Contact us
High contrast

Cleft lip and palate

This page has been translated automatically.

Cleft lips and palates are the most common congenital malformations in the jaw and facial area and affect around one in seven hundred newborns, whose overall development is nevertheless completely normal in most cases. A cleft occurs between the sixth and twelfth week of development because the lip and palate halves do not unite.

Surgical closure is performed in the first year of life to allow the nose and mouth to function normally. In the case of unilateral clefts, this has been carried out in Basel since 1991 in just one operation, hence the "single-stage" closure, while in the case of bilateral clefts this is sometimes carried out in two stages.

Cleft lip and palate treatment is continuously adapted to the latest medical research findings. This is possible primarily thanks to the support of the Botnar Research Centre for Child Health and professional exchange with specialised clinics abroad.

Depending on the type of cleft and the age of the child, treatment may require specialists in various fields, which we can provide for you at the University Centre in a Special consultation hour together at the same time. In this way, individual treatment is discussed on an interdisciplinary basis and optimally coordinated treatment steps are determined for the patient.

Forms of appearance

Side effects and consequences

Diagnostics and treatment

Further measures

We critically review our treatment procedures and therapeutic measures in order to offer a modern and effective treatment concept. Research studies show us which measures are really necessary for an optimal result and which can be dispensed with. This enables us to minimise the treatment burden for the child and family. At the same time, we conduct laboratory research to develop promising new techniques and treatment alternatives and co-operate with various laboratories in Switzerland and abroad.

Here you will find current publications of our research group for cleft lip and palate and facial malformations: mueller.medizin.unibas.ch

Research and publications

Selection of some clinical articles in specialised journals:

  • Benitez BK, Brudnicki A, Surowiec Z, Singh RK, Nalabothu P, Schumann D, Mueller AA. Continuous Circular Closure in Unilateral Cleft Lip and Plate Repair in One Surgery, Journal of Cranio-Maxillofacial Surgery, 2021, https://www.sciencedirect.com/science/article/pii/S1010518221001839.
  • Benitez B, Brudnicki A, Nalabothu P, von Jackowski J, Bruder E, Mueller AA. Histologic aspect of the curved vomerine mucosa in cleft lip and palate. The Cleft Palate-Craniofacial Journal 2021; https://doi.org/10.1177/10556656211031419.
  • Nalabothu P, Benitez BK, Dalstra M, Verna C, Mueller AA. Three-Dimensional Morphological Changes of the True Cleft under Passive Presurgical Orthopaedics in Unilateral Cleft Lip and Palate: A Retrospective Cohort Study. J Clin Med. 2020;9(4):962. doi.org/10.3390/jcm9040962.
  • Mueller AA. Less surgery and more biology. Bulletin of the Association of Parents of Cleft Children. 31st issue, February 2020. https://lkg-spalte.ch/wp-content/uploads/id_spalte_2020_31.pdf.
  • Indri I, Rovito L, Codoni S, Zeilhofer HF. New therapeutic approaches in the treatment of patients with cleft palate. Cranio Facial Kinetic Science (CFKSc) & Functional Kinetic Science (FKSc). Logos. 2016; 24 (4):265-271.
  • Mueller AA, Forraz N, Gueven S, Atzeni G, Degoul O, Pagnon-Minot A, Hartmann D, Martin I, Scherberich A, McGuckin C. Osteoblastic differentiation of Wharton jelly biopsy specimens and their mesenchymal stromal cells after serum-free culture. Plast Reconstr Surg. 2014 Jul;134(1):59e-69e https://www.ncbi.nlm.nih.gov/pubmed/25028857.
  • Mueller AA, Kalak N, Schwenzer-Zimmerer K, Holsboer-Trachsler E, Brand S. Cortisol levels and sleep patterns in infants with OFC undergoing surgery. Neuropsychiatr Dis Treat, 2014 Oct 15;10:1965-72. https://www.ncbi.nlm.nih.gov/pubmed/?term=25342905.
  • Mueller AA, Schumann D, Reddy RR, Schwenzer-Zimmerer K, Mueller-Gerbl M, Zeilhofer HF, Sailer H, Reddy GS. Intraoperative vascular anatomy, arterial blood flow velocity and microcirculation in uni- and bilateral cleft lip repair. Plast and Reconstr Surg. 2012;130 (5):1120-30 https://www.ncbi.nlm.nih.gov/pubmed/?term=23096613.
  • Mueller AA, Zschokke I, Brand S, Hockenjos C, Zeilhofer HF, Schwenzer-Zimmerer. One-stage cleft repair outcome at age 6- to 18 years - a comparison to the Eurocleft study data. Br J Oral Maxillofac Surg. 2011 Dec;49(8):e67-71. https://www.ncbi.nlm.nih.gov/pubmed/?term=22551772.
  • Schwenzer-Zimmerer K. Cleft lip and palate - only a surgical problem? Schweiz Med Forum 2011;11(46):824-829. http://medicalforum.ch/docs/smf/archiv/de/2011/2011-46/2011-46-240.pdf.
  • Mueller AA, Paysan P, Schumacher R, Zeilhofer HF, Berg-Boerner BI, Maurer J, Vetter T, Schkommodau E, Juergens P, Schwenzer-Zimmerer K. Missing facial parts computed by a morphable model and transferred directly to a polyamide laser-sintered prosthesis: an innovation study. Br J Oral Maxillofac Surg. 2011;49(8):e67-71. https://www.ncbi.nlm.nih.gov/pubmed/?term=21458119.
  • Schwenzer-Zimmerer K, Boerner BI, Schwenzer NF, Mueller AA, Juergens P, Ringenbach A, Schkommodau E, Zeilhofer HF. Facial acquisition by dynamic optical tracked laser imaging: a new approach. J Plast Reconstr Aesthet Surg. 2009;62(9):1181-6. https://www.ncbi.nlm.nih.gov/pubmed/?term=18602359.
  • Brand S, Blechschmidt A, Mueller AA, Sader R, Schwenzer-Zimmerer K, Zeilhofer HF, Holsboer-Trachsler E. Psychosocial functioning and sleep patterns in children and adolescents with cleft lip and palate compared to healthy controls. Cleft Palate Craniofac J. 2009;46(2):124-35. https://www.ncbi.nlm.nih.gov/pubmed/?term=19254057.
  • Mueller AA, Sader R, Honigmann K, Zeilhofer HF, Schwenzer-Zimmerer K. Central nervous malformation in presence of clefts reflect their developmental interplay. Int J Oral and Maxillofac Surg 2007; 36: 289-295 https://www.ncbi.nlm.nih.gov/pubmed/?term=17254751.
  • Leiggener CS, Curtis R, Mueller AA, Pfluger D, Gogolewski S, Rahn BA. Influence of copolymer composition of polylactide implants on cranial bone regeneration. Biomaterials 2006; 27(2):202-7. https://www.ncbi.nlm.nih.gov/pubmed/?term=16026823.
  • Mueller AA, Rahn BA, Gogolewski S, Leiggener CS. Early dural reaction to polylactide in cranial defects of rabbits. Pediatr Neurosurg 2005; 41(6):285-91. https://www.ncbi.nlm.nih.gov/pubmed/?term=16293947.
  • Honigmann K. One-stage closure of uni- and bilateral cleft lip and palate. Br J Oral Maxillofac Surg 1996;34:214-9. https://www.ncbi.nlm.nih.gov/pubmed/?term=8818253.

Books:

  • Codoni, S., Spirgi-Gantert, I., von, J. J., & Springer-Verlag GmbH. (2019). Function-orientated speech therapy: The influence of posture and movement on swallowing, speech and language.
  • Masaracchia, R., Herzog-Isler, C., & Sader, R. A. (2005). Split feelings: Cleft lip, jaw and palate - a parents' guide. Zurich: Oesch.
  • Honigmann, K. (1998). Cleft lip and palate: The Basel concept of a holistic approach. Bern: Verlag Hans Huber.
  • Honigmann K. (1995). Centralised care of patients with cleft lip and palate. In: Oertli, D., & Laffer, U. (1995). Surgery from head to toe. Basel: Schwabe & Co.

Speech therapy

Specialist area

Who treats this clinical picture?

Counselling hotline for child and youth emergencies

The Medgate Kids Line provides quick and uncomplicated medical advice if your child is unwell. The medical team of our partner Medgate is available to you by telephone around the clock.

058 387 78 82
(billing via health insurance)

For emergencies abroad: Call the emergency number of your health insurance company. You will find this number on your health insurance card.

More information: On the Page of the emergency ward you will find everything you need to know about behaviour in emergencies, typical childhood illnesses and waiting times.

Important emergency numbers

144 Outpatient clinic
145 Tox Info Suisse (Poisonings)
117 Police
118 Fire brigade

UKBB

University Children's Hospital Basel
Spitalstrasse 33
4056 Basel | CH

Contact us

Which topic would you like to contact us about?
For praise or criticism, please use the Feedback form.

Reason for contacting us *

Appointments cannot be made via the contact form. To make or reschedule an appointment, please contact the Polyclinic Control Centre +41 61 704 12 20

Patient name *
First name patient *
Patient's date of birth *
Name *
First name *
Telephone number
E-mail address *
Your enquiry *
Who should contact you?
How would you like to be contacted? *
Remarks *
Date of cancellation
Contact us by telephone for a new appointment *
Reason for the cancellation