New technique for incomplete lip repair with mimics the philtrum groove on the non cleft side

CLEFT RHINOPLASTY

Cleft Rhinoplasty can help change the appearance and profile of the cleft patient. it can being back lost confidence and improve aesthetics  

FREE CLEFT LIP AND PALATE SURGERY MISSION CONDUCTED IN FARIDABAD

Team of 30 American doctors including surgeons, paediatricians,  anaesthesiologist, nurses and geneticists conducted a free cleft lip and palate surgery camp at Faridabad, in association with the local Rotary Club and Dr. T.N. Sabharwal Health Care Trust. 56 patients were operated free with total 70 surgical procedures, including complex jaw reconstruction, rhinoplasty and bone grafting. The genetics team took blood samples of all the patients to assess the cause of cleft lip and palate in the district of Faridabad. Rotaplast is a Non Profit organisation based out of San Francisco, U.S.A. this was the third consecutive mission in Faridabad.

Free Cleft lip and Palate camp in Faridabad surgery will be performed by a group of American doctors

जन्म से कटे फटे होंठ व तालु का रोटरी एवं अमेरिकन डॉक्टरों द्वारा मुफ्त ऑपरेशन सर्वोदय अस्पताल, सेक्टर 8, फरीदाबाद। चेकअप सुबह 8 बजे - 25 नवंबर 2015

LIP REVISION SURGERY (surgery of a previously repair lip with unsatisfactory results)

Secondary/ Revision surgery of the cleft lip can be done at any age, the success of the revision surgery depends upon the amount of tissue preserved and the extent of scar tissue present, due to the previous surgeries. in the picture you see a 21 years old girl with a bilateral cleft lip, an unsatisfactory previous surgery result.

SEQUENCE OF CLEFT LIP AND PALATE PATIENTS

SEQUENCE OF TREATMENT 

Only Unilateral Cleft lip complete / incomplete
Closure of lip	4-6 months
Rhinoplasty (if required)	18 years

Bilateral cleft lip complete / incomplete
Closure of lip	4-6 months
Columella elongation, Forked flap of Millard if needed	6 years
Rhinoplasty (if needed)	18 years

Unilateral Cleft lip and alveola
Closure of lip + periosteoplasty	4-6 months
Orthodontic treatment	10-12 years
Alveolar bone graft	6-8 years
Orthognathic surgery (if needed)	18 years
Rhinoplasty (if needed)	18 years or > 6 months after Orthognathic surgery

Bilateral cleft lip and alveolus
Closure of lip	4-6 months
Columella elongation, Forked flap of Millard (if needed)	6 years
Alveolar Bone Grafting	6-8 years
Orthodontic treatment	10-12  years
Orthognathic surgery (if needed)	18 years
Rhinoplasty (if needed)	18 years or > 6 months after Orthognathic surgery

Cleft palate only complete/ incomplete
Closure of cleft Speech Therapy	10-12 months 3 years

Unilateral cleft lip, palate and Alveolus
Closure of lip + periosteoplasty	4-6 months
Closure of cleft palate + intravelar veloplasty	10-12 months
Speech therapy	3 years
Orthodontic treatment	10-12 years
Alveolar bone graft	6-8 years
Orthognathic surgery (if needed)	18 years
Rhinoplasty (if needed)	18 years or > 6 months after Orthognathic surgery

Bilateral cleft lip, palate and alveolus
Closure of lip + periosteoplasty	4-6 months
Closure of clef palate + intravelar veloplasty	10-12 months
Speech therapy	3 years
Columella elongation, Forked flap of Millard (if needed)	6 years
Orthodontic treatment	10-12 years
Alveolar bone graft	6-8 years
Orthognathic surgery (if needed)	18 years
Rhinoplasty (if needed)	18 years or > 6 months after Orthognathic surgery

CAUSES OF CELFT LIP AND PALATE

DRINKING, SMOKING, RADIATION EXPOSURE, MEDICATIONS/ VITAMIN DEFICIENCY  DURING PREGNANCY, ADD TO IT GENETIC FACTORS ARE MAJOR CAUSE OF CLEFT LIP AND PALATE