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► Cleft Lip and/or Palate Surgery

Cleft Lip and/or Palate Surgery

Also known as: Cleft Lip Surgery, Palate Surgery

What is Cleft Lip and / or Palate Surgery?

Cleft Lip Surgery

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

What to expect?

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:

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
 

Cleft Palate Surgery

Surgery for cleft palate is usually performed when the child is between 12 and 18 months of age. 

What to Expect?

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.  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.  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.  You will not be able to use a straw until the palate is healed.  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 for after surgery until your physician clears you.
 

Pain Management:

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.

Stitches:

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:  Offer water to your child after feedings or rinse out his or her mouth using a syringe and water.  

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
 

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