Cleft Lip and Palate Clinic
6535 North Charles St.
Physicians Pavilion North, Suite 250
Baltimore, MD 21204
Monday: 9am - 4:30pm
Tuesday: 9am - 4:30pm
Wednesday: 9am - 4:30pm
Thursday: 9am - 4:30pm
Friday: 9am - 4:30pm
Saturday and Sunday: Closed
Interdisciplinary care to children born with facial, head and neck malformations
The team's involvement with patients and their families can begin as early as pregnancy, when some birth defects may be diagnosed. A geneticist and genetic counselor provide information to the parents. The family has the option of scheduling a consultation with a facial plastic reconstructive surgeon. At that consultation the surgeon will describe the types of surgery, explain the anticipated time frame for surgery and answer any other questions parents may have.
What our team does
When a baby with these challenges is born at GBMC, the team provides a bedside consultation before the family takes their newborn home. Our feeding specialist assists the parents, teaching them to use special bottles and nipples if necessary, to insure that the baby is getting enough nutrition. Team members from the Harvey Institute for Human Genetics, lactation, and facial plastic reconstructive surgery visit the newborn and the parents.
After discharge from the hospital the family will bring their baby to the team for an appointment within the first two months of life. At that appointment the patient is examined by each of the team members. The family remains with their baby and is apprised of the results of the various exams. The team sends a summary of their recommendations to the patient's pediatrician and to the family. The team follows patients throughout early childhood and into adolescence to continue providing needed care as the patient grows and develops.
While the Team's involvement with patients can begin as early as pregnancy, it should continue throughout the patients' life. We recommend seeing patients every five years after age 18 possibly more frequently during child bearing age.
The Greater Baltimore Cleft Lip and Palate Team is under the leadership of our four Medical Co-directors; Geneticist Antonie Kline, MD, Oral and Maxillofacial surgeon John Caccamese, MD, and Facial Plastic Reconstructive Surgeons, Patrick Byrne, MD, and Randolph Capone, MD.
Dr. Kline is the head of Pediatric Genetics at GBMC's Harvey Institute for Human Genetics. She has a wealth of experience with children who have a variety of genetic disorders. Dr. Caccamese is fellowship trained in cleft, craniofacial and pediatric maxillofacial surgery and is an Associate Professor in the Departments of Oral Maxillofacial Surgery and Pediatrics at the University of Maryland Medical System/University of Maryland Hospital for Children and the Baltimore College of Dental Surgery. Dr. Byrne and Dr. Capone are an experienced surgical team. They are both Johns Hopkins trained surgeons, Assistant Professors in Johns Hopkins Medical Institutions Department of Otolaryngology-Head and Neck Surgery, and each has a private surgical practice.
The Greater Baltimore Cleft Lip and Palate Team provides interdisciplinary medical expertise to families of children with congenital malformations (birth defects) involving the head and neck. Examples of these include:
- Cleft Lip/Cleft Palate
- Pierre-Robin sequence
- Facial Asymmetry
- Other, Rarer Malformations
The team also provides a consultation service for newborns with craniofacial differences. After your child's birth, several members of the team (genetics, facial plastic reconstructive surgery, speech/feeding, and lactation) meet with the family in the hospital. Subsequently, a meeting of all Team members is arranged to address your child's specific needs. Follow-up letters are sent to the family and your child's primary care provider.
The purpose of the team is to provide services from the newborn period through early adulthood, including:
- Initial Diagnosis
- Treatment-including surgery and/or therapy
- Maintenance of body systems
- Psychosocial Needs
- Future Reproductive Needs
A Team of craniofacial experts is the best means of providing acute medical/surgical management and long-term follow-up care. Our geneticists can provide both the immediate family and the extended family with information about the cause and recurrence risks for the patient's birth defect. Our team meets six times a year to follow our patients on a regular basis.
Team Coordinator, Susan Strickland, can be reached at 443-849-6050 to answer your questions and schedule appointments.
For urgent medical matters after hours, please call the GBMC Main desk at 443-849-2000 to contact Dr. Randolph Capone, Medical Co-Director of the Greater Baltimore Cleft Lip and Palate Team. For routine matters after hours leave a message at 443-849-6050. Your call will be returned on the next business day.