CLEFT LIP AND PALATE SURGERY
CLEFT LIP REPAIR, GINGIVOPERIOSTEOPLASTY (GPP) AND PRIMARY RHINOPLASTY
This procedure is done in conjunction with Naso Alveolar Molding (NAM), which is carried out by Dr Catherine Lee.
NAM involves having the cleft baby wear a device from as early as possible after birth that narrows the cleft of the lip and the alveolus (gum bone). It also reduces the nasal deformity associated with the cleft lip.
By reducing the severity of all three aspects of the cleft, it then becomes possible to surgically repair the (1) cleft lip (cleft lip repair), (2) the cleft alveolus (gingivoperiosteoplasty, or GPP), and (3) the cleft lip nasal deformity (primary rhinoplasty) in a single, 3 in 1 operation, using modern and sophisticated surgical techniques.
It is advantageous to be able to do this, because it means that alveolar bone grafting (see below) and a secondary cleft rhinoplasty (see below) may not be required later, thus potentially saving the patient from two operations later in life. The repair is usually carried out at about 3 months of age.
CLEFT PALATE REPAIR
If the child has a cleft palate, this is repaired at 9 to 12 months of age. Dr Huang has done award winning research on cleft palate and is an expert in the anatomy of cleft palate, having published several scientific papers in international plastic surgery journals and written a book chapter on this subject.
There are two main goals in cleft palate repair: to repair the physical cleft so that food and liquids will not spill from the mouth into the nose, and to realign the muscles of the soft palate so that they will function appropriately for speech.
As with the 3 in 1 repair, Dr Huang uses effective surgical techniques to repair the cleft palate and realign the muscles of the soft palate that are vital for speech. This maximizes the chance of the child having normal speech.
SPEECH SURGERY FOLLOWING CLEFT PALATE REPAIR
ALVEOLAR BONE GRAFTING
CLEFT ORTHOGANTHIC SURGERY
Cleft lip and palate are often associated with insufficient growth of the upper jaw. This can result in an abnormal bite and appearance. Non-surgical orthodontic techniques can sometimes stimulate adequate growth of the upper jaw.
Otherwise, orthognathic (jaw) surgery involving the upper jaw, lower jaw or both may be required to reposition the jaws optimally for both function and appearance. Orthognathic surgery must done in conjunction with orthodontics (wearing braces) in order to achieve correct positioning of the jaws and teeth. It is usually carried out when the patient is a teenager, after the completion of growth.
SECONDARY CLEFT RHINOPLASTY
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