Cleft Lip & Palate
Cleft lip and cleft palate are common birth defects affecting children globally. These conditions, characterized by incomplete formation of the upper lip or roof of the mouth, can occur individually or together and vary in severity. Surgical intervention is necessary to address them.
The cleft, an incomplete formation of the upper lip and/or roof of the mouth, occurs early in foetal development. While certain syndromes can contribute to its occurrence, for most children, the cause remains unknown and is believed to involve a combination of genetic and environmental factors.
Timely intervention by a multidisciplinary team is crucial to evaluate and manage treatment for cleft lip and/or cleft palate. This is a collaborative effort coordinated by a clinical nurse specialist. Many specialties may be involved: plastic surgery, paediatrics, dentistry, orthodontics, otolaryngology, audiology, speech-language therapy, genetics, and psychology. Initially, the focus is on feeding, growth, and development, with specialized feeding techniques often required due to challenges in creating oral suction, particularly when a cleft palate is present.
Cleft lip and cleft palate repair operations aim to correct abnormal development, restore function to the lips and mouth, and improve appearance. Surgery is typically performed using specialized plastic surgery techniques, these procedures are highly individualized.
Cleft lip repair involves:
Additional procedures may be recommended to address nasal symmetry and nostril shape.
Cleft palate repair focuses on:
The timing of cleft repairs depends on individual circumstances:
During the consultation, you’ll discuss:
Open communication and adherence to your plastic surgeon’s instructions are essential for the success and safety of your child’s procedure. Be forthcoming about your concerns and your child’s health history to ensure the best possible outcome.
Are you vocationally registered with the Medical Council of New Zealand as a specialist plastic surgeon?
Are you a member of the New Zealand Association of Plastic Surgeons?
Will the procedure be conducted in a hospital or office-based setting, and is the facility accredited for this type of surgery?
What type of anaesthesia is needed for this procedure?
Based on my medical history and condition, is surgery the best option for me? If so, am I a suitable candidate for this surgery?
Which surgical technique do you recommend for my case, and why?
What are the realistic expectations for the outcome of this procedure in my case?
What steps or lifestyle changes are necessary for me to get the best result from my surgery?
What is the anticipated duration of recovery, and what assistance will I need during this period?
What potential risks and complications are associated with this procedure? How would you manage these should they arise?
How will my results change over time?
If I’m unhappy with the outcome, what recourse options are available?
More Reconstructive Procedures
Find a Specialist Plastic Surgeon
Disclaimer: This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon and does not contain all the known facts about this procedure or every possible side effect of surgery. It is important that you speak to your surgeon before deciding to undergo surgery. If you are not sure about the benefits, risks and limitations of treatment, or anything else relating to your procedure, ask your surgeon to explain. Patient information provided as part of this website is evidence-based, and sourced from a range of reputable information providers including the American Society of Plastic Surgeons, Better Health Channel and Mi-tec medical publishing.
Kirk Williams
Sarah Gardiner
Tristan de Chalain
Craig MacKinnon
Jonathan Wheeler
