CLEFT LIP AND CELFT PALATE

Question 1

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.

Answer 1

Cleft lip

Question 2

It is a separation that often extends beyond the base of the nose and includes the bones of the upper jaw and upper gum

Answer 2

Cleft lip

Question 3

It is a split or opening in the roof of the mouth and can involve the soft and hard part.

Answer 3

Cleft palate

Question 4

When does the maxillary and median nasal processes fuse?

Answer 4

between 5 to 8 weeks of the intrauterine life

Question 5

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

Answer 5

Cleft lip

Question 6

Deviations of cleft lip

Answer 6

Bilateral or unilateral

Question 7

Cleft lip is prevalent to what gender

Answer 7

Boys

Question 8

It occurs as a familial tendency or most likely occurs from the transmission of multiple genes

Answer 8

Cleft lip

Question 9

What aids the formation of cleft lip during pregnancy

Answer 9

Teratogenic factors present during 5-8 weeks AOG: Viral infections or deficiency in Folic acid

Question 10

When does the palatal process close

Answer 10

9 to 12 weeks of intrauterine life

Question 11

It is an opening of the palate on the midline and may involve soft and hard palate or both

Answer 11

Cleft palate

Question 12

Cleft palate is prevalent to what gender

Answer 12

Girls

Question 13

Surgery for cleft palate

Answer 13

Palatoplasty

Question 14

Surgery for cleft lip

Answer 14

Cheiloplasty

Question 15

detection of cleft lip

Answer 15

By sonogram while infant is still in the utero

Question 16

Detection of cleft lip

Answer 16

by pressing the newborns tongue with as tongue blade

Question 17

When to repair the cleft lip

Answer 17

Repaired surgically short after birth or 2 - 10 weeks of age

Question 18

When to revise cleft lip

Answer 18

4-6 yrs of age

Question 19

When to repair cleft palate

Answer 19

6-18 months old to allow anatomic change

Question 20

Is it possible to breast feed baby with cleft lip

Answer 20

Yes. The bulk of the mothers breast seals the incomplete upper lip

Question 21

Position during feeding of baby with cleft lip

Answer 21

upright position and feed gently with commercial cleft lip nipple

Question 22

Commercial cleft lip feeder

Answer 22

Breck feeder that is similar to bulb syringe
Haberman feeder

Question 23

When to feed the baby if surgery done immediately

Answer 23

7-10 days post op

Question 24

Are infant with cleft palate can be breast fed

Answer 24

No. Milk could go into their pharynx leading to aspirations

Question 25

Most useful method to feed infant with cleft palate

Answer 25

Use commercial cleft palate nipple that has extra flange of rubber to close the roof of the mouth

Question 26

What to do after surgery

Answer 26

Keep infant NPO for 4 hours
small amount of water to prevent vomiting
use specialized feeder

Question 27

Must avoid after surgery