Other cleft lip and palate procedures
Complementary procedures within the comprehensive treatment of cleft lip and palate. If you cannot find what you are looking for, tell us about your case.
What other procedures does Dr. Nico Sierra perform?
Treating cleft lip and palate is a long, multidisciplinary journey that can include complementary procedures beyond the eight main operations. Dr. Nico Sierra takes care of every aspect of comprehensive cleft treatment, working with other specialists when necessary.
The most common complementary procedures include: pharyngoplasty for velopharyngeal insufficiency (VPI), closure of complex oronasal fistulas, lip volume augmentation, keloid scars, surgical procedures related to speech and language therapy, and other secondary corrections.
If you cannot find what you need in the list of main treatments, write to us directly. Dr. Sierra reviews every case personally and advises you on the options available for your specific situation.
When are other procedures recommended?
Complementary procedures are recommended when the main operations have not fully resolved every aspect of the cleft.
How are these procedures planned?
Complementary procedures are always planned individually, adapting the technique and the timing to the specific needs of each patient.
What results can you expect?
Complementary procedures complete the comprehensive treatment of cleft lip and palate, addressing the aspects that the main operations have not fully resolved.
See all →Dr. Nico Sierra completed his fellowship in Craniofacial Surgery and Cleft Lip and Palate at the Federal University of Paraná (UFPR), Brazil. He is a surgeon at Clínica Tresserra and Vall d'Hebron University Hospital, and has carried out surgical missions on four continents with Operation Smile.
His experience includes working with Operation Smile on more than four continents, as well as publishing a chapter with Springer on cleft lip and palate surgery in low-resource settings.
Frequently asked questions about other procedures
These are the questions families ask us most. If you cannot find the answer you are looking for, write to us directly.
Ask a question → What other procedures does Dr. Nico Sierra perform besides the eight main treatments?
Besides the eight main treatments, Dr. Nico Sierra performs pharyngoplasty for velopharyngeal insufficiency, closure of complex fistulas, lip volume augmentation, correction of keloid scars and other secondary procedures within the comprehensive treatment of cleft lip and palate.
What is pharyngoplasty?
Pharyngoplasty is a surgical procedure that improves closure of the soft palate in patients with velopharyngeal insufficiency that persists after cleft palate surgery. It is indicated when nasal speech does not improve with speech and language therapy and significantly affects communication and quality of life.
What should I do if my case does not fit any of the treatments described?
If your situation does not fit exactly into any of the treatments described on our website, write to us directly. Dr. Sierra reviews every case personally and replies with advice specific to you. No case is too complex or unusual to be assessed.
Does Dr. Sierra coordinate treatment with other specialists?
Yes. Comprehensive treatment of cleft lip and palate requires coordination with orthodontists, speech and language therapists, ENT specialists and other professionals. Dr. Sierra works as part of a multidisciplinary team and coordinates with the professionals each case needs.
How long does Dr. Sierra take to reply to an enquiry?
How quickly Dr. Sierra replies to an enquiry depends on the case, but he usually answers initial enquiries within 24 hours. Planning complex cases fully may take several consultations and coordination with other specialists, but the process is always transparent and you are kept informed at every step.
Reviewed by Dr. Nico Sierra · Medical licence no. COMB 45307 · Reviewed: