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