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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 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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 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