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Cleft lip and cleft palate are among the most common birth anomalies affecting children in North America and worldwide. The incomplete formation of the upper lip (cleft lip) or roof of the mouth (cleft palate) can occur individually, or both defects may occur together. The conditions can vary in severity and may involve one or both sides of the mouth. Surgery is required to repair cleft lip and/or cleft palate. If you are born with a cleft lip and palate, or you have a child with this condition, you surely want to find the best treatment option. Not all plastic surgeons are enough trained for cleft repair and not all countries offer affordable treatment services. At Ariana Medicare Tour Services, we help you get an effective cleft lip/palate repair by the best Iranian plastic surgeons at the most decent prices – and we do all the arrangements from start to finish

Cleft Lip & Cleft Palate Repair in Iran: the fact You Need to Know

Oral clefts, including cleft lip and palate, are a common congenital malformation in infants. It should be taken care of in the first year after the baby is born. Otherwise, it impairs children's speech ability and their social life is affected.
Affected individuals will have to undergo secondary surgery later. This is because the appearance of a person's lips does not improve well through initial surgery
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Cleft lip and cleft palate are among the most common birth anomalies affecting children in North America and even in Iran. As the hub of medical tourism in the Middle East, Iran has been cost-effective and effective in providing cleft palate and cleft palate surgery. To see if this country is a good option for your cleft lip and palate surgery, follow this clue because we want to provide you with good reasons and information in this regard. But first, let's learn more about self-healing .

What is Cleft Lip?

The lip forms between the fourth and seventh weeks of pregnancy. As a baby develops during pregnancy, body tissue and special cells from each side of the head grow toward the center of the face and join together to make the face. This joining of tissue forms the facial features, like the lips and mouth. A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This results in an opening in the upper lip. The opening in the lip can be a small slit or it can be a large opening that goes through the lip into the nose. A cleft lip can be on one or both sides of the lip or in the middle of the lip, which occurs very rarely. Children with a cleft lip also can have a cleft palate .

What is Cleft Palate?

The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open .

Other Problems

Children with a cleft lip with or without a cleft palate or a cleft palate alone often have problems with feeding and speaking clearly and can have ear infections. They also might have hearing problems and problems with their teeth .

Palate repair surgery in Iran?

Palate repair surgery is usually done when your baby is 6 to 12 months old. The gap in the roof of the mouth is closed and the muscles and the lining of the palate are rearranged. The wound is closed with dissolvable stitches. The operation usually takes about 2 hours and is done using a general anaesthetic. Most children are in hospital for 1 to 3 days, and again arrangements may be made for you to stay with them. The scar from palate repair will be inside the mouth.

Additional surgery

repair a cleft in the gum using a piece of bone (a bone graft) – usually done at around 8 to 12 years of age improve the appearance and function of the lips and palate – this may be necessary if the original surgery did not heal well or there are ongoing speech problems improve the shape of the nose (rhinoplasty) improve the appearance of the jaw – some children born with a cleft lip or palate may have a small or "set-back" lower jaw

Cost of Cleft Lip Repair/Cleft Palate Repair in Iran

The cost of cleft surgery depends on the patient’s condition i.e. defect severity. Usually, for a cleft lip repair in Iran, you would be charged from around $2,000 to $4,000. Cleft palate surgery in Iran would cost around $3,000 to $4,000. This is while the same procedures cost from $6,000 to $20,000 and more in western countries .

What are the steps of a cleft lip and palate repair procedure?

Step 1 – Anesthesia
Medications are administered for your child's comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for your child.

The goal of cleft lip surgery is to close the separation in the lip and to provide a more normal function, structure and appearance to the upper lip. Incisions are made on either side of the cleft to create flaps of skin, muscle and intraoral tissue that are then drawn together and stitched to close the cleft and recreate typical lip and nose anatomy .

Step 2 - Incisions

The repair of a cleft palate requires careful repositioning of tissue and muscles to close the cleft and rebuild the roof of the mouth. Incisions are made on either side of the cleft and specialized flap techniques are used to reposition the tissues of the hard and soft palate. This will include repositioning of the soft palate muscles used in speech. The repair is then stitched closed, generally along the midline of the roof of the mouth, providing enough length of the palate to allow for normal feeding, speech development and continued growth throughout life .

Step 3 – Closing the incisions

Once the cleft lip and/or cleft palate has been repaired, the incisions can be closed with removable or absorbable sutures .

Step 4 – See the results

The resulting external scars of a cleft repair are generally positioned in the normal contours of the upper lip and nose. Over time, these will fade and your child's ability to grow and function normally will continue to improve .

What should I expect during my child's cleft lip and palate repair recovery?

After surgery, bandages may be placed on incisions outside your child's mouth. You will be given specific home care instructions that may include :

Dietary restrictions are common after palate repair with liquid or puree diets recommended for several days. Some surgeons also recommend avoiding bottles, pacifiers, straws or other utensils as well for several days. Commonly, arm restraints are used after surgery to help prevent your child from touching or injuring the surgical site as it heals. Some surgeons allow these restraints to be removed temporarily, so long as your child is supervised and prevented from touching the surgical site or sucking their fingers.Your child's discomfort can be controlled with pain medication. Depending on the surgical technique used, sutures may need to be removed from the lip following surgery. Healing will continue for several weeks as swelling resolves. Lip scars will mature and fade over many months. After surgery, diligent sun protection is essential to prevent the formation of irregular scars .

Frequently Asked Questions About Cheekbone Reduction Surgery

What age is best for operation of cleft palate?

Palate repair surgery is usually done when your baby is 6 to 12 months old. The gap in the roof of the mouth is closed and the muscles and the lining of the palate are rearranged. The wound is closed with dissolvable stitches

Is cleft surgery painful?

Once your child is asleep, an intravenous (in-tra-VEE-nuss) or IV line will be inserted into a vein in your child's arm or leg so that medication can be given to keep him or her sleeping throughout the surgery. Your child will have no pain during the surgery and no memory of it afterward .

What can you eat after cleft palate surgery?

It is OK to resume full liquids 2-3 days after surgery. This includes yogurt, thin cooked cereals, puddings, ice cream, creamed soups, thin pureed foods, or stage I baby foods. Use only a soft spoon and do not allow the spoon to enter deep into the mouth. It is OK to resume soft foods one week after surgery.

Is cleft lip surgery safe?

Cleft lip and cleft palate repair are very safe surgeries, but there are always risks with any surgery, including those associated with anesthesia. In rare instances, infection or breathing problems can occur, both of which are treatable.

What is the most severe type of cleft?

The most severe form involves the entire secondary palate, seen as a gap in the palate from the tip of the uvula to the incisive foramen.

Which side cleft is more common?

In cleft lip, the majority of cases were left-sided (55.3%). In cleft lip and palate, the majority of cases were again left-sided (50.7%). Cleft lip and palate thus occurred more often on the left side than on the right (Table 2).

Does a cleft palate affect speech?

Children born with cleft palate may have a delay in the beginning of speech and development of speech sounds. In addition, children with cleft palate may produce speech errors that are directly related to clefting.

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