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Cleft Lip and Palate

Providing expert, personalized care for a variety of congenital and acquired craniofacial conditions in infants, children, and young adults.

For a variety of congenital and acquired craniofacial disorders in children, Duke's expert plastic surgeons provide the absolute best care possible: care that has to last a lifetime.

Building on Duke's long history of commitment to children, Duke's multidisciplinary plastic surgery team provides personalized care for children with complex and rare conditions including cleft lip and palate and craniosynostosis.

Patients benefit from the combined knowledge and experience of Duke's expert surgeons, as well as collaborators from ophthalmology, dermatology, anesthesiology, and other fields.

The Cleft and Craniofacial Team at Duke Children's Hospital & Health Center is a national leader in the care of children and adolescents. The Duke Cleft and Craniofacial Team has been designated the highest possible status level by the American Cleft Palate Association and holds both the CPT designation of Cleft Lip and Palate Multidisciplinary Teams as well as the CFT designation for complete Craniofacial Care. The Duke Cleft and Craniofacial Team is further distinguished as an official ACPA Affiliated Team.


Personalized Care

At Duke, we consider the relationship between patient and specialist team to be of the utmost importance. We have an ongoing, informative process, including seminars and personal consultations, that lasts throughout your child's recovery.

From your first phone call, to your child's final visit, we are here for you and your child at every stage of treatment and recovery.

The skills and experience of Duke's plastic surgeons have been recognized in publications such as America's Top Doctors, Redbook, Ladies Home Journal, Raleigh Metro Magazine, and Business North Carolina.

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Treatments

Duke Children's Hospital & Health Center is a comprehensive tertiary care hospital, treating a wide range of problems--from common to rare. Because of this, we can assemble some of the country's finest specialists on our multidisciplinary teams to help with the complete range of pediatric plastic surgical conditions.

Children who need repair of cleft lip or palate conditions can benefit from Duke’s experienced team of specialists who tailor care to the needs of each patient.

Duke has a long history and commitment to treating cleft lip and palate, with one of the oldest treatment programs of its kind in the United States. Several hundred patients with cleft lip and palate are followed by Duke’s team on a routine basis.

The treatment of cleft lip and palate is so complex that no one specialist can handle all of the issues that arise. Duke’s team approach provides special attention from appropriate specialists as needed throughout the treatment process.

At Duke, your child’s care team is led by two pediatric plastic surgeons. Other core members include specialists in plastic surgery, otolaryngology, audiology, speech pathology, and oral surgery.

Other specialists who will be called on as needed may come from craniofacial surgery, orthodontia, psychology, pediatrics, genetics, and pediatric dentistry.

Since children change with growth, evaluations and treatments will be related to the age of the child.

The Nature of Clefts

There is no procedure that can create so profound a positive impact on the lifelong emotional well-being of a child than the surgical correction of a cleft.

The word "cleft" refers to an opening or space. All clefts are different. They can occur at one or more different places on the face, such as the lips, the palate, or the gum ridge (alveolus).

In human development, the right and left sides of the face fuse near the midline. A cleft results when this fusion does not properly occur. Clefts can be of different sizes, and some are more severe than others.

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Physicians

Name Areas of Special Interest
Gregory S. Georgiade, MD Premalignant and malignant disease of the breast, breast reconstruction, liposuction, abdominoplasty, breast implants and related problems, general reconstructive plastic surgery, reconstructive cleft lip and palate surgery, multi-system trauma
Jeffrey R. Marcus, MD Craniofacial surgery; broad spectrum of pediatric plastic surgery involving most areas of the body; facial aesthetic surgery; reconstructive and cosmetic procedures affecting the face including congenital conditions, particularly cleft lip and palate, craniosynostosis, and facial paralysis; rhinoplasty for both breathing and cosmetic concerns; facial rejuvenation (facelifting); assistance to families of internationally adopted children with cleft conditions
Pedro E. Santiago, DMD Orthodontics for patients of all ages; Invisalign and clear braces; pre-surgical orthodontics for orthognathic surgery and dental implants; pre-surgical orthopaedics (nasoalveolar molding) for cleft lip, palate, and other craniofacial disorders

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Clinic Location

Duke Children's Hospital & Health Center
2301 Erwin Road
Durham, NC 27710
Tel: 919-668-4000

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Appointments and Contact Information

Ann M. Mabie, MSPA CCC-A
Division of Plastic Surgery
Cleft Palate/Craniofacial Team Coordinator
DUMC Box 3974
Durham, North Carolina 27710
Phone: 919-684-3815
Fax: 919-681-2670

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