Top Hospitals in North Carolina: Your Go-To Guide for Quality Healthcare
Overview
Having a child born with a cleft palate or cleft lip can be an emotional and challenging experience for any parent. Finding the right hospital for repair surgery is crucial to ensure your child receives the highest quality of care. This article provides an in-depth look at the top 10 hospitals in South California that specialize in cleft lip and cleft palate repair.
Understanding Cleft Lip and Cleft Palate
Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly during pregnancy. A cleft lip occurs when the tissue that forms the upper lip does not join completely, leaving an opening. A cleft palate occurs when the roof of the mouth, called the palate, does not develop normally, leaving an opening between the mouth and nose. These defects can occur together or separately and require surgical repair.
Origin and Diagnosis
Cleft lip and cleft palate originate very early in pregnancy. As the fetus develops, tissues in the mouth and face naturally fuse together. In babies with clefts, this fusion does not happen properly. Clefts are diagnosed during pregnancy using a cleft lip ultrasound or after birth during a physical exam. The severity of the cleft can vary and may be unilateral, bilateral, or midline.
Available Treatments
The treatment for cleft lip and cleft palate focuses on surgically repairing the defects and improving appearance as well as speech, language, hearing, and other developmental issues. Surgery to repair a cleft lip is usually done between 3 to 6 months of age. Surgery to repair a cleft palate is usually done between 9 months and 12 months of age. Additional surgeries and treatments such as speech therapy may be required as the child grows.
​
With comprehensive treatment from a team of doctors and therapists, children with cleft lips and cleft palates can thrive and live full, healthy lives with minimal long-term impacts. Early diagnosis, intervention and family support are key to the best outcomes.
Duke University Hospital
This hospital is nationally recognized across 10 adult and 10 pediatric specialties, including its acclaimed pediatric craniofacial program which addresses complex cleft lip and palate surgeries. It excels in integrating multidisciplinary care, providing patients with access to the latest surgical techniques and rehabilitation services.
Durham, NC 27705-4699
UNC Hospitals
UNC Hospitals are well-regarded for their comprehensive care in 3 adult and 9 pediatric specialties. Their cleft and craniofacial center combines expertise from plastic surgeons, speech therapists, and orthodontists to offer customized treatment plans for cleft lip and palate patients, emphasizing early intervention and long-term developmental support.
Chapel Hill, NC 27514-4220
Atrium Health Carolinas Medical Center
Ranked nationally in 8 pediatric specialties, the center is particularly noted for its pediatric craniofacial program. The program provides comprehensive treatment options for cleft lip and palate, including pre-surgical orthodontics and advanced surgical care, supported by a team of experts dedicated to improving functional and aesthetic outcomes for children.
Ridgewood, NJ 07450-2726
UNC Rex Hospital
Although known for high performance in adult care, UNC Rex also provides excellent pediatric services, including specialized treatments for cleft lip and palate. The hospital focuses on integrating various services from diagnosis to therapy, ensuring continuous care through a child’s development.
Raleigh, NC 27607-6599
FirstHealth Moore Regional Hospital
Recognized for high performance in multiple procedures and conditions, FirstHealth Moore Regional offers a dedicated pediatric unit that addresses a wide range of conditions including cleft lip and palate, focusing on comprehensive treatment plans that promote both physical and emotional healing.
Pinehurst, NC 28374-8710
Moses H. Cone Memorial Hospital
This hospital is noted for its specialty in pediatric care as part of its nationally ranked services. The pediatric craniofacial team provides coordinated care for children with cleft lip and palate, employing advanced surgical techniques and supportive postoperative care.
Greensboro, NC 27401-1020
Duke Regional Hospital
A partner of Duke University Hospital, Duke Regional maintains high standards in patient care across various specialties, including services for pediatric conditions like cleft lip and palate, ensuring high-quality care through comprehensive treatment protocols and access to specialized expertise.
Durham, NC 27704-2763
ECU Health Medical Center
This center excels in 12 different procedures and conditions, including its pediatric care that provides innovative treatments for cleft lip and palate among other congenital conditions, backed by research and interdisciplinary collaboration.
Greenville, NC 27834-2818
Atrium Health Wake Forest Baptist Medical Center
The hospital’s pediatric department offers state-of-the-art care for cleft lip and palate, focusing on both surgical treatment and long-term developmental therapies, within a family-centered care model.
Winston-Salem, NC 27157-0001
Novant Health Presbyterian Medical Center
Known for its comprehensive pediatric services, Novant Health offers specialized programs for children with cleft lip and palate, featuring a team approach that includes surgeons, nutritionists, and speech therapists to support healing and development.
Charlotte, NC 28204-2528
Factors to Consider When Choosing a Hospital for Cleft Surgery
Experience and Expertise
When seeking treatment for a congenital condition like cleft lip or palate, experience and expertise of the surgeons and staff are paramount. Look for hospitals with dedicated craniofacial units and surgeons who specialize in cleft repair and have performed hundreds of successful procedures. More experience typically means better long-term results and a lower chance of complications.
Range of Services
The top hospitals will offer a comprehensive range of services for cleft patients, from initial diagnosis and treatment planning to follow-up care and revision surgeries if needed. They should have speech pathologists, dentists, orthodontists and psychologists on staff to properly assess and treat all aspects of cleft care. Some may even have designated cleft palate or craniofacial teams to coordinate care.
Latest Techniques and Technology
Hospitals on the cutting edge will utilize the latest techniques like nasoalveolar molding before surgery to improve outcomes. They should have state-of-the-art facilities and tools like 3D imaging, endoscopes and lasers. Minimally invasive procedures, when appropriate, can lead to quicker recovery and less scarring.
Family-Centered Care
The top hospitals recognize that cleft conditions affect the whole family. They should offer resources and support for parents like counseling services, educational materials and support groups. Family involvement in the treatment planning process is ideal. Look for hospitals with child life specialists, social workers and facilities geared toward children.
Choosing a hospital with experience, expertise, advanced techniques and a family-centered philosophy of care will help ensure the best outcome for your child’s cleft surgery. While cost and location may also be factors, quality of care should be the top priority. With the right team and facility, your child will have the best chance at a safe surgery, successful treatment and positive long-term outcome.
For more information please visit Mespoir & US News Health.
General Cleft lip & Palate Surgery Information:
How much does Cleft lip and palate repair cost?
Cleft lip and palate repair can cost between $5,000 and $13,405 over 12 months. The cost depends on a number of factors, including the patient's insurance coverage, the surgeon's experience, and the type of procedure. Some procedures may be covered by full medical insurance. Source.
According to the CDC, about 1 in every 1,700 babies in the United States is born with cleft palate. Cleft lip and palate are among the most common birth defects in the country, affecting about one in every 700 babies. However, cleft palate is more common in Asian/Pacific, Latinx, or Native American children than in children of other races. Source.
How long does cleft lip and palate surgery take?
Cleft lip surgery usually takes between 1–6 hours, depending on the type of repair and the extent of the cleft. The surgery is performed under general anesthesia, which means the patient is unconscious during the procedure. The surgeon may use an operating microscope to join the tissues that have not joined before birth. The stitches are then removed after a few days, or may dissolve on their own. Source.
After surgery, the patient will stay in the hospital for at least one night, and most babies can go home after 1–2 days. The surgeon may prescribe medicines to help make the patient more comfortable and protect against infection. The patient will need a liquid or blenderized diet for about 3 weeks after surgery before starting to eat foods that are hard or crunchy. Source.
How long does cleft lip and palate surgery take?
Cleft lip surgery usually takes between 1–6 hours, depending on the type of repair and the extent of the cleft. The surgery is performed under general anesthesia, which means the patient is unconscious during the procedure. The surgeon may use an operating microscope to join the tissues that have not joined before birth. The stitches are then removed after a few days, or may dissolve on their own. Source.
Surgery Resource Information:
Preparing for your child's cleft lip and palate surgery involves several steps and considerations to ensure a safe and successful procedure. According to the American Society of Plastic Surgeons, here's what you should prepare:
Pre-Surgical Considerations
Before the surgery, discuss with your surgeon any pre-surgical considerations, which may include diagnostic testing and medications required before the procedure.
Day-of-Surgery Instructions
Your plastic surgeon will provide specific instructions for the day of the surgery. This typically includes guidelines about fasting, medications, and arrival time at the hospital.
Anesthesia Information
You'll receive detailed information regarding the use of anesthesia during the surgery. Understanding this is crucial for managing expectations about the surgery and post-operative care.
Postoperative Care and Follow-up
Familiarize yourself with the postoperative care requirements and the schedule for follow-up visits. Proper postoperative care is vital for recovery and the best surgical outcome.
.png)
No-No pediatric arm immobilizers are designed to ensure a safer and quicker recovery for your child. These user-friendly arm restraint bands are essential for post-surgery care. Discover more about our pediatric arm restraints and view our product range .
Hospital Admission
Initial cleft lip and cleft palate repairs are usually performed in a hospital setting. Most commonly, this will require an overnight stay for your child, so plan accordingly. It's important to have thorough discussions with your child's surgeon to understand all aspects of the surgery, from preparation to recovery. Feel free to ask any questions you might have to ensure you're fully prepared for your child's procedure.
Hospital Admission
Initial cleft lip and cleft palate repairs are usually performed in a hospital setting. Most commonly, this will require an overnight stay for your child, so plan accordingly.
Post Surgery Information
After cleft palate surgery, you can expect your child to stay in the hospital for at least one or two days. You can expect the following:
Swelling and Bleeding
Swelling and small amounts of bleeding are normal. You can apply ice to the surgical side of the face on the first day after surgery, and early on the second day only. You can use a mustache dressing for nasal bleeding.
Clear Liquids
Your child can drink clear liquids from a cup only, and should not use utensils or straws.
Stitches
Your child will have stitches in their mouth for several weeks, but some dissolve sooner. You can use your tongue, but do not play with the stitches. Do not pull at the stitches, as they will come out on their own.
Snoring
Your child may snore and sound congested for several weeks. This will go away when the swelling goes down and there is less drainage.
Sleep
It may be harder for your child to sleep as well as before surgery, but sleep habits should return to normal after several weeks.
Diet
For the first two weeks after surgery, give only soft food. This allows time for the palate to heal. You can use a blender or food processor to smooth many table foods to an even, baby-food texture. You can add liquids such as chicken or beef broth, milk, gravy, or smooth sauces to meats and vegetables. You can also use fruit juice to blend with fruit. Avoid hard foods such as toast, biscuits or rusks during healing
To learn more about post cleft lip and cleft palate surgery information, please visit the following resource pages by:
-
Nationwide Children's Hospital
Additional Resources: -
Cleft Lip & Cleft Palate Surgery: Repair Steps & Post-op Care
Disclaimer from H & H Research Inc.
H & H Research Inc. provides digital content for informational purposes only and is not a substitute for medical advice. In emergencies, contact local emergency services or visit the nearest emergency facility. Consult your healthcare provider before beginning any health-related program. Our content, including texts, graphics, and other materials, is developed for general information and should not be taken as medical guidance. Always consult a healthcare professional for advice on medical conditions, treatments, or medications. The efficacy and safety of products or treatments mentioned are not guaranteed. Information may change and is not intended to cover all possible health scenarios. H & H Research Inc. does not endorse specific medical tests, products, or professional opinions mentioned in our content.