Patient information > Treatment of cleft 

Treatment of cleft

It is generally recognized that cleft lip and cleft palate management is multidisciplinary and involves at least 7 to 8 specialties at different times, such as Pediatricians, Orthodontists, Plastic Surgeons, Speech Language Pathologists, Maxillofacial surgeons, Psychiatrists, social workers, and Oto-laryngo-Rhino surgeons. This joint effort is usually led by a Plastic Surgeon, as 80% of the job is done by the Plastic surgeon.

A skilled surgical intervention is the most important part of the cleft treatment and should ideally take place at three months old for lip and nine months for palate. So act now! Our cleft teams will provide detailed information about the treatment. This website provides introductory information only! For further information and in order to make medical decisions please consult a doctor!

Course of treatment

If the lip and palate are affected, two surgeries are needed: The first surgery - to repair the cleft lip - at 3 to 6 months of age, the second surgery - for the cleft palate - at 12 months of age. The complexity of cleft can often necessitate further treatment. Additional surgeries might become necessary during childhood and adolescence. Further care like dental or orthodontic treatment as well as speech therapy is often required and is available at Al Mustafa Medical Center.

Cleft Pakistan with its dedicated cleft team offers a multidiciplinary approach to cleft treatment. If a new born is brought to us, immediate pediatric care and orthodontic treatment is initiated. The child receives treatment for nutritional deficiencies and infection, and upon reaching an age of three months the lip is operated. At nine months, cleft palate is operated and the child is kept in follow up to observe for any signs of problems. When the child reaches four years of age, speech therapy is started if there are any speech difficulties. At six years, the child is assessed by an orthodontist to confirm normal growth of the teeth. At eight years, the child undergoes surgery of the alveolus (gums) by implanting a bone graft taken from the hip bone.

Sometimes when speech therapy is not sufficient alone, a surgical Pharyngoplasty is performed to further improve speech with the help of speech therapists. If the child is exhibiting cosmetic problems in the nose, Cleft Rhinoplasty is offered at the age of 17 to 18 years. After each treatment, follow-up care is provided. Our Project Manager remains in contact with the patients and reminds them of the next treatment. Furthermore, counseling and feeding instructions are made available by the cleft team at Al Mustafa Medical centre.

Contact us!

If you have a child or relative suffering from Cleft contact our Project Manager Mr. Nasarullah by email under or by phone under +92 333 2245632.