When are the initial repairs for cleft lip and cleft palate typically performed?

• A. Birth
• B. 2-3 months
• C. 6-12 months
• D. 2-3 years

Answer: (B)

Surgical timing for cleft repair in infancy focuses on fixing the lip early. The initial lip repair is typically done around 2–3 months of age. This window balances the baby's safety for anesthesia with the need to restore lip continuity and nasal symmetry, which helps with feeding and sets the stage for better facial growth as the child develops. Palate repair, which is a separate step, is usually delayed and commonly performed later, around 6–12 months or a bit after, to protect maxillary growth and support later speech development. So the best timing for the first repair is about 2–3 months because it optimizes safety, function, and early aesthetics.