Cleft lip and palate Early pediatric care

If your child is suspected of having a cleft before birth or if the cleft only becomes apparent at birth, the pediatrician will examine your child immediately after birth and decide together with you, the obstetrician and the midwives what further measures are necessary.

Early care

The doctors at the Clinic for Oral and Maxillofacial Surgery will be informed immediately if they have not already been consulted during the prenatal ultrasound diagnosis and consultation. In certain cases, depending on the type and size of the cleft, it may make sense to admit your child to one of the neonatal wards in the women’s clinic or children’s clinic first. In the beginning, the focus is usually on nutritional issues. Pediatric nurses specializing in the care of newborns with clefts will do their best to meet your needs and provide you with assistance and advice on feeding and all other infant care issues. In many cases, breastfeeding is possible, but occasionally – especially in the case of continuous cleft lip and palate – feeding with a bottle and teat is more suitable. The most important prerequisite for successful breastfeeding or bottle feeding is to find the right way for your child with great patience and calm. This requires time and experience.

It has been shown that it is crucial for good drinking behavior to take into account the specific characteristics of each individual child and to find the right breastfeeding technique or teat for the child. We examine your child and are available to answer your questions and provide advice right from the start. Occasionally it is necessary to examine other organ systems as part of the inpatient stay. The neonatologists will discuss this with you on a case-by-case basis. As a rule, your child can be discharged home with you after a few days. We are always available to answer any questions you may have at home.

A frequently asked question in our consultation is about the nutrition of children with cleft lip and palate. Breastfeeding is usually possible. If you want to breastfeed your child, you should take plenty of time and patience, as this requires more intensive “training” for children with a cleft.

  • Cleft lip alone is not usually a breastfeeding problem. To compensate for the missing lip seal, the mother can cover the cleft with a finger. The baby’s head should be held upright in order to close the cleft as far as possible and to enable vigorous sucking.
  • Breastfeeding children with a single cleft palate also usually causes few problems. Breastfeeding is even easier with isolated soft palate clefts. Here too, the child should be held upright to prevent the milk from flowing into the nose.
  • Breastfeeding is more difficult in children with cleft lip and palate. In most cases, however, a drinking plate, which is fitted by the orthodontic department in the first few days of life, can significantly help to seal the nasopharynx against the oral cavity.

It is important to know that feeding children with clefts always takes 15 to 30 minutes longer than for children without clefts, regardless of whether they are breastfed or bottle-fed. So don’t be discouraged if it takes longer than you thought at the beginning. Breastfeeding is very important for training muscle function and makes it easier for your child to adjust after cleft closure surgery. Thumb, finger and hand sucking are unfavorable for the development of the jaw and should be replaced by a pacifier if at all necessary. Of course, the nurses on the baby wards will also be happy to provide you with help and advice.

Responsible senior physician

Harald Essig, Prof. Dr. med. Dr. med. dent.

Director of Department ad interim, Department of Cranio-Maxillo-Facial and Oral Surgery

Tel. +41 44 255 50 31
Specialties: Craniofacial surgery (in particular cleft lip, cleft palate and orthodontic surgery), Head and neck tumor surgery and reconstructive surgery, Facial traumatology

For patients

You can either register yourself or be referred by your family doctor, dentist or another medical colleague.

Tel. +41 44 255 32 21
Self-registration

For referrering physicians

University Hospital Zurich
Department of Cranio-Maxillo-Facial and Oral Surgery
Raemistrasse 100
8091 Zurich

Tel. +41 44 255 32 21
Referr online

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