TYPE OF SURGERIES

Birth defects

Burns related deformities

Accidents/Trauma Injuries

Swellings on any part of the body

Nerve Disorders

Miscellaneous

Aesthetic

Orthopedic

Cleft Palate

  • Cleft Palate
  • Cleft Palate

Description of disability:

Cleft palate can be corrected by surgery usually performed between 6 and 12 months. Approximately 20–25% only require one palatal surgery to achieve a competent velopharyngeal valve capable of producing normal, non-hyper nasal speech. However, combinations of surgical methods and repeated surgeries are often necessary as the child grows.In cleft palate, the partition between the nasal cavity and the oral cavity is lost. Therefore, air modulation in speech is hampered and there is nasal escape. An unoperated cleft palate results in unintelligible speech.

Treatment:

Due to the cleft palate the baby is unable to suck liquids. The baby has to be fed through at a larger opening in the nipple of the feeding bottle or by spoon. As the breathing and eating passages (nasal and oral cavities) are not separated by the palate, ingested liquid food gets into the opening of the ear tube(Eustachian tube) resulting in middle ear infection. Therefore the mother is advised to feed the baby in the sitting position and burp the baby more frequently.

In palatoplasty , the mucosa (lining layers) is raised off the bone and mobilized towards the midline .The speech giving muscles in the cleft palate are abnormally inserted –they are dissected backwards and both sides are joined together to reconstitute the  speech muscle apparatus .The mucosa on both sides are joined together to close the palate.

If the cleft extends into the maxillary alveolar ridge, the gap is usually corrected by filling the gap with bone tissue. The bone tissue can be acquired from the patient's own chin, rib or hip.

Post operative care :

Postoperatively, the baby will be on a liquid diet for 10 days and a soft diet for a week. Speech therapy is commenced afterwards.


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