Anesthetic Considerations for Cleft Lip and Palate Surgery

Cleft lip and palate anomalies are common congenital defects that can be isolated or present in conjunction with other congenital anomalies. As repair is recommended in infancy, providers need to distinguish between an isolated manifestation versus an association with other congenital abnormalities to assess any increase in perioperative risks. Furthermore, the anesthesiologist must understand the perioperative capabilities of their clinical setting, as this will dictate the feasibility of proceeding with repair and perioperative management. We discuss anesthetic considerations in children with cleft lip and palate anomalies.