Cleft and Craniofacial Centre

 

The Cleft and Craniofacial Centre is the only dedicated comprehensive service in Singapore for the treatment of head, face and neck abnormalities in children. These conditions could be due to birth defects, accident or injury, or inappropriate growth and development. Optimal treatment of these conditions requires comprehensive, inter-disciplinary treatment planning and management to achieve maximum rehabilitation. Patients also need to be on long-term follow-up as the treatment spans the entire childhood and teenage years.

Range of Services

  • Cleft lip and palate surgery
  • Craniofacial surgery
  • Distraction osteogenesis
  • Reconstructive microsurgery
  • Reconstruction for congenital deformities
  • Cleft and Craniofacial dentistry
  • Dentistry and Dental Surgery
  • Cleft and Craniofacial Speech and Language Therapy
  • Non-invasive Ear molding/ splinting and surgery

As a referral centre for the management of specific congenital and non-congenital conditions we specialise in managing:

  • Craniofacial Syndromes
  • Congenital Craniofacial
    • Hemifacial Microsomia
    • Treacher Collins
    • Tessier Craniofacial Clefts
    • Dysmorphism
  • Congenital Cleft Lip and Palate
  • Craniomaxillofacial Trauma
    • Primary management
    • Secondary Deformities
  • Dentofacial Deformities
    • Malocclusions
    • Mandibular growth disturbances
    • Facial Asymmetry
    • TMJ problems
  • Oral and Dental Health Education
  • Vascular Malformations
  • Paediatric Plastic
    • Craniofacial/H & N tumors/Fibrous Dysplasia
    • Pigmentation/Giant Hairy Naevi
  • Congenital Ear Deformities 
    • Prominent or Cup Ear
    • Lidding or Lop Ear
    • Stahl's Ear
    • Cryptotia
    • Microtia
    Options of correction include non-invasive Ear molding/ splinting and surgery

In accordance with the American Cleft Palate and Craniofacial Association’s Guidelines on Parameters for the Evaluation and Treatment of Patients with Craniofacial Anomalies, this centre:

  • Maintains a coordinator with a 24-hour listed telephone number. We also maintain comprehensive centralised records for each patient, including history, diagnoses, reports of evaluations, treatment plans, treatment, with supporting documentation such as photographs, radiographs, dental models, and audio-taped speech recordings.
  • Organises and coordinates all the allied disciplines involved in the management of the craniofacial patients i.e. physical, occupational and speech therapists; dietitians; medical social workers; and psychiatrists and psychologists. The centre also helps patients and their families understand, coordinate, and implement their treatment plans.
  • Runs monthly Combined Clinics to evaluate patients at scheduled intervals. The frequency and specific content of these evaluations are determined by the condition and needs of the patient and family.
  • Runs a monthly Speech Evaluation Clinic for joint assessment and subsequent management of patients referred for velopharyngeal incompetence.
  • Develops long-term treatment plans for each patient, and modifies them as necessitated by the craniofacial growth and development, treatment outcomes, and therapeutic advances.
  • Weighs all treatment decisions against the expected outcomes and related factors such as facial growth, hearing, speech, dentition, and psychosocial impact on the patient and family.
  • Educates primary care providers on critical healthcare aspects, including feeding, for the early care of children with craniofacial anomalies. The centre also promotes an understanding of, and sensitivity to, the needs of patients with craniofacial anomalies and related disorders among other healthcare professionals and the general public
  • Assists families in securing financial assistance to meet the treatment needs of the patient.
  • Runs a dedicated Antenatal Counselling Program, to promote early identification of craniofacial anomalies among personnel involved in the delivery and neonatal care, including primary care providers in the community.
  • Maintains the Craniofacial Laboratory for long-term clinical and basic research.

A specifically designated Speech Room at the centre is fitted with advanced video and audio equipment to assess and treat children with speech problems. A special one-way mirror allows parents and doctors to observe the treatment in an unobtrusive manner.

The centre has a vibrant, child-friendly theme and a play area to keep children entertained while waiting for their treatment.

Plastic, Reconstructive & Aesthetic Surgery

We also provide elective and emergency treatment and surgery for hand anomalies, physical defects resulting from trauma and infection, and care of minor degree burns.

Our Experts

Name Designation Qualification
Dr Gale Lim Head, Dept of Plastic, Reconstructive & Aesthetic Surgery;
Consultant
(Paediatric Plastic Surgery & Reconstructive Cleft and Cranio-maxillo-facial Surgery, Hand Surgery)
MBBS (Spore), MMed (Surg)(Spore), MRCSEd, FAMS (Plastic Surg)
Dr Chew Khong Yik Consultant
(Paediatric Plastic, Reconstructive & Aesthetic Surgery)
MBBS (Spore), MMed (Surg), MRCSEd, FAMS (Plastic Surg)
Dr Gavin Kang Consultant
(Paediatric Plastic, Reconstructive & Aesthetic Surgery)
MBBS, MRCSEd, MMed (Surg), MEng (Bioengineering), FAMS (Plast Surg)
Dr Chia Hui Ling Associate Consultant
(Paediatric Plastic, Reconstructive & Aesthetic Surgery)
MBBS (Lond), MRCS (Eng), MMed (Surg), FAMS (Plastic Surgery)
Dr Por Yong Chen Visiting Consultant
(Paediatric Plastic and Reconstructive, Cleft and Craniomaxillo-facial Surgery)
MBBS, MMed (Surg), MRCSEd, FAMS (Plastic Surg)
Adj Assoc Prof Vincent Yeow Visiting Consultant
(Paediatric Plastic Surgery, Cleft and Cranio-maxillofacial Surgery)
MBBS, FRCS(Glasg), FRCSEd, FAMS (Plastic Surg)
Adj Assoc Prof Foo Chee Liam Visiting Consultant
(Paediatric Plastic and Reconstructive
Cleft and Maxillofacial)
MBBS, FRCSEd, FRCS (Eng), FAMS (Plastic Surg)
Clin Assoc Prof Tan, Bien Keem Visiting Consultant
(Paediatric Plastic and Reconstructive
Cleft and Maxillofacial)
MBBS, MRCSEd, FAMS (Plastic Surg)
Dr Hong Soo Wan Visiting Consultant
(Paediatric Plastic and Reconstructive Surgery, Ear Deformities, Reconstructive Microsurgery)
MBBS, FRCS (Glasg), FAMS (Plast. Surg)
Dr Karen Sng Wei-Ee Visiting Consultant
(Paediatric Plastic and Reconstructive
Cleft Surgery)
MB ChB (UK), MRCS (Ed), M Med (Surg), FAMS (Plast. Surg)
Dr Tan Ying Chien Visiting Consultant
(Paediatric Plastic and Reconstructive
Cleft Surgery)
MBBS (S’pore), MRCS (Edin), MMed (Surg), FAMS (Plastic Surgery)
Orthodontists
Dr Chng Chai Kiat Head, Dental Service; 
Senior Consultant (Cleft & Craniofacial Dentistry)
BDS (S’pore), MDS (S’pore), M Orth RCSEd, FAMS
Dr Loh Soo Ann Senior Consultant (Craniofacial Dentistry) BDS (Spore), FDS RCPS(Glasg), D Orth RCS (Eng), M Orth (Eng), FAMS
Dr Shue Yoke-Shien, Jennie Consultant
(Craniofacial Dentistry)
BDS, MDSc, MRCD (C), FRCD (C)
Paediatric Dentistry
Dr Toh Siew Luan Visiting Consultant
BDS (Spore), Graduate Diploma in Clinical Dentistry (Melbourne), Doctor of Clinical Dentistry (Melbourne), FAMS
Restorative Dentistry
Dr Derek Tan Visiting Consultant
BDS (Spore), FRACDS, American Board of Prosthodontics, Cert Prosthodontics (Southern California)

Craniofacial Speech and Language Therapy / Speech Pathology

We have a dedicated team of speech and language therapists at KKH who work with the Cleft and Craniofacial team to provide integrated management for individuals with cleft and craniofacial anomalies.

Our specialist speech and language therapists provide routine and comprehensive follow-up from infancy to monitor speech, language and feeding development. Regular therapy is introduced from childhood through to adulthood should any feeding, speech, resonance, and/or language difficulties be detected. In addition, assessment and intervention are also provided to individuals with resonance disorders that do not seem to be related to any structural abnormalities, as well as individuals with genetic syndromes with associated craniofacial malformations.

Besides daily speech and language therapy sessions, we offer these clinics on a fortnightly basis:

  • A combined feeding clinic with a speech therapist and a dietitian to provide support for infants and children with craniofacial anomalies and concurrent feeding difficulties.
  • Speech videofluoroscopy (speech x-ray) as well as speech nasendoscopy clinics to further investigate resonance and velopharyngeal dysfunction where necessary for patients with cleft and craniofacial anomalies.

Specifically designated speech and language therapy rooms at the Centre are fitted with advanced audio and video equipment to assess and treat the patients under our care. A special one-way mirror allows parents and doctors to observe the treatment in an unobtrusive manner.

Our Key Team

Name Designation and Qualifications
Dr Selena Young
Ee-Li
Head & Senior Principal Speech and Language Therapist Craniofacial Speech Pathology

BAppSc (Speech Pathology; USYD), Graduate Certificate of Health Sc (Behavioural Science; USYD), MHSc (Education)(Hons; USYD), PhD (Health Sc Speech Pathology; USYD)
  • Certified in Hanen It Takes Two To Talk, PROMPT (USA), Oral motor therapy, VitalStim® Therapy System.
  • Trained in SOS Approach to Feeding, PECS.
  • Other areas of clinical work: paediatric speech and language, adult and paediatric dysphagia, speech nasendoscopy and videofluoroscopy, clinical supervision and clinical research.
  • Internationally credentialed Speech Pathologist for Smile Asia and Operation Smile International.
  • Lecturer, Clinical Mentor, Research and Clinical Supervisor for the MSc (Speech and Language Pathology) Programme at the National University of Singapore.
  • Memberships: Speech And Language Therapy Singapore (Member), Asia Pacific Society of Speech, Language, and Hearing (Executive Council Member), Cleft Lip and Palate Association of Singapore (Member), American Cleft Palate-Craniofacial Association (International Team Member).
Karen Lee Shi Mei Senior Speech and Language Therapist

MSc (Speech & Language Pathology; NUS)
  • Certified in Hanen It Takes Two To Talk.
  • Other areas of clinical work: paediatric speech and language, fluency.
  • Internationally credentialed Speech Pathologist for Smile Asia and Operation Smile International.
  • Trained in SOS Approach to Feeding.
  • Memberships: Speech And Language Therapy Singapore (Member), Cleft Lip and Palate Association of Singapore (Member).
Phoebe Elizabeth Lim Pei Jun Speech and Language Therapist

BSocSc (Hons) (Psychology; NUS), MSc (Speech & Language Pathology; NUS)
  • Areas of clinical work: Paediatric speech and language.
  • Membership: Speech And Language Therapy Singapore (Member).
Find A Doctor
Book An Appointment
Admission And Charges
Events
Health X-Change
Estimated Bill Calculators
Admissions Buddy
Quick Links

Location

Level 5, Women's Tower

Telephone

  • +65 6294 4050 (Appointments)

Fax

  • +65 6394 1524

Accreditation

Joint Commission International (JCI) accreditation ISO 14000, the Environment and our commitment to conserve it OHSAS 18000 - Workplace Health and Safety System

© 2016 KK Women's and Children's Hospital. All rights reserved.