GUIDELINES ON THE PRE & POST OPERATIVE MANAGEMENT OF CHILDREN WITH CLEFT LIP & PALATE AND PALATAL SPEECH SURGERY Version Number V1 Date of Issue July 2016 Reference Number PPMCCLPPSS-07-2016-LDMSAD-V1 Review Interval 3 yearly Approved By Name: Mr. David Orr Title: Consultant in Plastic Surgery Signature: Date: July 2016 Consultant in Plastic Surgery … Incidence is highest in children with a family history of cleft defects, those exposed to teratogens during fetal development, or … Antenatal Diagnosis: Cleft lip may be picked up by high resolution ultrasound on or before 20 weeks gestation.

Prenatal ultrasound can diagnose most clefts of the lip. These defects happen early in pregnancy when the lips and palate do not form properly.

Most medial facial clefts account for less than 1% of all facial clefts. Isolated cleft palate has a greater incidence of associated anomalies.

Cleft lip is characterized by a slit or opening that goes through the lip and into the nose on one or both sides of the lip.

A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. There is a twofold increase in the occurrence of clefts with maternal smoking in early pregnancy. Orofacial clefts, individually known as cleft lip and cleft palate, are the most common birth defects. Cleft lip deformities can occur unilaterally, bilaterally or rarely, in the midline. While it is not painful during infancy, if left untreated, clubfoot can cause permanent damage and an inability to walk. Surgery and treatment for cleft lip and palate. Oksana Jackson, MD: The surgical treatment for cleft lip and palate varies according to the severity of the cleft. Lack of embryonic development elements of the prepalate (face, lips, premaxilla and incisors) 2. Our post-op nursing care is focused on protecting the incision and monitoring their airway. 33. That’s it for our lesson on cleft lip and cleft palate. Cleft of lip is denoted as CL. Cleft of lip along with alveolus is denoted as CLA. In most cases, a prenatal ultrasound can detect cleft lip/cleft palate as early as 16 weeks into a pregnancy. Surgery Cleft lip restore, usually carried out by a plastic surgeon, is a major a part of the remedy of a new child with cleft lip, palate, or both; some surgeons favor early restore, before the newborn is discharged from the hospital; different surgeons favor to attend until the newborn is 1 to 2 months outdated, weighs about 10 lbs, and is gaining weight steadily. Cleft palate and cleft lip, also referred to as orofacial defects, are birth defects that affect more than 7,000 babies in the United States every year, according to the Centers for Disease Control.

Definiton Cleft palate repair – is surgical repair of congentinal defects in the palate Causes of defects 1. these surgeries usually take place between 3 and 6 months for the cleft lip and 6 and 24 months for the cleft palate.

breastfeeding the infant with a cleft lip and/or palate such as plugging the cleft lip and eliciting a let-down reflex before nursing.

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