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clearance, feeding, airway status and absence of complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check of the wound and feeding after primary repair."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Healing and feeding review, with later multidisciplinary cleft team follow-up for speech, hearing and growth."}}],"indications":["Congenital cleft lip","Congenital cleft palate (hard and/or soft palate)","Feeding, speech and facial appearance problems related to a cleft"],"main_risks":["Bleeding","Infection","Wound dehiscence","Palatal fistula (after palate repair)","Velopharyngeal insufficiency affecting speech","Visible scarring or lip asymmetry needing revision","Airway problems after surgery","Anesthesia-related risks"],"pain":"Moderate pain in the first few days, managed with regular analgesia and sometimes regional nerve blocks; typically settles within about 1 week.","preparation":["Pre-operative assessment by the cleft team, with anesthesia review","Confirm no acute infection and adequate weight gain","Fasting as instructed by the anesthesia team","Blood tests or other checks if indicated","Parent counseling on post-operative feeding and arm or lip protection"],"recovery_timeline":[{"phase":"Hospital stay (days 0-2)","description":"Airway monitoring, pain control and return to feeding.","restrictions":["Protect the repair from hands and objects","Follow the prescribed feeding method"]},{"phase":"Early recovery (weeks 1-3)","description":"Wound healing with modified feeding and wound care.","restrictions":["No hard or sharp objects in mouth after palate repair","Use arm splints if the surgeon advises"]},{"phase":"Later healing (months 1-6)","description":"Scar maturation, gradual return to normal activity and diet, and cleft team follow-up.","restrictions":["Protect the scar from sun","Scar massage only if advised"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Recovery to comfortable feeding and normal daily activity after primary infant repair; speech therapy, if needed, is separate and longer."},"result_longevity":"The repair is generally permanent, but growth, speech or appearance may call for further procedures during childhood and adolescence.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Secondary surgery for lip scar or nose revision, fistula closure or speech surgery through childhood."},"scars":"A fine line scar along the lip repair (near the philtrum and nostril sill) that typically fades over 6-12 months; palate repair scars are inside the mouth and not visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for a single primary repair of the lip or the palate."},"stages":[{"code":"primary_repair","label":"Primary lip or palate repair under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Single-stage standalone repair; later revisions or the other cleft repair are separate procedures."},"success":{"metric":"Intact primary repair without palatal fistula","value":85,"unit":"percent","horizon":"12 months after palate repair","population":"Infants with isolated cleft palate undergoing primary palatoplasty","evidence_status":"limited"},"techniques":[{"name":"Millard rotation-advancement lip repair","suits_whom":"Unilateral cleft lip; the surgeon adapts it to cleft anatomy.","recovery":"Feeding resumes within days; wound care about 1-2 weeks; scar matures over 6-12 months."},{"name":"Tennison-Randall triangular-flap lip repair","suits_whom":"Unilateral cleft lip needing extra lip length; surgeon-selected.","recovery":"Feeding resumes within days; wound care about 1-2 weeks; scar matures over 6-12 months."},{"name":"Furlow double-opposing Z-plasty palatoplasty","suits_whom":"Cleft palate where the cleft team selects this soft-palate muscle reconstruction technique.","recovery":"Soft diet about 2-4 weeks; hard or sharp foods avoided; speech follow-up over years."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for one primary lip or palate repair in an infant; varies by cleft type and technique."},"initial_assessment_documents":["Front, side and underneath photos of the lip","Photos of the open mouth showing palate","Recent pediatric clinic report","Echocardiogram or cardiology report (if available)","Previous cleft surgery operative report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip: 1-3 nights in hospital, wound check around days 7-14; stay 1-2 weeks or follow up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the surgeon was specially trained in plastic surgery; this shows specialist training in the field","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"Were you specially trained in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask how many procedures of this type the surgeon has performed; this shows experience with this exact operation","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask about the risks and complications of this procedure before deciding","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask what recovery period to expect and what help the child will need; this shows the support plan at home","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"How long of a recovery period can we expect, and what kind of help will my child need during my recovery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask whether the surgeon has hospital privileges to perform this procedure; this confirms the surgeon can operate at the named hospital","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether follow-up care will happen at the same facility as the operation; this sets who manages recovery","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C7","text":"Ask what options you have if you are dissatisfied with the surgical outcome","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-cleft-palate-repair/questions","host":"plasticsurgery.org","quote":"What are my options if I am dissatisfied with the outcome of my child's cleft surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Special offers used to tempt the patient into booking surgery","scope":"treatment_type","source":{"url":"https://baaps.org.uk/patients/safety_in_surgery/consumer_safety_guidelines.aspx","host":"baaps.org.uk","quote":"Don't be tempted by special offers or rushed into making your decision for a quick surgery slot.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A free consultation linked to pressure to book or pressure to pay a deposit","scope":"treatment_type","source":{"url":"https://baaps.org.uk/patients/safety_in_surgery/consumer_safety_guidelines.aspx","host":"baaps.org.uk","quote":"If the consultation is free, ensure it is not twinned with pressure to book or pressure to pay a deposit.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Separation of the suture line","urgency":"contact_clinic","general":false,"source":{"url":"https://www.urmc.rochester.edu/childrens-hospital/craniofacial/resources/cleft-palate-surgery","host":"urmc.rochester.edu","quote":"has separation of the suture line","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding or drainage from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://www.urmc.rochester.edu/childrens-hospital/craniofacial/resources/cleft-palate-surgery","host":"urmc.rochester.edu","quote":"has redness, increased swelling, drainage, or bleeding from the incision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Not drinking liquids or vomiting","urgency":"contact_clinic","general":false,"source":{"url":"https://www.urmc.rochester.edu/childrens-hospital/craniofacial/resources/cleft-palate-surgery","host":"urmc.rochester.edu","quote":"is not drinking liquids or is vomiting","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever above 101.5°F","urgency":"contact_clinic","general":true,"source":{"url":"https://www.urmc.rochester.edu/childrens-hospital/craniofacial/resources/cleft-palate-surgery","host":"urmc.rochester.edu","quote":"has a fever higher than 101.5°F degrees (taken under the arm)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Holds the follow-up plan the home doctor needs to continue care","document":"discharge summary in english","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad/","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"technique_details":{"status":"ok","items":[{"id":"millard-rotation-advancement","name":"Millard rotation-advancement lip repair","how_it_works":{"text":"The lip is rebuilt by rotating and advancing tissue flaps","source":{"url":"https://www.chop.edu/centers-programs/cleft-lip-and-palate-program/millard-unilateral-cleft-lip-repair-surgical-tutorial-professionals","host":"chop.edu","quote":"A left unilateral complete cleft lip is repaired with the Millard technique, which employs rotation advancement principles to guide repair.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"tennison-randall-triangular","name":"Tennison-Randall triangular-flap lip repair","how_it_works":{"text":"A triangular flap is fitted into the noncleft side of the lip","source":{"url":"https://scholars.mssm.edu/en/publications/further-refinements-on-the-triangular-flap-closure-of-the-cleft-l-2/","host":"scholars.mssm.edu","quote":"Using this easily taught method, an isosceles triangular flap can be plotted which will interdigitate into the noncleft side of the lip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"furlow-double-opposing-z","name":"Furlow double-opposing Z-plasty palatoplasty","how_it_works":{"text":"Surgery lengthens a short soft palate to address nasal voice","source":{"url":"https://www.healthline.com/health/nasal-voice","host":"healthline.com","quote":"Furlow palatoplasty and sphincter pharyngoplasty to lengthen a short soft palate","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=mexico-city/procedure=plastika-rasseplenia-neba-ili-guby/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":7},"manualSeo":[],"updatedAt":"2026-11-13T08:00:18.292Z","activeCountries":["MX","TR","UA","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}