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Cleft lip Treatment in Germany | Best Hospitals, Doctors, Prices | Booking Health

Cleft lip treatment in Germany

Cleft lip Treatment in Germany | Information about Germany hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best children's hospitals and doctors for cleft lip treatment in Germany

Leading hospitals

Cost for treatment

Diagnostic tests for cleft lip
1231.7
Cleft lip surgery
11002.85
University Hospital Rechts der Isar Munich
Germany, Munich
University Hospital Rechts der Isar Munich
Overall rating9.8 / 10
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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University Hospital Frankfurt am Main
Germany, Frankfurt am Main
University Hospital Frankfurt am Main
Overall rating10 / 10
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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University Hospital Erlangen
Germany, Erlangen
University Hospital Erlangen
Overall rating9.1 / 10
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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University Hospital Bonn
Germany, Bonn
University Hospital Bonn
Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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University Hospital Hamburg-Eppendorf
Germany, Hamburg
University Hospital Hamburg-Eppendorf
Overall rating9.2 / 10
According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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University Hospital Carl Gustav Carus Dresden
Germany, Dresden
University Hospital Carl Gustav Carus Dresden
Overall rating9.1 / 10
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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University Hospital Würzburg
Germany, Würzburg
University Hospital Würzburg
Overall rating9.2 / 10
According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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University Hospital Muenster
Germany, Muenster
University Hospital Muenster
Overall rating9.8 / 10
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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University Hospital Halle (Saale)
Germany, Halle
University Hospital Halle (Saale)
Overall rating9.6 / 10
According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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University Hospital Marburg UKGM
Germany, Marburg
University Hospital Marburg UKGM
Overall rating8.6 / 10
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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University Hospital Jena
Germany, Jena
University Hospital Jena
Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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University Hospital Heidelberg
Germany, Heidelberg
University Hospital Heidelberg
Overall rating9.8 / 10
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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University Hospital Tuebingen
Germany, Tuebingen
University Hospital Tuebingen
Overall rating9.2 / 10
According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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University Hospital Giessen UKGM
Germany, Giessen
University Hospital Giessen UKGM
Overall rating9.5 / 10
The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
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University Hospital Oldenburg
Germany, Oldenburg
University Hospital Oldenburg
Overall rating10 / 10
The University Hospital Oldenburg is a multidisciplinary medical complex offering top-notch services of the European standard. The hospital has 20 specialized departments, 15 highly specialized centers, and more than 10 institutes. The hospital provides services in almost all areas of modern medicine: general and abdominal surge
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Content

  1. Overview
  2. Causes
  3. Types
  4. Diagnostics
  5. Treatment
  6. Rehabilitation period
  7. Where can I undergo cleft lip treatment in Germany?
  8. The cost of cleft lip treatment in Germany
  9. How can I undergo treatment of cleft lip?

 

Cleft lip and cleft palate are common, but at the same time are one of the most severe malformations of the maxillofacial region.

Overview

 

A cleft lip is a severe malformation of the maxillofacial region, manifested by a disruption in the integrity of the upper lip and accompanied by significant functional disorders. Difficulties in restoring disturbed vital functions of nutrition, breathing and speech, anatomical restoration of the upper lip, nose and upper jaw in a child without treatment are the reason for the disability of children with cleft lip and palate.

With this malformation of the face, specific signs can be detected even in the prenatal period. After birth, disruptions of the following vital functions are observed:

  1. Impaired nutritional function. Normal sucking during feeding is in most cases impossible due to the lack of separation of the nasal and oral cavities. Subsequently, the disruption of chewing is associated with an anomaly of the dentition.
  2. Speech. With cleft lip, it is difficult to form correct speech (speech is slurred, voice is snuffling). This may be the cause of delayed speech development.
  3. Hearing. Cleavage and improper attachment of the palatine muscles cause dysfunction in hearing.
  4. Nasal breathing. Deformation of the parts of the nose leads to a change in the airflow, disrupts adequate breathing, and contributes to the development of various concomitant pathologies of the organs of the respiratory system.

When parents find out about a cosmetic defect in the form of a violation of the anatomy of the upper lip and deformity of the nose already at birth, it naturally causes a negative reaction. Nevertheless, you need to know that a cleft lip can be treated.

Harmonious development of a child with a cleft lip is difficult without the proper treatment due to the cosmetic defect and functional impairment.

Causes

 

A cleft lip has a multifactorial origin. For the development of a cleft lip, it is necessary to have either a genetic predisposition or the impact of unfavorable environmental factors.

Internal factors include:

  • Biological defects of germ cells
  • Older age of parents
  • Genetic predisposition

External factors include:

  • Physical: mechanical effects on the fetus, uterine malformations, multiple pregnancies
  • Chemical: malnutrition, hypo- or hypervitaminosis, hormonal imbalance, smoking, alcohol consumption, drug use
  • Biological: infectious diseases (influenza, rubella, herpes), excess of adrenal hormones in the blood

Types

 

A hidden cleft lip is characterized by the absence of violation of the integrity of the skin of the lip. On the side, there is a vertical deformation of the skin, under which the splitting of the circular muscle of the mouth is determined. This type of cleft lip is especially noticeable during physical activities.

An incomplete cleft lip is characterized by a cleft lip that does not reach the lower part of the nostrils. The lip does not grow together only in its lower parts, while at the base of the nose there is a properly developed tissue. With this type of cleft lip, there may be a deformation of the nose.

With a complete or isolated cleft lip, splitting of the tissues of the upper lip is observed along the entire area of the lips. In this case, there is always a deformation of the skin-cartilaginous part of the nose.

With a unilateral cleft lip, there is a flattening and stretching of the wing of the nose. The tip of the nose is displaced to the side, the nostril is wide on the sides, and the nasal septum is curved.

With a bilateral complete cleft lip, there’s split to the right and left. The middle part of the lip is shortened. The septum is short and due to this, the tip of the nose is flattened and pulled up to the upper lip. Both wings of the nose are stretched and flattened.

Diagnostics

 

A medical diagnosis of cleft lip in the prenatal period is based on the ultrasound examination at the 14-16 weeks of pregnancy. Mandatory medical information at this point is obtained with:

  • Differential diagnostic studies
  • Collecting anamnesis
  • Ultrasound examination of the fetus
  • Medical genetic counseling

With the medical diagnosis of cleft lip in the postnatal period it is recommended to find out the following information:

  • The presence of a hereditary pattern of congenital medical conditions of the maxillofacial region

Necessary differential diagnostic studies include:

  • Collecting anamnesis
  • Assessment of the physiological and neurological condition of the baby
  • Ultrasound examination
  • Medical genetic counseling
  • Information of the state of ENT organs
  • Examination by audiologist
  • Orthodontic examination; according to indications, early orthodontic treatment

Treatment

 

There is a certain standard in medical treatments of cleft lip. Usually, methods of surgery in the treatments of the cleft lip can be of several types. The main ones are cleft palate repair surgery and cleft lip repair surgery. Their combination is also possible because these two pathologies often develop together.

Plastic surgery for cleft palate naturally allows eliminating a palatal cleft. Treatment is carried out in several stages. Experts recommend performing a plastic surgery for cleft palate from six months of age to one year.

Plastic surgery for cleft lip is performed to eliminate the cleft lip area. During the surgery, external defects are removed, the lip and the functionality of the oral muscles are restored. The surgery is carried out starting from the age of three months.

In general, depending on the complexity of the specific medical case and the individual peculiarities of patients, up to six operations may be required.

Surgical treatment of children with a cleft lip is carried out depending on the severity of the pathology and the severity of anatomical and functional disorders. Early cleft lip plastic surgery can be performed in maternity hospitals extremely rarely, in 1-3 days in extreme cases. In the case of bilateral cleft lip, surgery for cleft lip (cheiloplasty) can be performed in one or two stages with an interval of two months.

Cheiloplasty is performed under general anesthesia. The pediatrician prepares the child for the surgery with the participation of the dentist and anesthesiologist.

The goal of plastic surgery for cleft lip treatment is to restore the correct anatomical shape of the upper lip and nose, which will contribute to the normalization of functions and the elimination of cosmetic defects in the future.

Currently, when performing cheiloplasty, a combination of different techniques is usually used. With certain forms of cleft lip and palate, even before cheiloplasty, early orthodontic treatment is indicated to reduce the width of the cleft lip. This is necessary to obtain good aesthetic results, prevent postoperative complications, and facilitate the surgery itself.

Modern methods of cleft lip surgery allow obtaining good anatomical results of the operation. However, with age, 70-80% of patients begin to notice various postoperative signs on the lip and nose. Corrective treatments in the area of ​​the upper lip and the oral cavity give good results when they are carried out starting from the age of 4-6 years.

Plastic surgery to eliminate the deformity of the nose for aesthetic reasons is performed at the age of 12-14 years, and sometimes even later when the intensive growth of the bones of the facial skeleton ends.

Cleft lip operations are performed at various periods: from 1 to 3 years old; from 3 to 5 years old; at the age of 7-8 years and older. However, it should be remembered that the age of a child is not the only criterion for plastic surgery. Some maxillofacial surgeons consider it most appropriate to operate on children with a cleft lip and palate in the preschool period (up to 4-5 years old). During this period, as a rule, plastic surgeries on the lips, soft and hard palates are performed simultaneously.

It is necessary to take into account the severity of the cleft lip, the general physical and mental development of the child, the presence of concomitant pathologies, the possibility of orthodontic treatments and speech therapy training for the child.

Rehabilitation period

 

One of the main problems in the treatment of patients with cleft lip and palate is the organization of feeding. Special devices are used to ensure adequate feeding. Unnatural feeding suppresses the innate reflex of swallowing, aggravates the underdevelopment of the upper and lower jaw, and muscles of the soft palate. This type of feeding should be used according to strict indications: for children with severe concomitant pathologies, mainly newborns. The primary task is to teach parents how to feed the baby properly, and prevent aspiration of food into the respiratory tract. Weight control in the first weeks of life is carried out daily.

Surgical treatments of patients with cleft lip and palate is essential, but only comprehensive, timely and systematic specialized care for patients with congenital malformations of the face and jaw can ensure the optimal anatomical and functional effect of treatment and complete rehabilitation.

Rehabilitation of patients with this pathology is one of the difficult tasks of medicine. Since the prevention of this medical condition is currently impossible, surgical and orthodontic treatments come to the fore, allowing to eliminate the defect and functional disorders.

Full social adaptation of the child is possible only if the surgery is carried out in due time and at its full potential. The rehabilitation of such a child should be considered as a long-term complex process, which starts from birth and continues until adolescence, requiring the participation of various specialists: a neonatologist, maxillofacial surgeon, geneticist, pediatrician, orthodontist, speech therapist, otolaryngologist, and psychologist.

Where can I undergo cleft lip treatment in Germany?

 

Medical tourism is becoming more and more popular these days, as, for instance, the treatment in Germany ensures excellent quality of cleft lip repair.

The best success rates in cleft lip repair in Germany demonstrate:

  1. University Hospital Rechts der Isar Munich
  2. University Hospital Frankfurt am Main
  3. University Hospital Hamburg-Eppendorf
  4. University Hospital Carl Gustav Carus Dresden
  5. University Hospital Erlangen

You can check out the full list of clinics in Germany on the Booking Health website.

The cost of cleft lip treatment in Germany

 

The prices in hospitals listed on the Booking Health website are relatively low. With Booking Health, you can undergo treatment in Germany in the best hospitals at an affordable price.

The cost of cleft lip treatment in Germany varies, as the prices depend on the hospital, the chosen type of treatment, and its complexity.

The cost of cleft lip treatment in Germany is about 11,000-14,000 EUR.

You also need to know about the cost of additional corrective procedures and follow-up care. Therefore, the ultimate cost of cleft lip treatment in Germany may differ from the initial prices.

To get the information about the cost of cleft lip treatment in Germany, contact us by leaving the request on the Booking Health website.

How can I undergo treatment of cleft lip?

 

It is not easy to self-organize any treatment abroad. It requires certain knowledge and experience in medical tourism. Thus, it is safer, easier, and less stressful to shift some responsibility onto a medical tourism agency.

As the largest and most transparent medical tourism agency in the world, Booking Health has up-to-date information about cleft lip repair in Germany.

Booking Health will help you select a hospital, taking into account your wishes for treatment. We will provide you with information about the most suitable of German clinics, and you can choose the right one for you.

We want to help you and take on all the troubles. You can be free of unnecessary stress, while Booking Health takes care of all organizational issues. We will make sure that you or your child safely undergo the cleft lip treatment in Germany.

Medical tourism can be easy! All you need to do is to leave a request on the Booking Health website, and our manager will contact you shortly.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed