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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.
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chennaicleftcenter@gmail.com
+91-9841039820
FAQ
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?
   
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044 24765614
09283222957
Services
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
Genetics
Orthognathic Surgery
 
 
FAQ
     
  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 after treatment?
  What is treatment for whole in palate after palate repair?
  How to go about if I have speech problem even after palate repair?
 

What is cleft Lip & Palate ?
Lips and palates develop form separate parts during the first 3 months of pregnancy. Normally, the left and right parts of the lip come together or "Fuse" creating a normal lip. The two vertical lines on the normal upper lip are created when the left and right parts fuse. In a similar way, the left and right parts of the palate come together to create a normal palate. A front-to-back line along the roof of the mouth can usually be seen where the joining has occurred. A cleft lip is a defect in the lip where the two parts from which the lip develops have failed to fuse. A cleft palate is a similar defect in the roof of the mouth where the two parts from which the palate develops have failed to fuse.

What are craniofacial deformities?
Craniofacial anomalies are defects or deformities involving the face and the skull. These Anomalies occur when the growth of skull and facial bones is affected leading to deformation of shape of the head and the face. Long facial clefts can also occur involving the lip, cheek, eyelids and facial bone leading to sever facial disfigurement. Some of these anomalies may involve eye or ear resulting in misshapen or absent organ. Each anomaly needs to be evaluated individually treated accordingly.

How to feed cleft baby ?
There is no best method to feed your baby. It is often necessary to try several methods before deciding which one is best for you both, mother and child . Quite often food comes down the nose during feeding. This is nothing to be too concerned about. Simply wipe it away and continue feeding. Children with only cleft lip will able to such without much problem. However, children with cleft palate with have problem with sucking.

However feeding needs patience and efforts from mother and baby. Breast feeding is best, but majority of baby not able to suck enough. If child not able to suck, the breast milk should be extracted by the breast pump and given by bottle or spoon.

Bottle feeding is good if good hygiene and sterility of the bottle and nipple is ensured. If not, spoon feeding is the good method. ‘Paladai’ is an alternate gadget which is widely used in certain parts of the country and is acceptable. Both methods are best used with the baby in a fairly upright posture, resting on mothers arm. This posture reduces the amount of milk passing up into the back of the nose. For bottle feeding , enlarging the hole allows milk to flow more freely and avoids the baby having to work hard. Milk should flow out of the bottle when it is turned upside down. Alternatively , a soft squeezy bottle can deliver milk at a rate that matches the ability of the baby to swallow.

By far the greatest problem with feeding, is wind. Because babies have difficulty sealing their mouths around the teat, they tend to swallow a lot of air while feeding. To help reduce this tendency, hold the baby more upright while feeding and ensure the milk is delivered to the back of the mouth, so it can be swallowed easily. You will need to burp your baby frequently during the feed, and most importantly, make sure the baby has no air at the end of the feed before being put down to sleep.

The feedings should given about every 3 hours to start a pattern. If the feedings are longer apart than that, the baby may get too hungry, and may not feed well. The feedings should take anywhere from 20 – 40 minutes. If it takes longer than this, the baby may be working too hard. Try enlarging the hole. On an average child needs 2-3 once/pound/day milk.

Other liquid diet, semisolid and solids are started like in a normal baby. Some solid or liquid food will regurgitate through nose, but this is nothing to worry about. This will stop after palate repair. Follow the instructions of the doctors for the postoperative feeding.

At what age treatment starts ?
Plan of Treatment
Age Of Child What should be done?
At birth First consultation with the Cleft Care Team. Assessment of the problem and parents counseling
3 - 5 Months Cleft lip repair with nose correction
12-18 Months Cleft palate repair
1 - 2 Years Hearing check-up to rule out middle ear collection to prevent infection
2 - 4 Years Close watch on the development of speech therapy. Regular dental check-up with the pediatric dentist.
4 - 6 Years Surgery for speech improvement which is necessary in 10-15% of children after palate operation
6 - 12 Years Dental check-up and orthodontic treatment, if necessary, bone graft for the defect in the alveolus at 9 years.
Teenage years Surgery of the jaws if there a gross mal-alignment and Rhinoplasty to.improve shape of nose if patient demands
Adult Genetic counseling.

Will child be like normal child after treatment?
The aim of treating children with cleft lip and/or palate is to achieve normal looking and normal sounding well adjusted individuals. The cleft child is likely to have the best possible result in achieving this aim if treated by an organized, well trained multidisciplinary team. When treated at the proper age, normally they have good results. They will be like normal children except small scar on lip and will need supervision till adolescence. In addition they might need appropriate intervention by the Plastic Surgeon, the Dentist, the ENT surgeon and the Speech Therapist at appropriate intervals according to individual needs during childhood and adolescence.

What is treatment for whole in palate after palate repair?
Lips and palates develop form separate parts during the first 3 months of pregnancy. Normally, the left and right parts of the lip come together or "Fuse" creating a normal lip. The two vertical lines on the normal upper lip are created when the left and right parts fuse. In a similar way, the left and right parts of the palate come together to create a normal palate. A front-to-back line along the roof of the mouth can usually be seen where the joining has occurred. A cleft lip is a defect in the lip where the two parts from which the lip develops have failed to fuse. A cleft palate is a similar defect in the roof of the mouth where the two parts from which the palate develops have failed to fuse.

How to go about if I have speech problem even after palate repair?
 
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