Key Timelines in Cleft Care

  • Pre birth: Diagnosis, Preparation, Education
  • Birth: Feeding evaluation & Instructions
  • 1st week of life: NAM therapy begins
  • 3-4 months of age: Lip repair & ENT consultation
  • 9-11 months of age: Palate repair
  • 2 years: Begin yearly speech evaluations
  • 4 years: Determine if pharyngeal flap or pharyngoplasty indicated (about 15%)
  • 7 Years: Begin orthodontic preparation for alveolar bone graft if needed
  • 8 years: Alveolar bone graft, if needed
  • 12-14 years: Final orthodontic therapy
  • Growth complete, usually 15 to 16 in girls and 17 to 18 in boys: Upper jaw advancement (leFort 1) if necessary, final lip and nasal work.