*Treatment Protocols for
Cleft Lip and Palate*
Antenatal (before birth) : cleft diagnosis may be present in ultrasonography examination
0-3 months : Catch up with the weight gain, NAM Plate, Hotz’s Plate, Lip Tapping
3-6 months : Primary lip closure
6-12 months : Hotz’s plate or feeding plate
18 months - 5 years : Palate closure, Speech therapy and Orthodontic treatment
6-12 years : Orthodontic treatment before bone grafting, Bone grafting
13-20 years : Lip and nose Correction, Orthodontic treatment post bone grafting, and Orthognathic Surgery
Before and after 21 years old they need supportive treatments with various specialties, including : plastic surgeons, maxillofacial surgeons, ENT, speech and language therapists, dentists, orthodontists, psychologists and specialist nurses
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