*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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