Arkansas Children's Hospital
Arkansas Children's Hospital

About ACH
Arkansas Children's Hospital
Your Visit to ACH
Arkansas Children's Hospital
Community Outreach Programs
Arkansas Children's Hospital
Medical Services
    Find a Doctor
     Clinical Services
    Inpatient Services
    Outpatient Services
    Special Services for Your Child
    Medical Breakthroughs
  The PULSE Center
    Research at ACH
    Centers for Excellence
    Content for Physicians
    Allied Health
     Department of Pediatrics
     Angel One Transport
Arkansas Children's Hospital
Career Opportunities
Arkansas Children's Hospital
Volunteer Opportunities
Arkansas Children's Hospital
ACH Foundation
Arkansas Children's Hospital
Press Room
Arkansas Children's Hospital
Resources
Arkansas Children's Hospital
Kids Only
Arkansas Children's Hospital
Contact Us

Donate Now

We Give Thanks... Click for More



















How You Can Help    Events & Classes    Conferences/Courses    Home  
Search   
Arkansas Children's Hospital
Medical Services

Cleft Lip and Palate Program

Meet the team of pediatric specialists at Arkansas Children's Hospital who provide comprehensive care from birth through adolescence for children born with cleft lip/palate

What is Cleft Lip/Palate?Before and After Surgery

Cleft lip/palate is one of the most common birth defects in the United States, occurring once in about every 750 births. A cleft is an opening which results from the failure of the two sides of the upper lip or palate to grow together during the early weeks of pregnancy.

Although the cleft is surgically repairable, there often are accompanying problems involving speech, hearing and teeth that need to be treated. Because no two clefts are alike, each child needs treatment designed to meet his individual needs.

How Does the Team Work Together?

The Cleft Lip and Palate Program at Arkansas Children's Hospital (ACH) incorporates a multidisciplinary team, with each member specialized in pediatric care. An important advantage of the team approach is that the team's professionals are in direct and continuous communication about your child's care. Each team member is fully aware of your child's specific needs and progress and is able to make recommendations for care which are consistent with those given by other team members. The goal of the team is to ensure that care is provided in a coordinated, consistent manner with the proper sequencing of evaluations and treatments with the framework of the child¹s overall developmental, medical and psychological needs.

The Members of the Team

Team Members
The Cleft Lip and Palate Team


The Pediatric Otolaryngologist/Facial Plastic Surgeon - These specialists are responsible for surgical closure of the cleft and related operations which your child may require. If your child has ear problems which cause hearing loss they will be monitored by an ear, nose, and throat specialist.

The Audiologist - Since children with cleft palate have an increased risk of ear problems, ongoing audiological surveillance is necessary. The audiologist provides appropriate assessments to monitor hearing status so that diagnosis and treatment can be made for any cleft-related hearing problems.

The Dental Specialists - The dental specialists include the pediatric dentist, orthodontist, oral surgeon, periodontist and prosthodonitist. These specialists keep track of your child's dental growth and development, and provide information on oral hygiene and dental treatment that may be necessary due to the cleft.

The Geneticist - The geneticist is available to discuss how clefts of the lip and palate occur and to answer questions about the risk of recurrence with future pregnancies. Later, this specialist can help your teenager understand the cause of a cleft and advise him or her about individual circumstances.

The Speech Pathologist - The speech pathologist will provide you with information about typical speech development along with suggestions for stimulation speech when your child is very young. Later, the pathologist will evaluate your child's speech and, if necessary, make referrals for therapy closer to home.

The Social Worker - The clinical social worker is available to meet with the family to assist in the psychosocial and emotional aspects of cleft lip/palate. This specialist is aware of services available in the community to which the family can be referred for information on medical coverage, financial assistance, and support groups/services.

The Clinical Nutritionist - The nutritionist assists with any early feeding difficulties and monitors the child¹s nutritional intake. This specialist also provides follow-up of weight gain and height/weight parameters.

The Registered Nurse Practitioner - The nurse practitioner is available as a contact person to provide information and ensure that parents understand their child's health needs, treatment plan and follow-up. This specialist assists with the child's presurgical readiness and post surgical recovery and provides instructions for home care.

The Team's Record

The cleft lip and palate team is one of the many programs at ACH which provide high quality, individual service to children with special health care needs.

Since 1978, nearly three-fourths of all children born in Arkansas with cleft lip/palate have been treated at ACH. The program is headed by Dr. Lisa Buckmiller* as a part of the hospital's Department of Otolaryngology. *The cleft lip and palate team provides comprehensive, coordinated care to children with clefts and is dedicated to meeting each child's individual needs from the time of birth until the child no longer needs our services.

The "Game Plan": Your Child's Treatment

Both the medical treatment and the emotional care your child will receive at ACH are geared to the special needs of each child and his or her family. The course of surgery and treatment planned for your child begins with an initial evaluation that takes place shortly after birth. This initial evaluation is one of the most important steps in the care of a child with a cleft. Not only does it increase the chances of a successful outcome, but it allows you the opportunity to have your many questions answered as quickly and as accurately as possible. Evaluations will continue after the initial one, usually at six- to 12-month intervals.

Cleft Clinic

The Arkansas Children's Hospital Cleft Clinic meets the first Wednesday of each month at 9 a.m. During this clinic each child is seen by each member of the cleft palate team, and all team members meet after the clinic to coordinate their recommendations for care and treatment.ACH provides an intensive, comprehensive treatment and follow-up program which follows cleft patients from initial corrective surgery through speech development to final cosmetic surgery.

Referrals

Children may be referred for care to the cleft clinic by physicians, speech therapists, teachers, families, guardians or others concerned with their general growth and development. To make an appointment at the cleft clinic, contact Sherri Gunnell at 501-364-7544 or via e-mail at gunnellsherril@ uams.edu. Dr. Lisa Buckmiller, director of the cleft palate program, also may be reached at 501-364-7546 or via e-mail at buckmillerlisam@uams.edu for consultation and referral.

Contact Info/Referrals
ENT Office: 501-364-1047





Arkansas Children's Hospital
Arkansas Children's Hospital, 800 Marshall St., Little Rock, AR 72202-3591, (501) 364-1100 or TDD (501) 364-1184

ACH is a tobacco free campus.

Joint Notice of Privacy Practices | Terms & Conditions of Use | Report Concerns About Patient Care & Safety | Site Index

About ACH | Your Visit to ACH | Community Outreach Programs
Medical Services | Career Opportunities | Volunteer Opportunities
ACH Foundation | Press Room | Resources | Research | Kids Only | Contact Us