Learn About Cleft Lip and Palate
Cleft lip and palate are birth defects that affect the upper lip and the roof of the mouth.
Cleft palate; Craniofacial defect
There are many causes of cleft lip and palate. Problems with genes passed down from 1 or both parents, drugs, viruses, or other toxins can all cause these birth defects. Cleft lip and palate may occur along with other syndromes or birth defects.
A cleft lip and palate can:
- Affect the appearance of the face
- Lead to problems with feeding and speech
- Lead to ear infections
Babies are more likely to be born with a cleft lip and palate if they have a family history of these conditions or other birth defects.
A child may have one or more birth defects and the severity can vary significantly.
A cleft lip may be just a small notch in the lip. It may also be a complete split in the lip that goes all the way to the base of the nose.
A cleft palate can be on one or both sides of the roof of the mouth. It may go the full length of the palate.
Other symptoms include:
- Change in nose shape (how much the shape changes varies)
- Poorly aligned teeth
Problems that may be present because of a cleft lip or palate are:
- Failure to gain weight
- Feeding problems
- Flow of milk through nasal passages during feeding
- Poor growth
- Repeated ear infections
- Speech difficulties
Surgery to close the cleft lip is often done when the child is between 2 to 9 months old. Surgery may be needed later in life if the problem has a major effect on the nose area. Some patients may receive tympanostomy tubes during the surgery also.
A cleft palate is most often closed within the first year of life so that the child's speech develops normally. Sometimes, a prosthetic device is temporarily used to close the palate so the baby can feed and grow until surgery can be done.
Continued follow-up may be needed with speech therapists and orthodontists.
Lifespan Physician Group Inc
Albert Woo is a Plastic Surgeon and a Pediatric Surgeon in Providence, Rhode Island. Dr. Woo has been practicing medicine for over 26 years and is rated as an Advanced provider by MediFind in the treatment of Cleft Lip and Palate. His top areas of expertise are Craniosynostosis, Plagiocephaly, Metopic Ridge, Craniectomy, and Osteotomy.
John Meara is a Plastic Surgeon in Boston, Massachusetts. Dr. Meara and is rated as a Distinguished provider by MediFind in the treatment of Cleft Lip and Palate. His top areas of expertise are Craniosynostosis, Cleft Lip and Palate, Plagiocephaly, Craniectomy, and Osteotomy. Dr. Meara is currently accepting new patients.
Brigham And Womens Physicians Organization Inc
Robert Riviello is a General Surgeon in Boston, Massachusetts. Dr. Riviello and is rated as an Advanced provider by MediFind in the treatment of Cleft Lip and Palate. His top areas of expertise are Ogilvie Syndrome, Cleft Lip and Palate, Secondary Peritonitis, Gastrostomy, and Colostomy. Dr. Riviello is currently accepting new patients.
For more resources and information, see cleft palate support groups.
Most babies will heal without problems. How your child will look after healing depends on the severity of their condition. Your child might need another surgery to fix the scar from the surgery wound.
Children who had a cleft palate repair may need to see a dentist or orthodontist. Their teeth may need to be corrected as they come in.
Hearing problems are common in children with cleft lip or palate. Your child should have a hearing test at an early age, and it should be repeated over time.
Your child may still have problems with speech after the surgery. This is caused by muscle problems in the palate. Speech therapy will help your child.
Cleft lip and palate is most often diagnosed at birth. Follow your health care provider's recommendations for follow-up visits. Contact your provider if problems develop between visits.
Summary: Achieving speech that is understandable and acceptable to others is the key outcome in cleft treatment. Therefore, speech therapy provided by a speech-language pathologist is necessary. This intervention is traditionally provided twice per week for 30 minutes for months or even years by first-line speech-language pathologists. Unfortunately, this low intensity intervention is based on a historical...
Summary: Investigators aim to evaluate the influence of cleft surgery on the tissue microcirculation of the palate with a non-invasive measurement.
Published Date: April 28, 2023
Published By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Dhar V. Cleft lip and palate. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 336.
Felton M, Lee JW, Balumuka DD, Arneja JS, Chadha NK. Early placement of ventilation tubes in infants with cleft lip and palate: a systematic review. Otolaryngol Head Neck Surg. 2018;158(3):459-464. PMID: 29161200 pubmed.ncbi.nlm.nih.gov/29161200/.
Wang TD, Milczuk HA. Cleft lip and palate. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 188.