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 

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. 

COVERAGE OF OUR COMPREHENSIVE CLEFT CARE CENTRE AT FORTIS MEMORIAL RESEARCH INSTITUTE, ON 5th JULY SUNDAY'S EDITION OF DANIK JAGRAN

DANIK JAGRAN 5th JULY 2015 

HOPE FOR CHILDREN WITH PREVIOUSLY OPERATED CLEFT LIP !!!!!!!

Comprehensive cleft care centre at Fortis Memorial Research Institute, Gurgaon, also provides free surgeries for previously operated cleft lip and palate patients. From simple scar revision on the lip to complete cleft lip revision surgery performed free of cost to the patient 

ANOTHER SUCCESSFUL LIP SURGERY AT FORTIS MEMORIAL RESEARCH INSTITUTE, GURGAON

FORTIS MEMORIAL RESEARCH INSTITUTE, COMPREHENSIVE CLEFT CARE CENTRE PROVIDING ANOTHER FREE SURGERY FOR CHILDREN WITH CLEFT LIP AND PALATE