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Source: In A Page: Pediatric Signs and Symptoms, 2007
Treatment consists of surgical correction, but the timing of surgery varies. Some plastic surgeons repair cleft lips within the first few days of life to make feeding the baby easier. However, many surgeons delay lip repairs for 8 to 10 weeks (sometimes as long as 6 to 8 months) to allow the infant to grow and mature, thereby minimizing surgical and anesthesia risks, ruling out associated congenital anomalies, and allowing time for parental bonding. Cleft palate repair is usually completed by the 12th to 18th month. Still other surgeons repair cleft palates in two steps, repairing the soft palate between ages 6 and 18 months and the hard palate as late as age 5 years. In any case, surgery is performed only after the infant is gaining weight and infection-free.
Surgery must be coupled with speech therapy. Because the palate is essential to speech formation, structural changes, even in a repaired cleft, can permanently affect speech patterns. To compound the problem, children with cleft palates commonly have hearing difficulties because of middle ear damage or infections.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment consists of surgical correction, but the timing of surgery varies. Some plastic surgeons repair cleft lips within the first few days of life to make feeding the baby easier. However, many surgeons delay lip repairs for 8 to 10 weeks (sometimes as long as 6 to 8 months) to allow time for maternal bonding and, most important, to rule out associated congenital anomalies.
Cleft palate repair is usually completed by the 12th to 18th month. Still other surgeons repair cleft palates in two steps, repairing the soft palate between ages 6 and 18 months and the hard palate as late as age 5 years. In any case, surgery is performed only after the infant is gaining weight and is infection-free.
Surgery must be coupled with speech therapy. Because the palate is essential to speech formation, structural changes, even in a repaired cleft, can permanently affect speech patterns. To compound the problem, many children with cleft palates have hearing difficulties because of middle ear damage or infections.
Source: Handbook of Diseases, 2003
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