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Cleft and Craniofacial Center
Sri Ramachandra University
Porur, Chennai, 600116
We have completed more than 10,000 free cleft surgeries, and we performed approximately 800 free cleft surgeries every year.
What is cleft Lip & Palate ?
What are craniofacial deformities?
How to feed cleft baby?
At what age treatment starts?
Will child be like normal child aftertreatment?
What is treatment for whole in palate after palate repair?
How to go about if I have speechproblem even after palate repair?
The Smile Train Partner Center
044 24765614
Team and philosophy
Meet our team
Feeding of cleft baby
Surgery & Timing
Anesthesia management
Speech therapy
Pediatric Dental Treatment
Orthodontic treatment
Ear problem
Refinement and Nose correction surgeries
Craniofacial cleft and anomalies
Orthognathic Surgery
Ear problems
The commonest problem is known as "Glue Ear". This is caused by a build-up of fluid behind the ear drum. If untreated this will cause a significant hearing loss and also affect a child's speech development. Glue ear is more common in children with cleft palates because there is abnormal function of the Eustachian tube. This tube connects the ear to the back of the nasal cavity and normally allows air to enter the ear cavity.

Treatment involves drainage of the fluid through a small incision in the ear drum, a small tube known as a Grommet is usually placed in the ear drum at the same time. The grommet helps to stop the fluid from re-forming. A grommet stays in the ear drum for about six months; normally it falls out by itself. Most children will grow out of the problem as they get older.

The actual insertion of a grommet involves a ten minute operation under a general anesthetic. A child can come in, have the operation and go home the same day. If the Plastic Surgeon is planning an operation then the ear operation can be performed at the same time.

Ear infections are the result of poor drainage. Poor drainage leads to a build-up of fluid. When bacteria grow in that fluid then an infection occurs. If there is no release the infection will burst - either out the eardrum, or into the brain. Encephalitis can occur if the infection bursts toward the brain. If the Eustachian tubes are not working properly, grommet insertion is advisable- not only to improve hearing and to relieve pain, but also to prevent potential tragedy.
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