11/08/2024
SURGICAL CONSIDERATIONS IN CLEFT LIP PALATE PATIENTS-
Comprehensive Care Timeline
Birth-2 weeks old
Feeding evaluation with a pediatric nurse practitioner or speech-language pathologist
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4-12 weeks old
Clinic visit with cleft/craniofacial surgeon; consideration of cleft lip taping
Orthodontic visit for pre-surgical molding device, if needed
Weekly Clinic Visits for 2-3 months
Clinic visit to adjust Nasal Alveolar Molding (NAM)
Clinic visit for feeding follow up and weight checks
The First Year
Cleft lip closure 3-5 months
Speech and behavioral audiogram at approximately 8 months of age
Cleft palate closure 10-14 months, depending upon development and airway
Ear tubes may be placed at during cleft lip or palate surgeries
First panel appointment
2-5 years
Clinic visits to cleft/craniofacial surgeon at least once a year
Speech evaluation every 6 months until normal development is established
Annual hearing tests, more often if ear tubes are placed
First dental evaluation at 12-18 months
Cleft/Craniofacial Team Panel visit
School age years
Annual clinic visits to cleft/craniofacial surgeon
Speech therapy, if needed
Nasopharyngoscopy work up, if needed
Secondary palate surgery, if needed
Annual hearing tests
Phase I Orthodontics 7-9 years, if needed for alveolar bone graft surgery
Alveolar bone grafting surgery at 8-12 years, if gumline was effected by clefting
Cleft/Craniofacial Team Panel visit
Adolescent years
Cleft/Craniofacial Team visit
Phase II Orthodontics
Cleft lip scar revision, rhinoplasty, if nose was effected by clefting
Jaw advancement surgery, if needed for best jaw relationship for chewing, speech and facial profile
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