Cleft Palate Surgery

Dr. Amin Yousaf is a certified plastic surgeon with years of experience in cleft lip surgery in Lahore. Dr. Amin Yousaf is a member of Pakistan Association of Plastic Surgeons and Pakistan Medical & Dental Council. Dr. Amin clinic is located at Gulberg, Lahore, Pakistan. Cleft lip or cleft Palate surgery consultation with Dr Amin is free of charge and entirely without obligation. Call +92 321-6357501 to schedule your appointment today!

Cleft lip and palate is a congenital birth defect of face in which lip and palate are affected. There is vertical cut of lip and sometime palate as well. It result from non fusion of different parts of face and nose during development in 1st 4-8th week of pregnancy. If one side is involed it is called unilateral if both are involved it is called bilateral.

There are multiple causes of cleft lip and palate. Both genetic and environment can cause it and most common causes are:

Alcohol

During pregnancy exposure to the anticonvulsant drugs like phonation is associated with a 10-fold increase in the incidence of cleft lip. Maternal smoking during pregnancy doubles the incidence of cleft lip. Other teratogens, such as alcohol, anticonvulsants, and retinoic acid, folic acid deficiency.

Incidence

Among the cleft lip and palate population, the most common diagnosis is cleft lip and palate (46%), followed by isolated cleft palate (33%) and isolated cleft lip (21 %). The majority of bilateral cleft lips (86%) and unilateral cleft lips (68%) are associated with a cleft palate.

If the family has one affected child or parent with CLP, the risk of the child of the next pregnancy having CLP is 4%. If two previous children have CLP, the risk increases to 9%, and if one parent and one child were previously affected, the risk to children of subsequent pregnancies is 17%. For families with a child having CP, the risk of CP to children of subsequent pregnancies is 2%, 6% if one parent has CP, and 15% if one parent and one previous child have CP.

Dr Amin Yousaf would like to examine the newborn infant in the first weeks of life. Patient is seen by Dr Amin Yousaf and then cleft lip deformity is divided into unilateral or bilateral, and then subdivided into complete, incomplete, or microform type. He would send you to a child specialist as well to properly evaluate other conditions like chest.
In 1st week of life Dr Amin Yousaf would advise you nasoalveolar molding (NAM)to bring the lip near to each other which improve surgical results. Alternatively lip tapping can also be done.

Cleft Lip Surgery:

Dr Amin Yousaf would perform cleft lip surgery in Lahore at the age of 3 months and palate surgery at the age of one year. He follows and recommends this table for treatment of cleft child.

Unilateral Cleft Lip:

Dr Amin Yousaf operates on your child at age of 3 months. He performs MILLARD Surgery for cleft lip which is most commonly used all over the world.

Disclaimer:(*): Result may vary depends on individual

Bilateral Cleft Lip:

Disclaimer:(*): Result may vary depends on individual

Nasal Surgery:

Nasal surgery is performed at time of lip repair for improvement of shap of nose. Final nasal surgery is performed at age of 16 years.

Disclaimer:(*): Result may vary depends on individual

Cleft Palate:

Cleft palate is associated with nasal regurgitation, recurrent infection, nasal speech and other speech. Dr. Amin Yousaf would perform palate surgery in Lahore at age 10-12 month of child age.

Disclaimer:(*): Result may vary depends on individual

Speech is assessed at age of 2-3 years and if speech problem persist surgery is performed at age of 4 years to improve speech. Similarly any abnormal lip scars, nothing is treated before child go to school. Dental treatment is started at 6-9 years of age and bone graft surgery is performed if there is any defect in alveolus. Or surgeries to improve facial shape (orthognathic surgery) are performed at puberty.