There may be excessive scarring and contraction of the lips. Two types of scars, hypertrophic or keloid, may develop.
Generally, cleft lip repair is well-tolerated in healthy infants. There are no major health problems associated with this reconstructive surgery.
Cleft lip repair.
The skill of the surgeon, accurate presurgery markings, alignment of bones within the affected area, uncomplicated healing of the initial repair, and the effect of normal growth on the repaired lip.
The CPT Code fro palstic repair fo a bilateral cleft lip, primary bilateral in one stage is 40701. For unilateral without a stage, the CPT Code is 40700.
A cleft lip does not fuse properly during embryonic development. Surgical repair corrects the defect, preventing problems with breathing, speaking, eating, and improving physical appearance.
The term "harelip" is an outdated and considered offensive term for a cleft lip, a congenital condition where there is an opening or gap in the upper lip that can occur on one or both sides. This condition can vary in severity and may also be associated with a cleft palate. Modern terminology favors "cleft lip" and "cleft palate" for more accurate and respectful communication. Treatment typically involves surgical intervention to repair the lip and improve function and appearance.
Some syndromes that are associated with cleft lip and cleft palate include Pierre Robin sequence, Van der Woude syndrome, and 22q11.2 deletion syndrome (DiGeorge syndrome). These syndromes often present with additional symptoms beyond just the orofacial cleft.
Cleft lip and palate can be caused by a combination of genetic and environmental factors. Specific chromosomes are not typically associated with this condition, but there may be genetic variations present that increase the risk of developing cleft lip and palate. Genetic testing and counseling can help determine the specific factors contributing to an individual's cleft lip and palate.
A "cleft lip" affects just the patient's lip, and a "cleft palate" affects the palate, or the roof of your mouth.
Cleft lip repair can be initiated at any age, but optimal results occur when the first operation is performed between two and six months of age. Surgery is usually scheduled during the third month of life.
Cupid's bow is a critical part of the repair, making it very important to accurately determine the high point of Cupid's bow on the lateral lip.
Cleft lip has been documented throughout history, with evidence of surgical repair dating back to ancient times. The specific discovery of cleft lip as a congenital condition is not attributed to one individual, but rather has been recognized and treated by various civilizations over centuries.