Monday 17 August 2015

SEQUENCE OF CLEFT LIP AND PALATE PATIENTS

SEQUENCE OF TREATMENT 
Only Unilateral Cleft lip complete / incomplete 
Closure of lip4-6 months
Rhinoplasty (if required)18 years
Bilateral cleft lip complete / incomplete 
Closure of lip4-6 months
Columella elongation, Forked flap of Millard if needed6 years
Rhinoplasty (if needed)18 years
Unilateral Cleft lip and alveola
Closure of lip + periosteoplasty4-6 months
Orthodontic treatment10-12 years
Alveolar bone graft6-8 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 lip4-6 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 + periosteoplasty4-6 months
Closure of cleft palate + intravelar veloplasty10-12 months
Speech therapy3 years
Orthodontic treatment10-12 years
Alveolar bone graft6-8 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 + periosteoplasty4-6 months
Closure of clef palate + intravelar veloplasty10-12 months
Speech therapy3 years
Columella elongation, Forked flap of Millard (if needed)6 years
Orthodontic treatment10-12 years
Alveolar bone graft6-8 years
Orthognathic surgery (if needed)18 years
Rhinoplasty (if needed)18 years or > 6 months after Orthognathic surgery

Monday 10 August 2015

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 

Tuesday 4 August 2015

INCREDIBLE HOW FAST CHILDREN HEAL

Cleft lip repair done at an early age, with approximation of all anatomical points of the lip will lead to an aesthetically pleasing scar post surgery. The average time for a scar to mature is 9 to 12 months but a fairly good result is seen in this picture in 4 months, this scar will mature further and will keep on becoming lighter over the next few months. It is recommended that gentle finger massage of the scar  will help it become lighter.