Cleft Palate Surgery: Preparing for your procedure at C.S. Mott Children’s Hospital

[ Music ]>>Welcome to CS Mott Children’s Hospital. We are honored that you’ve chosen
our team to care for your family. This video was created to help you prepare
for your child’s cleft palate repair surgery. We encourage you to read through your cranial
facial patient handbook and take advantage of your pre-surgical clinic appointments to
ask lots of questions so you can be prepared and comfortable knowing what to
expect before your child’s surgery. On the day of surgery, you will check in on
the fourth floor of Mott Children’s Hospital at the surgical check-in desk,
also known as the frog desk. Next, you and your child will be
taken back to our pre-op care area. Once you’re settled in, you
will meet with members of both the surgical and anesthesia teams. Often times the anesthesia team will give
your child some medicine, either by mouth or nose to help them feel
sleepy and less anxious. Of course this may not be necessary if
your child is feeling calm and relaxed. Once in the operating room, an anesthesia
team member will give your child medicine through a breathing mask. Your child will fall asleep soon after
breathing the anesthesia gases through the mask. While your child is in surgery, you will be
given a pager or phone from the pre-op area so that you can easily be contacted during,
or after surgery has been completed. While waiting on level two in the surgical
waiting area, you will also have access to our cafeteria, family center, and gift shop. Once surgery has been completed, the anesthesiologist will
begin waking up your child. Your child will be moved back to
the post anesthesia care unit, otherwise known as the PACU where
nurses will monitor your child closely, watching their breathing, airway, and blood
pressure levels as they continue to wake up. Once it is determined medically
safe, you will be paged or called to be reunited with your child in the PACU. There are a few things you may notice right
away: Your child may have swollen lips and there may be bloody drainage
from their nose and mouth. This is very normal and expected
for this type of surgery. You will also notice that your child will
have a nasal trumpet placed in their nose. This small plastic tube is stitched in place to help protect your child’s
airway while they recover. Another thing the surgeons do to protect your
child during recovery is use a small thread or suture to keep the tongue
from blocking their airway. The thread will be taped to your
child’s chin so may notice that as well. These safeguards make sure that
your child has a clear airway, should there be additional swelling
of the throat or tongue after surgery. The nasal trumpet and suture are typically
removed that evening, or the next morning. Your child may also be wearing no-no’s,
or elbow restraints after surgery. These prevent your child from sucking
their thumb, or putting their fingers or anything hard into their mouth. It takes approximately three weeks
for the palate repair to heal. Therefore, while at the hospital, or at home
after surgery, your child may need to continue to wear their no-no’s, especially
if they have a finger sucking habit. Initially, your child will receive
pain medication through their IV. Once your child can tolerate liquids by mouth,
they will be switched to oral pain medication. While Tylenol alone is sufficient
to manage pain for most children, other pain medications may be recommended
or prescribed by your physician if needed. You and your child may stay
in the PACU for several hours. When your child is very stable
and their inpatient room is ready, your family will be transferred to a private
patient room where you, your PACU nurse, and your inpatient nurse will exchange
information about the surgery and care needed. Once your child is in their hospital room
and ready to drink fluids, care must be taken to keep the newly repaired
pallet free from harm. Often fluid is given at first through a syringe with a small red tube connected
to it, called a Red Robinson. The red tube should be placed in
the side of your child’s mouth. Once your child is tolerating fluids, they
may drink out of a cup without a Sippy spout. They may also have pureed foods from a spoon. Be sure to feed your child yourself, only letting the spoon go just past
the lips and not deep into the mouth. Most children are ready for discharge
from the hospital after one or two nights, once pain is under control, and they are
breathing easily, and taking liquids well. You will most likely need to return to your
child’s surgeon within one to two weeks after surgery to make sure that
the palate is healing properly. We hope this video has helped you feel
more comfortable about what to expect from your child’s cleft palate
reconstruction surgery. If you have any questions at any time
before, during, or after your stay with us, please let any member of your care team
know and we will be happy to help you. [ Music ]

14 thoughts on “Cleft Palate Surgery: Preparing for your procedure at C.S. Mott Children’s Hospital

  1. I also cleft palate.suffering psychosocial problem.i am 32 year cleft palate had not been operated due to my parents and grand father and grand mother s unconscious ness of fearing..

  2. I had me cleft palate done but when I was born I had to stay in the hospital till I got my cleft palate cuz I could not breathe cuz my tongue was going in my air way and cleft palate are done after 10-12 months of being born so I had to stay till I have around 1 then got my cleft palate done. But I'm 14 year old now and I never have a problem

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