryopathy that involves the upper lip, nasal base and alveolar ridge in variable degrees Several different surgical techniques and procedures are used to repair cleft lip and palate, reconstruct the affected areas, and prevent or treat related complications. Surgical repair can improve the look and appearance of a child's face and might also improve breathing, hearing, and speech and language development Children with clefts will have a care plan tailored to meet their individual needs. A typical care plan timetable for cleft lip and palate is: birth to 6 weeks - feeding assistance, support for parents, hearing tests and paediatric assessment. 3 to 6 months - surgery to repair a cleft lip. 6 to 12 months - surgery to repair a cleft palate and type 3 (n=9). Surgical repair techniques included an open approach with or without interposition graft (n=16) and an endoscopic approach (n=6). Conclusions: Early diagnosis and proper repair of laryngeal cleft are essential to prevent pulmonary damage and associated morbidity. Each patient should be assessed properly, and the surgical.

Millard Unilateral Cleft Lip Repair: Surgical Tutorial for

The edges of a cleft lip were touched by a very hot iron, thus creating a third-degree burn. After separation of the eschar, the edges were sutured together to repair the cleft. This technique circumvented the need to make an incision and, what is more important, the need to control blood loss. 11,12. THE UNILATERAL CLEFT LIP REPAIR palatoplasty, cleft lip, cleft palate, surgery. Introduction. Cleft lip and cleft palate are the most common congenital anomalies affecting the face, with an incidence of approximately 0.5 individuals every 1,000 live births [1]. This malformation can present itself in many ways, involving lip, palate or both structures Defects of the secondary palate involve a cleft of the hard palate behind the incisive papilla and continue caudally to include the soft palate. Repair: Golden Rules. Clefts of the lip are mainly a cosmetic concern, and therefore, they may not require repair. Clefts of the rostral hard palate may result in rhinitis

Cleft lip and palate (CLP) is the most common congenital deformity of the orofacial. Clefts are thought to be of multifactorial etiology due to genetic and environmental factors. Different dental abnormalities are usually seen in cleft patients, including midface deficiency, collapsed dental arches, malformation of teeth, hypodontia, and supernumerary teeth A cleft lip is a condition that creates an opening in the upper lip between the mouth and nose. It looks as though there is a split in the lip. It can range from a slight notch in the colored portion of the lip to complete separation in one or both sides of the lip extending up and into the nose. A cleft on one side is called a unilateral cleft. the displaced cleft segments before the lip repair which is carried out at 3 months of age [2]. The orthopaedic treatment is divided into two main categories: Presurgical orthopaedics in unilateral cleft lip and palate This is subdivided into passive treatment and active treatment [3]. • The passive treatment involves the use of the acryli The Cleft Lip and Palate Clinic at Texas Children's Hospital specializes in the comprehensive care of patients born with cleft lip and palate. Cleft lip and palate is a congenital anomaly that occurs when a baby's upper lip and/or palate do not fuse during pregnancy. A baby can have an isolated cleft lip, an isolated cleft palate, or a combination of the 2 There are around 70,000 adults in the UK alone who were born with a cleft lip and/or palate. This section is for adults looking to continue their treatment or simply find out what is available on the NHS and beyond. This section is for adults who were born with a cleft lip and/or palate. It aims to give a general overview of some of the issues.


Cleft lip and palate are the most common craniofacial deformities in the United States of America and México. Their aesthetic and functional implications influence the lifestyle of the patient: social relationships, school and working performances, self-esteem and health. Surgical repair of the cleft lip is around the third to sixth month of age and the palate repair is when the patient is. David Ralph Millard, Jr. (June 4, 1919 - June 19, 2011) was a plastic surgeon who developed several techniques used in cleft lip and palate surgeries. He also popularized the double eyelid surgery or Asian blepharoplasty to deorientalize patients' faces while stationed in South Korea during the Korean War.He was chief of the Division of Plastic Surgery at University of Miami's. Introduction. Although the diagnosis of cleft lip with or without cleft palate (CLP) is not often missed clinically, there are advantages to being able to readily interpret its appearance at imaging.First, with fetal ultrasonography (US) and magnetic resonance (MR) imaging, there is an opportunity to make the diagnosis in utero, which will affect care throughout pregnancy, the postnatal period. Beyond the cosmetic abnormality, there are other possible complications that may be associated with cleft lip and cleft palate, including the following: Feeding difficulties occur more with cleft palate abnormalities. The infant may be unable to suck properly because the roof of the mouth is not formed completely

Cleft Lip Repair: Trends and Techniques: The Management of

The senior author (H.S.B.) has developed this technique with over 25 years of surgical experience dealing with the bilateral cleft lip. This staged lip and nasal repair provides excellent nasal projection, lip function, and aesthetic outcomes. Lip repair is performed at 3 months of age. Columellar lengthening is performed at approximately 18. Unilateral cleft lip is the congenital separation of the upper lip that, to varying degrees, also affects the nose and underlying alveolus. Cleft lip with or without cleft palate is the most common congenital facial defect, affecting 1 : 690 U.S.-born children. Males and people of Asian and Native American descent are more commonly affected Cleft Lip & Palate Repair If your child was born with a cleft lip and/or cleft palate. This can be a very upsetting time filled with many questions and concerns. It is normal to be anxious during this initial phase of learning about clefts and the care that they require. A normal palate extends from the gum line all the way back to the uvula Cleft Lip and Cleft Palate are common congenital anomalies making about 2% of ENT patients admitted to our ward. The study includes 60 patients. The problem is common in Northern Districts of NWFP and in Yousafzai Tribe of Pathans. The age of presentation is from first week of life to 25 years iof age. As a whole male children are affected more often than female

Position the infant with cleft lip repair on side or back only. Use soft elbow restraints. Remove every 2 hours and replace. Do not leave the infant unattended when restraints are removed. Maintain metal bar (Logan bow) or Steri-Strips placed over cleft lip repair. Avoid metal utensils or straws after cleft palate repair •Cleft lip repair 4 months old with weight at 10 pounds •Cleft palate repair 9 to 12 months of age •Maxillary Expansion 7 or 8 years of age (in prep for alveolar bone grafting •Pharyngeal Flag Addresses hyper or hypo nasal speech •Palatal Fistula Repair Blocks off the communication between the oral & nasal cavit 5. Wardill WEM (1937) The technique of operation for cleft palate. Br J Surg 25: 117-130. 6. Kilner TP (1937) Cleft lip and palate repair technique. St Thomas Hosp Rep 2: 127-131. 7. Williams WN, Seagle MB, Pegoraro-Krook MI, Souza TV, Garla L, et al. (2011) Prospective clinical trial comparing outcome measures between Furlow and vo Managementofcleft lip andpalate 1. Figure I Submucouscleftpalate. missed or diagnosed late. Nasal regurgitation offluids mayalert thepaediatrician. Cleft size of itself is not necessarily cor- related with the extent ofdysfunction. Indeed some physically small clefts ofthe palate and submucous cleft palate may have serious implications for speech function and hearing Pediatric Nursing Ppt Notes - Gastrointestinal Disorders. · Nonunion of the tissue and bone of the upper lip and hard/soft palate during embryologic development. · Familial disorder, often associated with other congenital abnormalities. · Cleft lip/palate 1 in 1000 births. · Cleft lip with or without cleft palate affects more boys; cleft.

Cleft lip & palate management in orthodontic

Abstract. The evolution of Millard's early presentation in 1957 to his more recent reports [1-4] spans a lifetime of change and innovation. Anyone with a career in cleft lip/palate surgery needs to wait 18 years before he sees the final results. Very often, new techniques are a modification of an older one Demonstrates effective techniques for breastfeeding a baby with a cleft and introduces safe practices for bottle, spoon, and/or cup feeding. A variety of videos are made through a partnership with Teachers College, Columbia University on cleft palate speech sounds and effective therapy techniques. The timeline of care details the most common. A Cleft Team Can Improve Your Child's Cleft Palate or Cleft Lip Treatment The first three months of development are crucial for parents with a child born with cleft palate or cleft lip. The steps taken during this time can significantly impact the success of future corrective procedures The repair of bilateral cleft lip nasal deformity remains to be a challenge for cleft surgeons especially when the premaxilla is severely deformed. There are so many patients in which dentofacial orthopedics are unsuccessful or unavailable. For these patients, surgi-cal premaxillary setback might be considered for functional cheiloplasty

Cleft lip and cleft palate Cleft lip and cleft palate are the most common surgical birth defects, occurring in 1 in 600 births nationally. The condition may cause severe facial deformities, feeding problems, speech defects, misaligned teeth, poor growth and hearing problems Cleft lip and palate information—Cleft palate and speech Cleft palate and speech Most children who have had a cleft palate repair will have speech which is normal or very close to normal. A working palate is essential for the development of speech. When the palate is repaired, the aim is to close the gap in th This book provides a comprehensive overview of surgery for the correction of primary cleft lip and palate, including classification, planning, management protocols, selecting suitable techniques, markings, performing operative techniques, preoperative and post operative care and case studies

PPT - Gastrointestinal Disorders in Children PowerPointSurgical Anatomy Of Cleft Lip | OwnerlipPalatal myoclonus: treatment with botulinum toxinPPT - Procedures PowerPoint Presentation, free download

PPT - Cleft Lip PowerPoint presentation free to view

See Process Model for Assessing Speech, Resonance, and Language in Patients with Cleft and Craniofacial Anomalies [PDF] (Vallino-Napoli, 2004) for one example of an assessment decision-making flow chart. References. Hall, M. J., Gibson, B. J., James, A., & Rodd, H. D. (2013). Children's and adolescents' perspectives on cleft lip and/or palate Sommerlad's Technique of Unilateral Cleft Lip Repair. 1. The Great Ormond Street Hospital for Children and St. Andrew's, Centre for Plastic Surgery Broomfield Hospital London and Essex UK. 2. Jiangsu Provincial Stomatological Hospital Stomatological College of Nanjing Medical University Nanjing China If the baby has a cleft lip only (with a normal palate), he/she should be able to eat normally using standard techniques. Babies with cleft lip only can even breastfeed, if you desire. However, babies born with a cleft lip and palate, or cleft palate only, have an opening in the roof of their mouth- between the mouth and nose For example, macrostomia is a form of Tessier type 7 facial cleft and may often be repaired at a very young age to improve the appearance of the lips and mouth. Treatment for most Tessier facial clefts usually involves a combination of soft tissue and bone repair often followed by orthognathic surgery or LeFort III Surgery or Facial Bipartition. Before and after photos of Dr. Derderian's patients treated with unilateral and bilateral cleft lip repair and primary cleft rhinoplasty

PPT - Pediatric Dentistry Seminar PowerPoint Presentation

Cleft lip: part 2 (Millard's technique) - YouTub

Haase, 2011). Submucous cleft palates are also characterized by hypernasal speech, Eustachian tube dysfunction with conductive hearing loss, and nasal reflux of meal and liquid (Reiter et al., 2011). Late diagnosis or lack of diagnosis may be caused by the submucous cleft variability in presentation and lack o Smile Train has partnered with the global nutrition organization SPOON to develop a two-day workshop called Supporting Comprehensive Cleft Care Through Nutrition and Feeding to train nurses, community health workers, and others on effective cleft feeding and nutrition strategies. Topics range from breastfeeding, safe bottle/cup/ spoon.

PPT - Ambulatory anaesthesia PowerPoint Presentation - ID

PPT - CLEFT LIP AND PALATE PowerPoint presentation free

Babies with cleft palate usually need special bottles and techniques to feed well, whether or not they have cleft lip. It is rarely possible to breast-feed or use a regular bottle. With cleft palate, a baby cannot create suction to get milk out of the breast or bottle Cleft Lip Repair. Repair of a cleft lip is usually performed when the baby is 3 months old. The goal of the cleft lip repair is to close the gap created when the lip failed to form. During the repair, our surgeons will undo and then stitch together the cleft lip A cleft lip is usually repaired when the baby is between three to six months old. An orthodontic appliance may be used before and after the lip repair surgery to help align the lip and nose. A child with a very wide opening may need to have a temporary procedure that brings the parts of the lip closer together before the full lip repair is done Treatment of Cleft Lip & Palate. A cleft palate is initially treated with surgery. This is usually not done right after birth, but is delayed until the child is old enough and big enough for the surgery to be done safely. This is usually when the child is about 7-18 months old, but will depend upon the individual situation Cleft Palate Repair: The Surgery When a child is born with an opening in the roof of the mouth, it is called a cleft palate (Picture 1). The palate or roof of the mouth has two parts: the hard palate in the front of the mouth and the soft palate in back

Clefts of the lip and palate are one of the most common congenital anomalies in children. They occur in approximately one in 700 births.Cleft lip and palate result from the incomplete closure of the upper lip and roof of the mouth. This causes a gap or defect to occur in the affected area, involving skin, muscle and the lining of the mouth. There is often an associated deformity of the nose on. Cleft Lip Repair (Cheiloplasty) Cleft lip repair, or cheiloplasty, is typically performed between 4 and 6 months of age. The goal of this surgery is to complete the cosmetic repair of the lip and to aid in nursing or feeding and later speech development. Your surgeon will attempt to adjust the scar that was formed from previous surgeries The plastic surgeon repairs the cleft lip shortly after birth, usually at 1 to 6 months of age and repairs the cleft palate by 12 months of age, prior to the child's first spoken words. Many children with clefts develop hearing problems as a result of chronic ear infections. This problem will require the attention of a pediatric otolaryngologist The plastic surgeon repairs the cleft lip shortly after birth, usually at two to three months of age. They repair the cleft palate by 12 months of age prior to the child's first spoken words. Many children with clefts develop hearing problems as a result of chronic ear infections. If left untreated it will create speech and language problems Introduction. Repair of the hard palate has been associated with maxillary hypoplasia.1, 2 This disturbance of growth is thought to result primarily from postoperative scarring in growth-sensitive areas of the palate. 3 Because the vomer flap technique reduces scarring in these areas (such as the suture and dentoalveolar process), the technique should in theory result in better maxillary. Orofacial clefts, specifically cleft lip and/or cleft palate (CL/P), are among the most common congenital anomalies. CL/P vary in their location and severity and comprise 3 overarching groups: cleft lip (CL), cleft lip with cleft palate (CLP), and cleft palate alone (CP). CL/P may be associated with one of many syndromes that could further complicate a child's needs