Cleft and craniofacial anomalies are best treated by various
specialists forming a team. Team approach provides the best treatment and
reduces the burden of families of multiple visits to various specialists.
The cleft and craniofacial team involves
Surgeon
Otolaryngologist
Pediatrician
Speech and Language Pathologist
Pedodontist
Nurse co-coordinator
Orthodontist Psychologists
Prosthodontist
Surgeon
The surgeon is often leading the team, who can be plastic
surgeon or maxillofacial surgeon. Surgeon performs various surgeries like
cleft lip repair, cleft palate repair, surgeries for nasality of speech, bone
graft for gum, nose correction, surgery on the facial bones to improve the
appearance and various aesthetic correction as needed. The experience of surgeon
and commitment to cleft patients is very important.
Pediatrician
Pediatrician is a very important member
of the team, who help to look after the overall well-being of the child. She
guides the parents for the feeding problem, regular health problems like cough
and cold. She also helps to guide parents for the treatment if there are any
associated problems. She also helps in perioperative period to take care of
these children.
Pedodontist
Pedodontist helps and guides the parents to take of child's
teeth so that teeth are healthy and strong. He helps to restore the damaged
or caries by filling and other procedure. He works closely with orthodontist
to keep the oral hygiene while orthodontic treatment is carried out.
Orthodontist
The orthodontist is a very important member of the team.
They sometimes help to restore the shape of gum bones even before surgery
is carried out on a baby. Their main role begins after the mixed dentition
when they help to realign the teeth. With help of various clips and wires
they bring the teeth in proper position in relation to the lower teeth.
Prosthodontist
The prosthodontist works very closely with the orthodontist
and the surgeon to provide the necessary appliances to cover the defect on
the palate. They also help to provide prosthesis for missing teeth. If necessary
they provide special appliances to improve the speech.
Otolaryngologist (Ear Nose
& Throat Doctor)
The ENT doctor takes care of ears especially in early childhood
when fluid collection is a common problem in children with cleft palate. If
necessary short surgical procedure is necessary to drain the fluid out of
the ears.
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Speech and Language Pathologist
The Speech and Language Pathologist plays very important
role for cleft palate children who are likely to need some help during speech
development. They counsel parents before surgery and evaluate the speech after
the surgical correction of palate. If necessary, speech therapy is given depending
upon the child's unique need. They also help for the rehabilitation of these
children.
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Nurse Coordinator
She is an important link between parents and doctors and
among the various departments. She counsel parents for feeding of the child
and tackles various social problems bothering the parents.
Psychologist
The psychologist helps the child and parents to tackle
the various psychological problems because of anomaly itself and various social
aspects. Many children face lots of problem regarding self-esteem, social
adjustment and accepting the deformities.