Dr. Shyam Sheth
B.D.S, M.D.S. (OMFS), PGDRA
Oral, Maxillofacial & Hair Transplant Surgeon

Ex fellow:
ICLPF, SWITZERLAND
Orthognatic Surgery & Implantology, BELGIUM
Hair Transplant & Restoration, USA

We celebrate 10,000 & more happy faces, who have undergone range of services at our center by our team of doctors.

CLEFT LIP AND PALATE SURGERY

Pre- operative Instructions to Be Followed by the Patients/Guardians

1. Patient should not eat or drink anything atleast 6 hours before the surgery.


2. Patient should take bath and gargle his/her mouth properly before the surgery.


3. Patient should remove all important articles from his/her body like any jewelry, threads, hair clips, before entering the operation theater.


4. Patient should be ready in front of Operation Theater as per time allotted for surgery with his/her hospital file and given medications.


5. All the patients above 10 years must have to change into Operation theater dress before entering inside.


6. Guardians of the patient must sit silently and maintain hospital decorum till their ward is shifted to post-operative room.


7. Patient should clear any query related to surgery with concerned doctor and nursing staff only.

Patient should abide by all the above mentioned instructions.

POST OPERATIVE INSTRUCTIONS FOR CLEFT LIP PATIENT

The first two weeks after your child's surgery, the repaired lip is not strong enough to resist damage that could be caused by foreign objects or fingers.

To prevent injury, promote healing, and maintain your child's comfort, it is important that you follow the instructions given after the surgery.

Feeding instructions

During the first week after surgery, you will feed your infant either with a syringe or spoon. The goal is to prevent your child from having to suck hard on formula or milk, and thus protect the newly repaired lip. Formula and pumped breast milk can both be given in the feeder. Avoid any hard food.

At your first visit, 7 after the surgery, your surgeon will tell you if any changes should be made to the above feeding instructions.

Lip care

Gently handle repaired lip. Gently clean the operated site with wet cotton swab. Apply Neosporin ointment regularly.

Activity

Any object your child puts in or around the mouth (including little fingers!) can ruin the repair. Therefore, your child must wear arm restraints ("splints") for the first 10 days after surgery. Keep your child on his/her back for one week to avoid having the lip rub on the sheet or carpet.

Relief of pain

You can expect your child to have mild to moderate pain for a few days. Give medications as per advise of doctor.

Followup

Parents are advised to visit doctor after one week for suture removal.


Problems to report to your doctor right away

» A fever (temperature over 100.4°F)


» Severe pain not relieved by the pain medicine


» Vomiting and/or diarrhoea


» Bleeding from and/or any change in the suture line (area of surgery)


» Any direct injury to the repaired lip


Drainage from the incision that looks like pus or smells bad


POSTOP INSTRUCTIONS FOR PATIENT WITH CLEFT PALATE

For the first three weeks after your child's surgery, the cleft palate repair is not strong enough to resist damage that could be caused by foreign objects (or fingers!).

In order to prevent injury, promote healing, and maintain your child's comfort, it is important that you follow these guidelines for the first three weeks after surgery.

Feeding instructions

» Feed your child carefully using a cup or the side of a spoon to drop fluids and food into the mouth. Do not allow the spoon to touch the roof of the mouth. Do not allow your child to chew on anything.


» After each feeding, give your child water to drink, to rinse the surgical area and to keep it clean.


» Do not give any hot food or hot fluids.


First week

Full liquid diet including:


» Milk


» Juices


» Well-melted ice cream

Second week

Soft diet, that consists of foods "that melt in the mouth", such as:


» Ice cream


» Sherbets


» Frozen yogurt


» Puddings


» Custards


» Smooth yogurts


» Pureed baby foods


Do not give foods that need to be chewed.

Third week

Usual foods that your child would normally eat.

Activity guidelines

Any object your child puts in his/ her mouth (including little fingers) could ruin the repair. Therefore, your child must wear arm restraints ("splints") for the first ten days after surgery. These must not be removed unless of an emergency or with physician contact.

Medications

Regularly take antibiotics and painkiller as prescribe by your doctor

Problems to report to your doctor right away

» A fever (temperature over 100.4°F)


» Severe pain not relieved by the recommended pain medicines


» Vomiting and/or diarrhoea


» Bleeding from and/or a change in the suture line (area of surgery)


» Any direct injury to the repaired palate


» Drainage from the suture line that looks like pus or smells bad


Health Activity