When the two sides of the face do not join together properly in utero, a split in the lip and/or roof of the mouth can occur. This split is known as a cleft lip or cleft palate, and it is one of the most common birth defects. A team of specialists is usually involved in a cleft lip or palate repair, including an oral surgeon, dentist, a pediatrician. Depending on the child’s age, a speech pathologist may also be involved to help them establish proper articulation.

At Carolinas Centers for Oral & Facial Surgery in Greenwood, South Carolina, ​​our experienced group of oral and maxillofacial surgeons offer comprehensive evaluation, diagnosis, and treatment for congenital and acquired head and neck abnormalities. From cleft lip and palate to craniofacial conditions, we have years of experience helping children of all ages live their best life by improving their aesthetics and ability to eat, speak, hear, sleep, and breathe. We use a multidisciplinary approach, and customized individual treatment plans to deliver predictable, natural-looking results.

Surgical Treatment

Newborns and infants with a cleft lip or palate often have feeding difficulties as a result of their cleft. Special bottles and other tools can help, but surgical repair is necessary to correct the cleft once the child is old enough to undergo the procedure. Every cleft is different: a child may only have a cleft lip, or only a cleft palate, or both. The severity of the cleft varies too. The number of surgical procedures necessary to repair the cleft will depend on the extent of the child’s condition.

In general, a cleft lip is a simpler surgical procedure than a cleft palate, although both conditions can be corrected successfully. A child with a cleft lip will undergo one or two surgeries, with the first surgery around 3–6 months of age. The goal of a cleft lip repair is to correct the split in the lip to enhance function and facial esthetics.

Repairing a cleft palate is a more involved procedure, with the first surgery taking place between the ages of 6–12 months. Once the facial structures have developed more, around age 8, another surgery takes place to increase bone quantity in the upper jaw. More surgeries may be recommended as the child develops.

There are three main choices for anesthesia

Local Anesthesia

Local anesthesia provides numbness directly where it is administered. It does not affect consciousness, so the patient remains awake while the feelings of discomfort are eliminated. Local anesthesia is commonly used for minor procedures.

Nitrous Oxide

Also known as laughing gas, nitrous oxide is a mild sedative that the patient inhales to alleviate feelings of anxiety. It does not cause the patient to lose consciousness. It is often used together with local anesthesia.

IV Sedation

IV sedation is commonly used for moderate to extensive oral or facial surgery procedures. This type of sedation is administered directly into the patient’s vein. Since amnesia (forgetfulness) is a common side effect of the medication, most patients who use IV sedation do not remember their procedure.

We’re Here For You

Elevate your child’s quality of life with cleft and craniofacial surgery in Greenwood, South Carolina. At Carolinas Centers for Oral & Facial Surgery, our oral and maxillofacial surgeons strive to deliver outstanding care and predictable, natural-looking results that will help your child move through life with ease. Schedule a consultation at (864) 751-9972 today.