Balaji Dental & Craniofacial Hospital

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FAQ - Balaji Dental

FAQ


Question asked by parents about congenital deformities repair :

Q. What are the causes of cleft lip or palate? 

A. Genetics and environmental factors are both considered instrumental in causing clefts. Cleft parents are known to be predisposed having cleft children. But the main cause is attributed to the deficiency of Folic Acid during pregnancy. The other causes are radiation, pollution, nutritional deficienct, psychologically disturbed pregnant women, trauma, alcohol consumption, smoking, tobacco chewing during pregnancy. The development of cleft is not influences by x- rays, medicine, illness, injuries etc.

Q. Is there a possibility of giving birth to another cleft child? 

A. Genetics and environmental factors are both considered instrumental in causing clefts. Cleft parents are known to be predisposed having cleft children. But the main cause is attributed to the deficiency of Folic Acid during pregnancy. The other causes are radiation, pollution, nutritional deficienct, psychologically disturbed pregnant women, trauma, alcohol consumption, smoking, tobacco chewing during pregnancy. The development of cleft is not influences by x- rays, medicine, illness, injuries etc.

Q. Is a cleft lip always associated with cleft palate? 

A. Cleft lip is not always associated with cleft palate.

Q. What can be done for my child born with a cleft? 

A. Surgical repair of the cleft can be successfully done restoring appearance and function to normal. Most of the babies born with cleft have nasal deformity, so long with cleft surgery, nose correction is also done. Many of our patients have gpt excellent results.

Q. When is the surgery done in the child?

Age Procedure performed
3-4 months cleft lip repair
6-9 months palate repair
3 yrs pharyngoplasty and speech therapy
5 yrs BMP
12 yrs jaw and teeth repair
15 yrs rhinoplasty

Q. Why do cleft lip and palate require many surgeries? Is it not enough to do once? 

A. Its is not enough as the doctor has to decide for the child as the functional treatment always precedes the esthetic correction and has to be constantly revised as the child grows.

Q. Will my child look normal after surgery? 

A. Not immediately after surgery because of the swelling in the lip region and the scar appears red. The scar takes about 6 - 12 months to disappear to give a pleasing look

Q. How many days should my child be in the hospital after surgery? 

A. A. The child is hospitalized for maximum of 2 - 3 days.

Q. Can parents stay along with the child in the hospital? 

A. Parents can stay and take care of the child in the hospital. The details about the stay can be cleared from the hospital staffs.

Q. How should I feed my child before surgery? 

A. . If the child’s lip is incompletely split and the palate is intact, breast feeding or nursing bottle can be used. Regarding feeding please as the the doctor in charge as the child is always placed under 6 hour fasting prior to surgery.

Q. How will my child feel about having cleft? 

A. Insecurity in infants is due to parents’ depression, child’s lethargy and irritability. Social support, self-confidence and trust might prove advantageous. So parents should have frank discussion about the cleft and should give proper guidance and encouragement

Q. Whom should I ask concerning the cleft? 

A. Team of specialists- plastic surgeon, orthodontist, pedodontist, speech therapist, nurses work together. So you can contact any of these members or Balaji‘s Craniofacial center regarding the cleft.

Q. Will my child speak like normal child?

A. Child speaks very well after the surgical repair of the cleft. The improvement in the speech depends on the co-operation and encouragement shown to the child.

Q. How the palate help in speech?

A. Yes. The palates help in speech so the palatal repair has to be done for the proper speech.

Q. Will the nasal twang and fluid that escapes out of the nose stop after the treatment?

A. It cannot be estimated immediately because palatal repair takes time for healing. Only when the muscles become flexible the air can escape through the nose and mouth equally enabling the speech. The child has to be encouraged to talk.

Q. What should I do to make my child speak well after surgery?

A. You should always repeatedly encourage your child to speak. Child should be taught first a few words then small sentences and gradually trained.

Q. What should I do to make my cleft child speak before surgery?

A. You should talk, play and laugh. An attempt should be made to produce sounds clearly

Q. When should I meet speech therapist?

A. Not all the children need speech therapist. Only for few children speech therapy becomes necessary and speech therapist has to be contacted at 2-3 years of age.