Craniofacial Center

To make an appointment call 317-338-6731

Location

Craniofacial Center, St.Vincent Professional Office Building
8402 Harcourt Rd., Suite 128,
Indianapolis, IN 46260
Map & Directions

The Craniofacial Center at PMCH is a multi-disciplinary team approach to the treatment and management of more than 60 different disorders and abnormalities affecting the face, head and neck. Nearly 1,000 children have received life-changing surgeries and care by the PMCH Craniofacial team. Nationally, this center is only one of 10 craniofacial centers and only one of six designated cleft palate and cleft lip treatment programs in North America.

Highly specialized craniofacial conditions treated at St.Vincent include:

  • Reconstruction of the nose and jaw
  • Inter-cranial surgery
  • Lip repair and palate closure
  • Pharyngeal flap repair to improve speech
  • Plastic surgery of soft tissues
  • Rib grafts for head and neck reconstruction
  • Ear reconstruction
  • Prosthetics for the face
  • Nasoalveolar molding for patients with cleft lip and palate
  • Orthognathic surgery to correct jaw and face deformities and conditions that contribute growth concerns, sleep apnea, and TMJ disorders.
PMCH craniofacial center 3

As the medical director of the Cleft Palate and Craniofacial Surgery program, Dr. Blocksom will do the initial consult with every patient and family even if plastic surgery is not indicated. A personalized treatment plan is developed by the Craniofacial team. Our Craniofacial coordinator will facilitate all appointments with the various specialists on your child’s team. See Our Team.

Cleft Lip Care Plan Timeline

This is a representative timeline, every patient’s case is unique and the plan will be personalized to the needs of the child and family. We are committed to long-term follow-up. Note: The timeline for cleft lip- or cleft palate-only are available at the office.

At Birth

  • Depending on where you deliver, Dr. Blocksom or Sarah Steinke, RN may visit you at the hospital and share how the cleft lip or palate can be repaired.
  • If there are feeding problems, Dr. Siegel may fit your baby with an oral appliance to help with sucking and to prevent the cleft from widening as your baby grows.

 
1 month

  • Office visit with Dr. Blocksom (Plastic Surgery)
  • Office visit with Dr. Escobar (Medical Genetics)

 
6 months

  • Lip repair surgery (minor work on nose)

 
7 months

  • Post-surgery follow-up with Dr. Blocksom

 
1 – 6 years

  • Yearly follow up with Dr. Blocksom

 
6 years

  • Initial consultation with Dr. Bolon (orthodontist) for baseline X-rays

 
8 – 9 years

  • Possible alveolar bone grafting surgery

 
9 – 14 years

  • Yearly follow up with Dr. Blocksom

 
14 – 16 years

  • Rhinoplasty surgery

 

Cleft Palate Care Plan Timeline (birth to 2 years of age)

This is a representative timeline, every patient’s case is unique and the plan will be personalized to the needs of the child and family. We are committed to long-term follow-up. Note: The timeline for cleft lip- or cleft palate-only are available at the office.

At Birth

  • Depending on where you deliver, Dr. Blocksom or Sarah Steinke, RN may visit you at the hospital and share how the cleft lip or palate can be repaired.
  • If there are feeding problems, Dr. Siegel may fit your baby with an oral appliance to help with sucking and to prevent the cleft from widening as your baby grows.

 
1 month

  • Office visit with Dr. Blocksom (Plastic Surgery)
  • Office visit with Dr. Escobar (Medical Genetics)

 
6 months

  • Meet our team ENT (Ear, Nose, and Throat specialist) to evaluate need for ear tubes

 
10-11 months

  • Post-surgery follow-up with Dr. Blocksom

 
At 1 year

  • Palate repair and possible ear tubes

 
At 13 months

  • Post-surgery follow-up with Dr. Blocksom and the ENT office, begin speech therapy through First Steps
  • Make appointment with pediatric dentist

 
At 18 months

  • Speech evaluation with speech therapist
  • Follow-up with Dr. Blocksom
  • First Team report — a care plan specific to your child, shared with the parents and sent to all healthcare providers involved with your child’s care

 

Cleft Lip and Palate Care Plan Timeline (birth to 18 years of age)

This is a representative timeline, every patient’s case is unique and the plan will be personalized to the needs of the child and family. We are committed to long-term follow-up. Note: The timeline for cleft lip- or cleft palate-only are available at the office.

At Birth

  • Depending on where you deliver, Dr. Blocksom or Sarah Steinke, RN may visit you at the hospital and share how the cleft lip or palate can be repaired.
  • If there are feeding problems, Dr. Siegel may fit your baby with an oral appliance to help with sucking and to prevent the cleft from widening as your baby grows.

 
Birth – 1 month

  • Office visit with Dr. Blocksom
  • Office visit with Dr. Escobar (Medical Genetics)
  • Possible office appointment with Dr. Jennifer Siegel, DDS, to evaluate for Nasoalveolar Molding (NAM)

 
4 – 6 months

  • Lip repair surgery, possible minor work on the nose and palatal adhesion
  • The timing of the lip repair depends on if the NAM process is complete (a 2-4 month process)

 
About 1 month after surgery date

  • Post-surgery follow-up with Dr. Blocksom
  • Meet ENT specialist

 
At 1 year

  • Palate repair and possible ear tubes

 
At 13 months

  • Post-surgery follow-up with Dr. Blocksom and the ENT office, begin speech therapy through First Steps
  • Make appointment with pediatric dentist

 
At 18 months

  • Speech evaluation with speech therapist
  • Follow-up with Dr. Blocksom
  • First Team report — a care plan specific to your child, shared with the parents and sent to all healthcare providers involved with your child’s care

 
At 4 years

  • Possible surgery to address any speech concerns (velopharyngeal)

 
At 6 years

  • Referral to Orthodontist for baseline x-rays and assessment
  • Possible lip/nose revision to address any concerns with scarring or appearance

 
At 8-9 years

  • Referral to Oral Surgeon for possible alveolar bone grafting procedure
  • Continue orthodontic treatment

 
At 15-16 years

  • Possible orthognathic (jaw) surgery

 
At 17-18 years

  • Formal rhinoplasty to address septal deviation and asymmetry of nose
PMCH craniofacial center 2
PMCH craniofacial center 2

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