While a bottle of bubbles might seem out of place in a hospital setting, you might be surprised to learn that, for thousands of children around the world born with cleft lip and palate, they can be a helpful tool in comprehensive cleft care. Lilia, who was born with cleft lip and palate in 2020, is one of the many patients who received this care. 

As a toddler, Lilia underwent two surgeries to treat cleft lip and palate with Operation Smile’s surgical program in Puebla, Mexico. Because of Operation Smile’s comprehensive care, it wasn’t long before her personality transformed: Lilia went from a quiet and withdrawn toddler to an exuberant, curious explorer, babbling, expressing herself with a variety of sounds, and engaging with others like any child her age. 

Lilia is now a healthy five-year-old, with the same cheerful attitude and boundless energy. Her progress is the result of care at every level, from surgery to speech therapy to ongoing support at home—but it’s also evidence that small, sustained interventions throughout it all can make a meaningful difference. 

Cleft Conditions: A Global Problem

Since 1982, Operation Smile has provided cleft lip and cleft palate surgeries to more than 500,000 patients worldwide with the help of generous volunteers and donors. Cleft conditions are congenital conditions, meaning they are present at birth. With cleft lip and palate, the lip or the roof of the mouth do not form fully during fetal development. Cleft conditions put children at risk for malnutrition and poor weight gain, since their facial structure can make feeding challenging. But cleft conditions can have an enormous social impact as well: Common difficulties with speech can leave kids socially isolated and unable to meet the same developmental milestones as their peers. 

Surgery is a vital step in treating cleft conditions, but it’s also just one part of a much larger solution. Organizations like Operation Smile emphasize the importance of multi-disciplinary teams that provide comprehensive, long-term care to patients across many years. This approach, which includes oral care, speech therapy, nutritional support, and psychosocial care, not only aids in physical recovery from surgery but also helps children develop the skills and confidence to eat easily, speak clearly, and engage in everyday life. This ensures that each patient receives the full range of support they need to thrive. 

A Playful (and Powerful) Solution

Throughout a patient’s care, simple tools like bubbles can play a meaningful role from start to finish. 

Immediately before surgery, children are often in a new and unfamiliar environment far from home, some of them experiencing a hospital setting for the first time. When care providers or loved ones blow bubbles, it’s a simple yet effective technique: Not only are the children soothed and distracted, the bubbles also help create a sense of joy and playfulness that eases their anxiety. 

In speech therapy, bubbles can take on an even more important role. Blowing bubbles requires controlled airflow, as well as the ability to form a rounded “O” shape with the lips, which are skills that children with cleft conditions may struggle to develop. Practicing these skills with bubbles allows children to gently strengthen their facial muscles, improve breath control, and support the motor skills needed for speech development. Beyond that, blowing bubbles can help kids connect with their parents or providers in a way that’s playful, comforting, and accessible even for very young patients. 

Finally, bubbles often follow patients with cleft conditions home in the “smile bags” that each patient receives when the surgical procedure is finished. Smile bags, which help continue speech therapy outside of the hospital setting, can contain language enrichment booklets, a mirror, oxygen tubing, and bubbles. While regular practice with motor skills can help with physical recovery, small acts of play help as well, giving kids space to simply enjoy themselves and join in on what peers are able to do.

Bubbles at Home and Beyond

Today, because of Operation Smile’s dedication to comprehensive cleft care, Lilia is now able to make friends and speak clearly, all things that could have been difficult or impossible before. Instead of a childhood defined by limitation, Lilia—and others around the world—can look forward to a childhood filled with joy, learning, discovery, friends, and new possibilities.  

CTA: Lilia’s life was changed for the better with the care she received through Operation Smile. Find out how you can make an impact in other children’s lives by visiting operationsmile.org today.