A cleft palate is a birth defect that occurs once in every 750-1000 live births, wherein the roof of the mouth, or palate, doesn’t develop fully, leaving an opening, or cleft, that may extend all the way to the nasal cavity.  While there have been genetic links and environmental factors associated with cleft palates, the specific cause remains unclear.  Such environmental factors include: smoking, drug use and illness by the mother while she is pregnant.

This craniofacial defect impairs speech, jaw alignment, and hearing. The complications aren’t minor. Because a cleft palate can lead to frequent ear infections, a total loss of hearing is a real possibility. Obviously, the location of the cleft affects speech, and many children struggle to speak normally.  These secondary impairments underscore the importance of early intervention.

Even more troubling than these physical obstacles is the heartbreaking fact that the child may face abuse from classmates and even adults or suffer from low self-esteem and depression as they compare themselves with others. The condition affects appearance in varying degrees, but the worst cases demonstrate just how much this birth defect can interfere with a child’s well-being.

Luckily many of the challenges a child with a cleft palate faces can be nearly eliminated through early assessment and age-appropriate surgery.  Doctors recommend surgery for infants ages 12 to 18 months because the tissues affected are in an optimal state and because speech development is not in full-swing yet.

Cosmetic surgery for a child’s cleft palate will not only free him or her of the social stigma associated with the defect, but also surgery will minimize (and possibly eliminate) the hearing, speech, and dental problems that accompany a cleft palate. A good doctor will offer a thorough consultation, address parents’ concerns, and connect with the child so that the experience will be emotionally comfortable for the child and his or her family.
Children are placed under anesthesia during the procedure. The goal of the surgery is to close the open section of the lip by reworking the tissue so that it closes the cleft. The result is closure of the cleft and a lip that looks more natural and functions better. The surgery’s benefits continue to accumulate afterward, with gradual improvement, but sometimes secondary surgeries can accelerate improvements more quickly.

Excellent post-operative care is essential to making sure the cosmetic procedure is successful. Sun protection should be used, pain medication will decrease discomforts, and though shocking at first, a child may have to be restrained from touching the surgical area while it heals. Keeping in mind the long-term benefits to the child, these steps are the loving measures parents and caregivers will need to take to achieve faster recovery.

Prices for the procedure vary. Health insurance will almost always pay for this operation. Without health insurance, people face costs from separate sources. There are doctor’s fees, hospital fees, anesthesia fees, etc. Different doctors will charge different prices so there is no one price for the surgery. The minimum cost of the surgery is usually $5000. Parents who can’t afford the surgery should search for organizations that provide assistance as soon as they are aware their child has a cleft palate.

You can help a child live a normal life by donating to programs like The Smile Train.