CLEFT LIP AND CELFT PALATE Flashcards
Physical split or separation of the two sides of the upper lip and appears as a narrow opening or gap in the skin of the upper lip.
Cleft lip
It is a separation that often extends beyond the base of the nose and includes the bones of the upper jaw and upper gum
Cleft lip
It is a split or opening in the roof of the mouth and can involve the soft and hard part.
Cleft palate
When does the maxillary and median nasal processes fuse?
between 5 to 8 weeks of the intrauterine life
It is where the fusion fails to occur in varying degrees causing this disorder to range from a small notch in the upper lip to total separation of the lip and facial structure up into the floor of the nose with even the upper teeth and gingiva absent
Cleft lip
Deviations of cleft lip
Bilateral or unilateral
Cleft lip is prevalent to what gender
Boys
It occurs as a familial tendency or most likely occurs from the transmission of multiple genes
Cleft lip
What aids the formation of cleft lip during pregnancy
Teratogenic factors present during 5-8 weeks AOG: Viral infections or deficiency in Folic acid
When does the palatal process close
9 to 12 weeks of intrauterine life
It is an opening of the palate on the midline and may involve soft and hard palate or both
Cleft palate
Cleft palate is prevalent to what gender
Girls
Surgery for cleft palate
Palatoplasty
Surgery for cleft lip
Cheiloplasty
detection of cleft lip
By sonogram while infant is still in the utero
Detection of cleft lip
by pressing the newborns tongue with as tongue blade
When to repair the cleft lip
Repaired surgically short after birth or 2 - 10 weeks of age
When to revise cleft lip
4-6 yrs of age
When to repair cleft palate
6-18 months old to allow anatomic change
Is it possible to breast feed baby with cleft lip
Yes. The bulk of the mothers breast seals the incomplete upper lip
Position during feeding of baby with cleft lip
upright position and feed gently with commercial cleft lip nipple
Commercial cleft lip feeder
Breck feeder that is similar to bulb syringe
Haberman feeder
When to feed the baby if surgery done immediately
7-10 days post op
Are infant with cleft palate can be breast fed
No. Milk could go into their pharynx leading to aspirations
Most useful method to feed infant with cleft palate
Use commercial cleft palate nipple that has extra flange of rubber to close the roof of the mouth
What to do after surgery
Keep infant NPO for 4 hours
small amount of water to prevent vomiting
use specialized feeder
Must avoid after surgery
