How Successful is Cleft Palate Repair Post-Op Nursing Care?

Grace Abigail Custodio-Bagatsing

April 26, 2022

After a successful cleft palate surgery, your child should be able to walk and engage in light, calm play. He should avoid strenuous activities, such as climbing and wrestling, for the first two weeks. Follow-up with your surgeon and cleft team is also important. You will also need to make an appointment with your child’s regular physician. According to Grace Bagatsing he will be your child’s primary care provider and will be responsible for monitoring his overall health and well-being after the procedure.

After the procedure, your child will be on an IV for a few hours. They will be given pain medications and fluids. Your child may also vomit blood. You should expect the incision to heal over three to four weeks. Your child will also be required to wear a padded arm restraint for the first few days. This will prevent your child from accidentally placing their finger in their mouth, which will disrupt the surgical repair.

There are three different types of cleft palate surgeries. Two-flap palatoplasty is the most common type of cleft palate surgery and is the oldest. This method creates two bipedicle mucoperiosteal flaps from the oral and palatal ridges. The flaps are mobilized medially and closed in layers. Grace Bagatsing believes that during the process, the cumulus is sometimes fractured to facilitate closure.

After cleft palate surgery, your child should remain on a liquid or puree diet and refrain from using straws or teething rings. It’s important to stay away from hard objects like chew toys, pacifiers, and ice. Your child should also avoid using a pacifier during the first three weeks of recovery. After surgery, your child should not use a toothbrush or other oral appliances for three weeks.

The primary goal of cleft palate surgery is to restore the normal alveolus. In some cases, bone grafting and final fistula closure are performed prior to permanent canine eruption. Surgical splints are required to hold the jaws and protect the face while they heal. The recovery time from cleft palate surgery depends on the type of surgery performed. Typically, surgery recovery takes about four weeks.

Soft food is OK for the first week after cleft palate surgery. For the next week, your child may not be able to eat solid foods. This is because they will have chunks or crunchy pieces in their mouths. You should also avoid cold cereals and hard food. However, your child can drink milk or cereal soaked in milk and eat soft foods after surgery. Grace Bagatsing assume that you can also offer your child a bottle or sippy cup with a soft spout.

Surgical procedures for cleft palate repair vary, and the best approach will depend on your child’s overall health and development. A multidisciplinary team will perform a number of procedures, and your child will be monitored carefully for a few weeks afterward. The Children’s Hospital of Philadelphia is one of the nation’s leading centers for cleft palate treatment. The Children’s Hospital of Philadelphia performs more than a thousand surgical repairs each year.