Can Patient Eat After Cleft Lip Repair

At UPMC Children'southward Hospital of Pittsburgh, we believe parents and guardians can contribute to the success of this surgery and invite you to participate. Please read the following information to learn about the surgery and how you can help.

Fast Facts About Crevice Lip Repair

• Cleft lip repair is a surgery to ready a cleft lip.
• Your child's cleft lip surgery volition be washed under general anesthesia (an-es-THEEZ-ya), which means that he or she will exist sound comatose during the surgery.
• When general anesthesia is needed, there are important rules for eating and drinking that must be followed in the hours before the surgery.
• This surgery usually takes between 2 to vi hours, depending on the type of scissure lip repair your child needs.
• Your child volition stay overnight for at to the lowest degree 1 day later the surgery.

What Is Cleft Lip and Cleft Lip Repair?

Crevice lip is a separation in i or both sides of the lip that is present at nascence. Early in the development of the infant inside the mother, the left and right sides of the confront and the roof of the oral cavity join together or "fuse." If the 2 sides do non come up together correctly, an opening in the lip may occur. This opening can be on merely one side of the face, called a unilateral (yoon-ill-lat-er-ool) cleft, or on both sides of the face up, called a bilateral (past-lat-er-ool) cleft. A fissure lip that goes up to the nose is called a complete fissure lip; otherwise the cleft is called an incomplete crevice lip.

Left untreated, a kid born with a cleft lip may face problems with feeding, growth, development, ear infections, hearing, spoken communication and facial appearance. The cleft lip commonly is corrected early in a child's life, between 3 to six months of age, merely sometimes later.

Cleft lip surgery volition correct the crevice and usually volition get out minimal scarring. Virtually every child built-in with a cleft lip is able to lead a healthy, happy life once the scissure has been repaired.

Dwelling house Preparation

When full general anesthesia is needed, there are important rules for eating and drinking that must be followed in the hours earlier the surgery. One business day before your child'south surgery, yous will receive a phone telephone call from a nurse between the hours of 1 and nine p.m. (Nurses do not make these calls on weekends or holidays.) Please take paper and a pen ready to write down these important instructions. If these instructions are not followed exactly, it is likely your child's surgery will be cancelled.

• The nurse will requite y'all specific eating and drinking instructions for your child based on your child'due south historic period. Post-obit are the usual instructions given for eating and drinking. No matter what age your child is, you should follow the specific instructions given to you on the telephone by the nurse.

For children older than 12 months:

• Subsequently midnight the night before the surgery, practice not give any solid food or non-clear liquids. That includes milk, formula, juices with pulp, and chewing glue or candy.

For infants under 12months:

• Upward to six hours before the scheduled arrival time, formula-fed babies may exist given formula.
• Up to iv hours before the scheduled arrival fourth dimension, breastfed babies may nurse.

For all children:

• Upwards to ii hours earlier the scheduled inflow time, requite only clear liquids. Clear liquids include water, Pedialyte®, Kool-Aid® and juices you can see through, such as apple or white grape juice.
• In the 2 hours before the scheduled arrival time, give null to eat or drink.
• You may bring along a "comfort" detail — such equally a favorite stuffed brute or "blankie" — for your child to concord during the surgery.
• You should bring a long-sleeve T-shirt, slightly larger than your child'south usual size, to the hospital on the day of surgery. It will aid brand your child more than comfortable on the day you take your child abode from the hospital.
• Y'all may want to purchase a bottle of hydrogen peroxide, a tube of antibody ointment, such as bacitracin, and a box of Q-Tips to have on paw so you can take intendance of your child'due south lip and nose when you get home from the hospital.

The Surgery

Your child's crevice lip repair will be washed at the Same 24-hour interval Surgery Middle at Children's Hospital in Lawrenceville. When y'all have checked in at the Same Mean solar day Surgery Center, you and your child volition be called to an examination room where your child's wellness history volition exist taken and vital signs will be checked.

Yous will meet with 1 of the doctors on your child's surgical squad to go over the surgery. He or she volition answer any terminal-minute questions you might have at this fourth dimension. A member of the anesthesia staff too will meet with you and your child to review his or her medical data and decide which kind of slumber medication he or she should go. As the parent or legal guardian, you lot will exist asked to sign a consent form before the anesthesia is given.

When information technology is time for your child to go the operating room, you will exist asked to look in the surgical family waiting area.

• If your kid is very scared or upset, the doctor may requite a special medication to help him or her relax. This medication is flavored and takes upshot in 10 to xv minutes.
• If relaxation medicine is needed, you may stay with your child as he or she becomes drowsy; you volition be asked to wait in the surgical waiting area when your child is fix to move to the operating room.
• Young children get their sleep medication through a "infinite mask" that will acquit air mixed with medication. Your child may cull a favorite scent to flavour the air flowing through the mask. There are no shots or needles used while your child is still awake.
• Once your child is asleep, an intravenous (in-tra-VEE-nuss) or Four line will be inserted into a vein in your child's arm or leg so that medication tin can be given to keep him or her sleeping throughout the surgery. Your child volition have no hurting during the surgery and no memory of it afterwards.

A Parent's/Guardian'southward Function

The most important role of a parent or guardian is to help your child stay at-home and relaxed before the surgery. The best mode to help your child stay calm is for you to stay calm.

During the surgery, at least 1 parent or guardian should remain in the surgical family unit waiting area at all times, in example the family unit needs to be reached.

While Asleep

While your child is asleep, his or her middle rate, blood pressure, temperature and blood oxygen level will be checked continuously. To keep your child asleep during the surgery, he or she may exist given coldhearted medication by mask, through the Four or both. When the surgery is over, the medications volition be stopped and your kid will begin to wake upward.

Waking Up

When your child is moved to the recovery room, you will exist called so that yous can be there as he or she wakes upward.

• Your child will need to stay in the recovery room to be watched until he or she is alert and vital signs are stable. The length of time your kid volition spend in the recovery room volition vary because some children take longer than others to wake upward afterwards anesthesia.
• Your child will still have the Four in. A nurse will remove it earlier your child leaves the hospital, when he or she drinking well.
• Your child will have set up of padded arm restraints called "no-no'southward" placed on his or her artillery to foreclose them from angle at the elbow. These no-no's will need to stay in identify for near 2 weeks every bit the surgical scar heals.
• Children coming out of anesthesia may react in different ways. Your child may weep, exist fussy or dislocated, feel sick to his or her stomach, or vomit. These reactions are normal and will go away equally the anesthesia wears off.
• Yous may find some swelling effectually your child'due south mouth, lips and eyes, every bit well as some dried blood or oozing where the cleft lip was repaired. The swelling may await worse on the 24-hour interval afterward the surgery, but it will go down over the side by side weeks.
• You may see sutures (SOO-chers) or stitches on the outside of the skin. Sometimes, but "dissolvable" sutures will be used, and these sutures practice not need to be removed. As the peel heals, the parts of the sutures on the inside of the lip and mouth will dissolve on their own, and the parts you can see on the outside of the peel will dry out upward and autumn off.  If non-dissolvable sutures were used, they will be removed by the physician at your kid's start follow-up visit.
• Your child may have a nasal servant in identify to help reshape the olfactory organ during healing. The retainer, which acts as a splint within the olfactory organ, may stay in place for up to 3 months.
• Your child can be given pain medication every iv to 6 hours, as needed, when he or she wakes up.
• When your child is alert, he or she will be moved to a infirmary room and so the nursing staff can keep his or her care. If you demand help, the nurse will show you how to feed your child and clean his or her scar then that you volition become comfortable caring for your kid at domicile.

Going Dwelling house

Subsequently the surgery, and for the weeks afterward at home, your child will just exist allowed to beverage liquids or semi-liquids from a bottle or cup. No utensils or straws should be used until your child's surgeon says information technology is OK.

• Within the starting time 24 hours after the surgery, while your child is however in the hospital, he or she will be allowed to drink clear liquids from a bottle or loving cup.
• Your child will stay in the hospital until he or she is drinking well and urinating normally.
• When your child is drinking well, the IV volition be removed past a nurse before you lot leave the hospital.
• Some children will need to stay for more than 1 day if they are not drinking and urinating normally, or if their parents need extra time to learn how to care for them.
• Your child may be given Tylenol^® with codeine prescription medication for pain relief when he or she leaves the hospital. Over-the-counter Motrin^® can be combined with the Tylenol with codeine if your kid is notwithstanding having pain, but most children only need over-the-counter Tylenol one time they get domicile. DO NOT give your child any over-the-counter Tylenol while he or she is all the same on Tylenol with codeine.
• The long-sleeve T-shirt you brought from home will be used on the mean solar day your child goes home. Place the T-shirt on your child, then put the no-no's on. Coil the gage of the T-shirt over the edge of the no-no's and pin them to the T-shirt with a safety pin. Additional rubber pins can be used to pivot the no-no'due south to the T-shirt at the shoulders likewise. A nurse will show you what to exercise if y'all have any questions.
• Equally presently equally you get abode, yous should phone call to brand an appointment for your child to exist checked 1 week after surgery, and to take any sutures removed, if needed.

At-home Care

A complete list of instructions for taking care of your child at home will exist given to you before you exit the hospital. The main things to retrieve are:

• If you discover whatever of the post-obit changes in your kid, call the surgeon right abroad:
• Fever higher than 101.4˚F
• Trouble animate or pare colour changes (stake, blue or grayness)
• Bleeding or foul-smelling drainage from the scar or nose
• Signs of dehydration, including lack of energy, sunken eyes, dry out mouth or non urinating enough/fewer wet diapers
• Any redness, swelling, or any "in-and-out movement" of  the nasal servant
• Your child can beverage any kind of liquid once he or she gets abode. Your child may too eat any kind of food that can be watered down and poured from a cup or bottle, including yogurt (such as Go-GURT^®), pudding, milkshakes, or anything that you can grind in a blender to be as shine as babe food. Remember, though—no utensils or straws!
• The no-no's must stay on your kid's arms for at least 2 weeks. You should bank check them every 2 to 4 hours to brand sure they are not too tight, and take them off briefly several times a 24-hour interval to allow your kid to bend and motility his or her artillery. Change the long-sleeve T-shirt subsequently you bathe your child.
• Your child may be given an antibiotic for the offset couple of weeks after surgery.
• Using a clean jar with a lid, mix up a solution of 50 percent hydrogen peroxide and 50 percent water. Using a clean Q-Tip, gently make clean the lip area as often equally needed, at least 2 or 3 times each day.
• If your child had a nasal retainer placed during surgery, you will demand to clean it the aforementioned way you clean the lip area.
• If your kid has any non-dissolvable sutures, they will be taken out at the first follow-up visit, approximately iv to 5 days after surgery. You should make certain that your child has had nothing to swallow and is very hungry at the fourth dimension of the appointment. Bring a canteen or loving cup of liquid with you to the engagement. The sutures volition be taken out while you feed your child and so that he or she be distracted and will not feel the sutures being removed.
• After the sutures are taken out, keep to wash the lip and nose with the hydrogen peroxide/water mix and utilize a light layer of antibody ointment for the side by side 2 days. You will be told when to begin to employ a moisturizing lotion or scar cream to moisturize and massage the scar.

Special Needs

If your child has whatsoever special needs or wellness problems yous feel the doctor needs to know most, or if you have any questions, please call 412-692-8650 before the surgery and ask to speak with the nurse practitioner or crevice dispensary coordinator. It is important to notify us in advance about any special needs your child might have.

To contact your kid's surgeon, phone call 412-692-7949. If you are unable to achieve the surgeon, or it is after hours, call the Children's operator at 412-692-5325 and enquire to page the doctor who is on-phone call for your child's surgeon.

Fissure-Craniofacial Center

Cardiac Intensive Care Unit of measurement (CICU)

4401 Penn Avenue
Floor 3
Pittsburgh, PA 15224
412-692-8650

Source: https://www.chp.edu/our-services/plastic-surgery/patient-procedures/cleft-lip-repair

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