Begins with an incision on the edge of the cleft side of the philtrum, and the cutting continues upward, medially, and to the side. A second incision extends to the buccal sulcus (top part of the upper jaw).
palatoplasty
Palatoplasty means surgical repair of the palate (the roof of the mouth).
D. Ralph Millard has written: 'Cleft craft' -- subject(s): Surgery, Palate, Cleft palate 'Principlization of plastic surgery' -- subject(s): Plastic Surgery, Surgery, Plastic
Cleft lip repair.
It is the most common procedure, the technique is adaptable and flexible, it permits construction of a normal-looking Cupid's bow, a minimal amount of tissue is discarded, the suture line is camouflaged.
Generally, cleft lip repair is well-tolerated in healthy infants. There are no major health problems associated with this reconstructive surgery.
Anatomical landmarks and incisions are demarcated with methylene blue ink. An endotracheal tube prevents aspiration of blood. Local anesthestic is injected. Myringotomy is performed.
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 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 surgeon will close the hole between the nose and the roof of the mouth. This procedure is done using tissue from the roof of the mouth to close the hole. He will also repair with tiny stitches the lip, and the tip of the nose.
CPT Code 26580 - Repair cleft hand