CLEFTL I P AND CLEFT PALATE

Question 1

What is clept lip and palate

Answer 1

Opening in the upper lip that may extendi n t o the nose or palate
It can be unilateral/bilateral, complete/Incomplete

Question 2

Risk factors and causes

Answer 2

TORCH infection during pregnancy
Previous history, Gender (male), Drugs (e.g. Thalidomide),
Irradiation exposure, diabetes, o
mother, smoking besity, older during pregnancy

Question 3

Clinical features

Answer 3

*Recurrent respiratory infection, feeding problems, failure to thrive, speech problems,
* cosmetically ugly, defective dentition, hearing problems

Question 4

Complications

Answer 4

Vertebral anomaly, anorectal anomalies, cardiac defects, tracheoesophageal anomaly, renal defect, hydrocephalus VACTERL H

Question 5

Treatment of cleft lip

Answer 5

*Cleft lip; Millard’s operation commonly done when baby is 10wks old, 10pounds weight, and 10g/dI Hb concentration (Rule of 10)

Question 6

Treatment of cleft palate

Answer 6

Complications of surgery: Wound breakdown
Respiratory obstruction, Oronasal fistula, surgical site, infection, bleeding