When is the best time for cleft palate repair

summary

The operation not only depends on the skill of the doctor, but also the timing. Some people will appear palatal lip, in order to recover as soon as possible, we must carry out palatal lip repair. But we all hope to repair it as soon as possible. Now let's talk about the best time for palatolabial repair.

When is the best time for cleft palate repair

First, the age of cleft palate repair should be early rather than late in principle. The earlier the repair, the smaller the abnormal changes of palatal anatomical structure, the better the postoperative pronunciation effect. However, early operation is difficult due to the small age of children, narrow mouth, narrow trachea, difficult anesthesia management, increased risk, relatively increased postoperative complications (laryngeal edema, etc.) and increased operative mortality. Therefore, in the past, it was advocated to learn anterior teeth surgery or to carry out prosthetic surgery at the age of 5-6 years.

Second, in children of this age, the variation of palatopharyngeal anatomical structure and physiological function is increased, and the difference between the repaired and normal palatopharyngeal anatomical structure and physiological function is also large, so it is difficult to recover the voice after operation; while the early repair of cleft palate, the palatopharyngeal anatomical structure and physiological function are more normal. At present, most scholars advocate that the cleft should be closed early in order to get good pronunciation.

Third: after one year old, as long as the nutritional status is good, the development is normal, no other contraindications can be implemented surgery. But surgeons need to have more skilled repair techniques, anesthesiologists need to have good skills of endotracheal anesthesia management. Otherwise, the operative age can be extended to 2 years or older, which is safer. Cleft palate patients with velopharyngeal closed ring rupture, velopharyngeal can not be closed, articulation is not clear. At the same time, due to the long-term abnormal voice and swallowing function, the development of soft palate muscle is abnormal, forming compensatory or disuse anatomical characteristics.

matters needing attention

In general, the palatolabial repair doctors suggest that it should be carried out as soon as possible, because the younger the age is, the organ tissue is still developing, and the recovery after repair is also very fast. But also can not be too young, after all, too young age, oral development is not completely to surgery will bring some trouble.