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Cleft Lip and Palate Deformities

Oral-facial clefts are birth defects in which the tissues of the mouth or lip don’t form properly during fetal development. In the United States, clefts occur in 1 in 700 to 1,000 births, making it one of the most common major birth defects. Clefts occur more often in kids of Asian, Latino, or Native American descent.

The good news is that both cleft lip and cleft palate are treatable. Most kids born with these can have reconstructive surgery within the first 12 to 18 months of life to correct the defect and significantly improve facial appearance.

About Oral Clefting

Oral clefting occurs when the tissues of the lip and/or palate of a fetus don’t grow together early in pregnancy. Children with clefts often don’t have enough tissue in their mouths, and the tissue they do have isn’t fused together properly to form the roof of their mouths.

A cleft lip appears as a narrow opening or gap in the skin of the upper lip that extends all the way to the base of the nose. A cleft palate is an opening between the roof of the mouth and the nasal cavity. Some kids have clefts that extend through both the front and rear part of the palates, while others have only partial clefting.

Dr. Rottler, St. Louis Plastic Surgeon and  Medical Director of St. Luke’s Cleft Lip and Palate Team had the opportunity to follow the growth and development of some of his cleft lip and palate patients.

Patient 1 Bilateral Complete Cleft Lip and Palate ( Male)
Pre-Op  (Newborn)
cleft-male.jpg
 
 
 
 
  
 

 

 

 

 
 
Patient 1
Pre and Post-Op (6 monmale-before-and-after.jpgths old)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 1 
Post-Op (1 year old)
male-cleft-1yr-old_0.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 1
Post-Op (2 years old)
male-cleft-2yrs-old_0.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 1
Post-Op (4 years old)
male-4-yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 1
Post-Op (6 years old)
male-6yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 1
Post-Op (8 years old)
male-cleft-8yrs-old.jpg 
 
 
 
 
 
 
 
 
 
 
 
 
____________________________________________________________________
 
 
Patient 2 Unilateral Complete Cleft Lip and Palate (Female)
Pre and Post-Op (4 months old) 
female-1-4mos-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (1 year old)
female-1-1yr-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (3 years old)
female-1-3yrs-old.jpg

 
 
 

 

 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (4 years old)
female-1-4yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (5 years old)
female-1-5yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (6 years old)
female-1-6yrs-old.jpg 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 2
Post-Op (8 years old)
female-1-8yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
_____________________________________________________________
 
 
Patient 3 Bilateral Complete Cleft Lip and Palate (Female)
Pre and Post-Op (4 months old)
female-2-4mos-old-bilateral-complete-cleft-lip-and-palate.jpg

 
 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (6 months old)
female-2-6mos-old.jpg

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (2 years old)
female-2-2yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (3 years old)
female-2-3yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (4 years old)
female-2-4yrs-old.jpg

 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (6 years old)
female-2-6yrs-old.jpg

 
 

 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (7 years old)
female-2-7yrs-old.jpg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patient 3
Post-Op (9 years old)
female-2-9yrs-old.jpg
Paul Rottler, MD, FACS

Board Certified Plastic Surgeon

Call 314-966-8880