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cleft lip and palate repair
The resulting external scars of a cleft repair are generally positioned in the normal contours of the upper lip and nose. Over time, these will fade and your child's ability to grow and function normally will continue to improve.
FAQ
Surgery Duration
1to2hours
Convalescence
6weeks
Complications
Possible cleft surgery risks include:
Allergies to tape, suture materials and glues, topical preparations or injected agents
Anesthesia risks
Bleeding
Damage to deeper structures – such as nerves, blood vessels, muscles and auditory canal can occur and may be temporary or permanent
Infection
Irregular healing of scars including shortening, thickening or overgrowth
Poor healing of incisions
Possibility of revisional surgery
Residual irregularities and asymmetries in the lip or nose
Respiratory problems after surgery
Pre- and post-operative bans
Arm Restraints
Your child will need to wear arm restraints (no-no's) at all times to keep from touching or putting anything in his or her mouth. They may be removed one at a time, twice daily, for 15-30 minutes to allow for arm exercising. This should be done with an adult present. These restraints are not uncomfortable, but are meant for your child’s safety. They will be necessary for 2-3 weeks after surgery.
Feeding Instructions Once Discharged Home
It will take a full six (6) weeks for your child’s palate to completely heal.
RESTRICTED DIET:
Week 1-2: full liquid and pureed diet (“no chew”)
Week 3-4: fork-mashed diet (“soft chew;” anything that can be easily mashed with a fork)
Week 5-6: regular diet (“regular chew”): however, NO hard foods until all 6 weeks (chips, crackers, pretzels, cookies, pizza crust, sourdough, bagels, etc.
Following each meal have your child drink clear liquids from a flat top sippy cup to help cleanse the palate.
You may carefully spoon feed your child. Do NOT allow your child to self-feed or use a feeding utensil throughout this period of healing.
Bottles, pacifies, straw and syringes should NOT be used