Primary cleft lip repair at 3 months, primary cleft palate repair at 9 months

Thanks for you kind comment answer but from not short time ago plenty of cleft surgeon recommended early repair of cleft lip at 1st month of life because of high amount of growth factors presence in the neonatal circulation which help in high successful rate of cleft lip repair including rapid and scarless healing

Ahmad,

That's not the reason for early repair. Aim is to minimize restriction of growth- good muscle approximation /attachment Is the key.

3&9 months mentioned in answer is reasonable time, having said that Lip repair surgery can be done earlier.

Lip repair ->Rule of 10s:

10 weeks of age

10 g/dL Hemoglobin

10 lbs

Thanks Dear but I would like to remember you that's no cleft lip repair without magnification so that is not cause for dalay

any question the age at which it best to have the reconstructive procedure performed to repair this defect. Timing of cleft lip and palate repair is a subject of some controversy in the medical community, as some compromise must always be made regarding risk, facial growth, scarring, speech development, and psychological factors.Although there are some differing schools of thought on the matter, most plastic surgeons believe that the ideal patient age for undergoing cleft palate repair surgery is between 6 to 18 months of age (though the favored age for cleft lip repair is generally much earlier, at about 10 to 12 weeks old). This age appears to be advantageous partially because healing times are fast, the patient's memory of the recovery process is short, and the area around the cleft hasn't had much of a chance to develop surrounding tissues in an abnormal manner.As always, only you and your doctor can weigh the pros and cons to determine what may be the best course of action in your child's case. It is also important to be aware that as your child grows, additional surgery may be necessary.

in my experience, cleft lip are performed at 3 months, when the child usually presents ideal metabolic conditions to undergo general anesthesia. I honestly do not see any advantage in having the surgery before that. the palate we operate until 1 year of age.

Thanks for you kind comment

But Anastasia and paediatric doctors allowed this irrespective to metabolic status

I did it many times and I hadn't complications..only good healing e minimal scar