Cleft lip palate

Cleft lip palate symptoms include a split or opening in the upper lip or palate. Other symptoms include feeding difficulties, poor weight gain, nasal speech, delayed speech development, recurrent ear infections, or hearing difficulties.

Diagnosis begins with a detailed clinical consultation and examination soon after birth. In some cases, prenatal ultrasound imaging during pregnancy can identify facial differences before delivery. After birth, doctors evaluate the lip, palate, feeding ability, and associated facial structures. Imaging studies, such as CT scans, may be recommended for detailed assessment of facial structures.

Cleft lip palate treatment may include repair surgery, feeding therapy, and speech therapy. Orthodontic treatment and ear tube placement may be required for recurrent infections. Many children benefit from a staged treatment approach performed at different ages.

At Manipal Hospitals, care for cleft lip and palate begins with a thorough assessment soon after birth. Doctors evaluate feeding ability, breathing patterns, and the extent of the lip or palate opening. A multidisciplinary team, including paediatrics, plastic surgery, dentistry, and speech therapy, confirms the diagnosis and guides treatment. 

Treatment plans address functional needs and support healthy facial development throughout childhood. Families receive guidance on specialised feeding techniques and infant nutrition support.

Surgical correction is usually performed in stages. Cleft lip repair surgery is typically performed within the first few months of life. Surgeons aim to restore structure and function while minimising visible scarring.

After surgery, children receive ongoing monitoring of speech, hearing, and dental development. Speech therapy helps improve communication skills. Audiology evaluation addresses hearing concerns caused by fluid buildup in the ear. Orthodontic treatment may guide proper tooth alignment as children grow.

Regular follow-up visits ensure developmental milestones are met and complications are addressed promptly. Emotional support and counselling are also available for families throughout the treatment journey.