Cleft Lip and/or Palate Surgery

Also known as: Cleft Lip Surgery, Palate Surgery

What is Cleft Lip and/or Palate Surgery?

Surgery for cleft lip is usually performed when the child is between 4 and 6 months of age.
 

What to expect from Cleft Lip and/or Palate Surgery?

Your child will be admitted to the hospital the morning of the surgery.  You will receive a call from the hospital the day before surgery with instructions on when to feed your child last and what time to be at the hospital.  Your child will have an intravenous line until he or she is able to drink well by mouth.  You will be able to feed your baby clear liquids shortly after surgery.  Once your baby is tolerating the clear liquids well, you will be able to add formula and soft foods gradually.  Your child will be unable to eat solid foods or use a pacifier after surgery until your physician clears you.  After surgery, your child will have soft immobilizers on the arms to protect the incision site.  You will be asked to keep these on for approximately 2 weeks. You can take them off for baths and short rest periods always making sure that the child’s hands do not touch the lips. Your child will also go home with a metal loop, called a logan bow, over the lip that will help protect the lip from injury.  Do not remove the logan bow.  If the tape becomes loose, add more tape to secure it.  The logan bow will stay on for approximately one week.
 

Pain Management after the surgery

Your child will initially receive pain medicine through the IV line.  Once he or she can tolerate food, the pain medicine will be given by mouth.  After you go home, your child may still experience some discomfort that can be relieved with Tylenol or Motrin.  Your doctor will also provide you with a prescription for a stronger pain medication if needed.


Stiches

The stitches that are used are self dissolvable.  They will generally come out in about 7 days.


Swelling and Drainage

It is okay to have small amounts of drainage or blood from the incision site or nose.  This drainage will decrease over time.
 

Cleaning the incision

It is important to keep the incision site clean.  It can be cleaned with mild soap and water.  After cleaning, you should apply a small amount of antibiotic ointment.
 

Once you are home

Most children will go home the day after surgery.  You will have a follow-up appointment about a week after surgery.
 

When to call the doctor:

  • Fever of 101 or higher
  • Drainage with foul odor or yellow-green drainage
  • Increased amount of blood from the incision site
  • If your child is not eating or drinking enough or appears to be dehydrated (little or no urine, no tears)
  • If your child is not breathing well

This page was last updated on: 3/27/2018 12:31:28 PM


Upcoming Events

Beckwith-Wiedemann Syndrome (BWS) Family Conference

Nicklaus Children’s Hospital invites you to attend a conference designed to provide individuals with Beckwith-Wiedemann Syndrome (BWS) and their family’s up-to-date information about the possible aspects of BWS and their management. 

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From the Newsdesk

Movie Event Celebrates Children with Craniofacial Differences
04/30/2018 — Children who receive care at the Craniofacial Center at Nicklaus Children’s, along with their families, enjoyed an afternoon of red carpet glamour and photo booth fun on April 28. 
March Patient of the Month: Theodore
03/15/2018 — Meet our March Patient of the Month, Theodore. Theodore was diagnosed with cleft palate, cleft lip and a heart problem when he was only 18 weeks old. After he was born, Theodore had to be admitted into the NICU to be able to perform the necessary surgeries for him to live a healthy life.

Video

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Emily was born with Pierre-Robin sequence, a condition present at birth which tends to cause a small jaw, a tongue that is displaced back towards the throat and a cleft palate. She was brought her to Nicklaus Children’s Hospital, where she underwent surgery to repair her cleft palate, and since then her life has completely turned around.