Overview
The cleft may be present only in the lip, only in the palate, or both; It can be single or double sided. In the first period, supporting nutrition and growth is a priority. Treatment may not consist of a single surgery: lip and palate repair is planned in different stages, and hearing and speech are evaluated regularly. The child should be referred to an experienced cleft lip and palate team. Plastic surgery, pediatrics, otolaryngology, audiology, speech and language therapy, dentistry and orthodontics can work together. The schedule is determined by the characteristics of the cleft and the health status of the child. Family support and genetic counseling when necessary are also important.
What is evaluated?
- The type of cleft, nutritional adequacy and growth are evaluated.
- Hearing, airway and accompanying congenital findings are examined.
- A dental development and age-appropriate speech monitoring plan is created.
Approach and options
- Nutrition support and early family counseling are organized by an expert team.
- Lip and palate repairs are planned in stages appropriate to the child.
- Throughout growth, speech, hearing, orthodontics and additional repairs are evaluated when necessary.
Recovery and follow-up
Postoperative nutrition and wound protection plan is given by the pediatric team. Follow-up does not end when initial recovery is complete; Speech, hearing, teeth and jaw growth are evaluated regularly. Some children may require additional procedures. School life and family care needs are also included in the long-term support plan.
Risks and limits
- Wound healing problem or infection
- Asymmetry in lips and nose
- Thick or shrinking scar
- Breathing problems after surgery
- Need for additional surgery or ongoing speech support
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- Which center and team will coordinate my child's care?
- What early evaluations are needed for nutrition and hearing?
- What possible additional treatments should we discuss throughout growth?
Resources
- NHS — Cleft lip and palate ↗
- ASPS — Cleft lip and palate repair ↗
- ASPS — Cleft repair risks and safety ↗
Access to sources: September 2026. The content has been prepared for general information purposes.
