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What All Goes Into Cleft Surgery?


Posted on 7/1/2025 by Pacific Maxillofacial Center
Little Black boy smilingCleft lip and palate are birth defects that occur when the tissues that make up the lip and/or palate don't fuse together properly during pregnancy. This can result in a wide range of facial deformities, from a small notch in the lip to a complete separation of the lip and palate. While the exact causes of cleft lip and palate are unknown, a combination of genetic and environmental factors is likely involved.

Cleft surgery is a complex procedure that aims to repair these facial defects and improve the function and appearance of the mouth and face. It's usually performed in stages, with the first surgery typically taking place within the first few months of life. The specific procedures involved will vary depending on the severity of the cleft and the individual needs of the patient.

Types of Cleft Surgery


•  Cleft lip repair: This surgery closes the gap in the lip, creating a more normal appearance and improving the function of the mouth.
•  Cleft palate repair: This surgery closes the opening in the roof of the mouth, allowing for proper speech development and preventing food and fluids from entering the nasal cavity.
•  Alveolar bone grafting: This procedure helps to correct the underlying bone structure of the cleft, providing a foundation for future teeth and improving facial symmetry.
•  Pharyngeal flap surgery: This surgery helps to improve speech and swallowing function by closing off an opening between the nose and throat.

Before Cleft Surgery


Before undergoing cleft surgery, it's important to meet with a team of specialists, including an oral surgeon, plastic surgeon, speech pathologist, and pediatrician. They will work together to develop a comprehensive treatment plan that addresses the individual needs of the patient.

In addition to medical evaluations, there are a few things you can do to prepare for cleft surgery:

•  Gather information: Talk to your doctor about the specific details of the surgery, including the risks and benefits.
•  Ask questions: Don't hesitate to ask your doctor any questions you have about the surgery or the recovery process.
•  Prepare your child: If your child is undergoing surgery, talk to them about what to expect in a way they can understand.

After Cleft Surgery


Following cleft surgery, it's important to follow your doctor's instructions carefully. This may include taking pain medication, keeping the surgical site clean, and avoiding strenuous activity. You will also need to see your doctor for regular follow-up appointments to monitor your progress and make sure the surgery is healing properly.

Oral Care and Restoration Dentistry


Cleft surgery is just one part of the overall treatment plan for cleft lip and palate. Oral care and restoration dentistry are also crucial for maintaining long-term oral health and function.

•  Oral care: Regular brushing and flossing are essential for preventing cavities and gum disease. Cleft patients may require special cleaning techniques or tools to clean around the surgical site.
•  Restoration dentistry: This may include procedures such as fillings, crowns, bridges, or implants to replace missing teeth or restore damaged teeth.

Long-Term Outcomes


Cleft surgery can have a profound impact on the lives of patients with cleft lip and palate. It can improve their facial appearance, speech, and overall quality of life. However, it's important to remember that cleft surgery is a complex process, and the results may vary from person to person.

If you or your child has cleft lip and palate, it's important to talk to your doctor about the best treatment options. With a comprehensive treatment plan, including cleft surgery, oral care, and restoration dentistry, patients can achieve optimal results and live fulfilling lives.

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