The basics of cleft lip and palate
Feeding

Reconstructive surgery

Surgery and care of cleft infant
Dental and orthodontal treatment
Ears and audiology
Language and speech
Psychosocial adjustment

Pre-surgery preparation
  • Physical Condition
    1. Inoculation shots should be given to three month-old infants two weeks prior to surgery, similar to that of any infant.
    2. Ensure the infant is free from cold symptoms prior to surgery. If symptoms such as fever, coughing, runny nose, throat inflammation, oral ulceration, rashes, teething, or diarrhea are present, consult a physician to ascertain that surgery can be conducted and a hospital stay arranged. In the interest of safety, always postpone surgery until such symptoms are no longer present.

     

  • Items to Take to the Hospital
    1. For a small childˇ¦s hospital stay, such familiar items as pillows, comforters and dolls can increase the childˇ¦s sense of security
    2. For bigger children, take a mirror and a soft-tipped childˇ¦s toothbrush to practice proper oral hygiene and cleaning of the wound.
    3. Following cleft lip and nose revision surgery, a nasal conformer (also known as a nasal shaper or nose cone) must be worn. With this in mind, a pair of small paper scissors, (thin) double-ended Q-tips, and 1/2-inch micropore non-allergenic tape should be prepared prior to the hospital stay. This facilitates fixation of the nasal conformer in the nostrils postoperatively.
    4. For infants undergoing cleft palate surgery, prepare one pair of cotton socks or small cotton gloves to keep the babyˇ¦s hand in a fist while sleeping and prevent fingertips from entering the mouth.

     

  • Fasting: No food or liquids should be given to a child beyond midnight on the date of surgery as determined by your surgeon and anesthesiologist.