Liverpool Head & Neck Centre

The Liverpool cleft service is part of the Northwest, Isle of Man and North Wales Cleft Network.

The Liverpool part of the service treats all children and adults born with a cleft of the lip and or palate, and those patients presenting with non-cleft velopharyngeal insufficiency from North Wales, East Cheshire, the Wirral, Liverpool, Warrington, Lancashire and Cumbria. There are 2 surgical hubs, Alder Hey Children’s Hospital for paediatric patients and Aintree University Hospital for adult patients. There are approximately 80 new babies born with clefts of the lip and/or palate treated by the Liverpool service. All patients are seen in a multi-disciplinary clinic that includes cleft nurses, cleft surgeons, cleft speech and language therapists, cleft paediatric dentists and orthodontists and cleft psychologists. The unit adheres to the national NHS cleft specification and contributes to national audit and the CRANE database ensuring that patient outcomes meet current national standards.

Conditions treated:

Clefts of the lip and/or palate

  • Primary surgical repair

  • Secondary speech surgery

  • Alveolar bone grafting

  • Cleft orthognathic surgery

  • Lip and nose revisional surgery (cleft rhinoplasty)

Non-cleft velopharyngeal insufficiency

Research:

We are currently part of The Cleft Collective Cohort Studies - a large DNA backed prospective resource for the study of the genetic and environmental determinants of cleft lip and/or palate and the long-term outcomes in children with cleft lip and/or palate.

Clinicians involved:

Cleft Nurses: Louise Hall, Maria Smith, Kathryn Wolstencroft, 

Cleft Psychologists: Zoe Edwards, Dani Osler

Cleft Surgeons: Simon van Eeden, Chris Sweet

Cleft speech and language therapists: Siobhan McMahon, Suzanne Wood, Kathryn Da-Costa-Greaves, Claudine Milligan

Cleft Orthodontists: Susana Dominguez-Gonzalez, Madhavi Seshu

Cleft Paediatric Dentist: Joanna May