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Time Line of Management
Approx. Age of Patient Surgical/Dental/Speech
Neonate Pre-surgical orthopaedics (if required)
3 months Repair lip and anterior palate
3 - 6 months Speech Parent Counselling
6 months First ENT appointment
9 months Complete palate repair (and grommets if required)
12 months Important to monitor ENT status from here onwards. Speech palatal assessments and Dental assessments yearly. Plastics review.
18 - 24 months Reviews as requested
3, 6, 9, 12, 15, 18 yrs of age Protocol Records
3 - 6 years Consider secondary palatal surgery eg. pharyngoplasty
6 - 12 years (8 - 11 Dental age) Bone graft if required, continued Speech reviews
12 years Ongoing Dental management as required eg. Orthodontics, Speech review
15 years onwards Maxillary advancement if required (Orthognathic surgery)
Current as of June 2004

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