Cleft Lip and Palate
Prenatal visits are encouraged for parents with a cleft lip and/or palate who are expecting a baby.
If your child has a cleft palate, evaluation for feeding will occur while you are still in the hospital after birth, or with your first clinic visit.
- Lip repair occurs at around 3 months.
- If the cleft lip is a wide unilateral or bilateral cleft lip, we may proceed with lip taping or NAM (Nasoalveolar Molding) to prepare for surgery.
- Palate repair occurs at around 9-12 months.
We typically plan for ear tubes insertion at the time of palate surgery.
- Bone graft surgery occurs at around 7-10 years.
Secondary surgeries may be needed and can include:
- Lip and/or nose revision (around 4-5 years)
- Speech surgery (around 3-8 years)
- Ear tube replacement
- Jaw surgery (approximately when teenager)
All patients with a cleft lip and/or palate will be seen annually by the UNC Craniofacial Team until they are 18 years old. The first visit will be around 1 month before palate surgery or at approximately 1 year old.
Additional information can be found at cleftline.org.