CLEFT LIP / PALATE Flashcards
A congenital anomaly that occurs as a result of failure of soft tissue or bony structure to fuse during embryonic
development
CLEFT LIP/CLEFT PALATE
A congenital anomaly resulting from the failure of soft tissue to fuse during embryonic development.
Cleft lip
A congenital anomaly characterized by a midline or bilateral cleft in the palate, affecting the soft and hard palate.
Cleft palate
Factors contributing to cleft lip and palate include
genetic, environmental, and teratogenic influences
oncologic drug that is a risk factor of cleft lip/ cleft palate
METHOTREXATE- a drug commonly used for treating cancer, arthritis and psoriasis.
can range from a slight notch on to a complete separation from the floor of the nose
Assessment for cleft lip
nasal distortion, midline or bilateral cleft, variable extension from the uvula and soft and hard
palate
assessment for cleft palate
CL/P
Nursing Intervention for Cleft lip and palate <assessments></assessments>
- Assess the ability to suck, swallow, handle normal secretions and breathe without distress
- Assess fluid and calorie intake daily
- And monitor weight
CL/P feeding techniques
Feeding Techniques to assist infants with cleft lip/palate
- using an enlarged nipple
- stimulating the sucking reflex
CL/P feeding techniques
position during feeding cleft lip/palate
upright
CL/P feeding techniques
Direct the formula to the
side and back of the mouth
cleft lip/ palate position after feeding
position on the side
CL/P nursing intervention
2 things on bedside for cleft lip/palate
Keep suction equipment and bulb syringe at bedside
Closure of cleft lip defect is termed as
CHEILOPLASTY
CHEILOPLASTY
Closure of cleft lip defect precedes that of the cleft palate and is usually performed during the __ weeks of life
first weeks of life
5-8 weeks <mam></mam>
CHEILOPLASTY POST OP
Postoperative Care procedures following cleft lip repair, including positioning
Position the child on the side opposite to the repair or on the back
CHEILOPLASTY POST OP
avoid __ position to prevent rubbing of the surgical site on the mattress
avoid prone
CHEILOPLASTY POST OP
name of a lip protector device may be taped securely to the cheeks to prevent trauma to the suture line
LOGAN BAR
CHEILOPLASTY POST OP
After feeding, cleanse the suture line with
plain normal saline solution
Prevent the child from crying if possible
Do not let the Logan Bar get wet
CHEILOPLASTY POST OP
Cleft palate repair is termed as
PALATOPLASTY
PALATOPLASTY
Cleft palate repair is performed sometime between __ and ___months of age to allow for the palatal changes
that take place with normal growth; a cleft palate is closed before the child develops faulty speech habits
12 and 18 months of age
9-12 weeks <mam></mam>
The small fleshy structure hanging at the back of the throat, relevant in assessing cleft palate.
Uvula
PALATOPLASTY post-op position
Child is allowed to lie on the abdomen (prone
Palatoplasty refers to the repair of the ____; Uranoplasty, on the other hand, refers specifically to the repair of the ____, which involves the hard bony structure.
soft palate; hard palate
CLEFT PALATE
PALATOPLASTY and URANOPLASTY post op feeding are resumed by
paper cup, spoon
CLEFT LIP
RHINOPLASTY post op feeding are resumed by
rubber-tipped syringe
PALATOPLASTY
____ maybe secured to the palate
Oral packing
PALATOPLASTY
N. MNGT. AVOID 3
- hard foods,
- contact with sharp objects near repair site,
- oral suction or placing objects in the mouth
PALATOPLASTY
maybe used to keep the child from touching the repair site
Soft elbow or jacket restraints
POST PALATOPLASTY DOC
anagesics for pain
CLEFT LIP / PALATE
SIGNS and SYMPTOMS
- Evident @ birth
- UTZ detection
- Milk escape to the nostril
- Frequent URTI [upper respi tract infectiom]
CLEFT LIP / PALATE
SIGNS and SYMPTOMS
- Evident @ birth
- UTZ detection
- Milk escape to the nostril
- Frequent URTI [upper respi tract infectiom]
what part of the ear that when it is altered on cleft palate surgey that it can be risk to or leads to ear infection
EUSTACHIAN TUBE
