In patient care of cleft lip and palate By: DR HINA ADNAN DNT 472

Cleft lip and cleft palate, which can also occur together as cleft lip and palate, are variations of a type of clefting congenital deformity caused by abnormal facial development during gestation. A cleft is a fissure or opening—a gap. It is the non-fusion of the body's natural structures that form before birth. Approximately 1 in 700 children born have a cleft lip or a cleft palate or bothcongenital deformitygestation Cleft lip and palate

Unilateral incomplete Classification of cleft lip

Unilateral complete

Bilateral complete

Incomplete cleft palate Classification of cleft palate

Unilateral complete lip and palate

Bilateral complete lip and palate

The diagnosis is made at the time of birth by physical examination Diagnosis

Cleft lip and palate is very treatable; however, the kind of treatment depends on the type and severity of the cleft. Most children with a form of clefting are monitored by a cleft palate team or craniofacial team through young adulthood. [ Care can be lifelong. Treatment procedures can vary between craniofacial teams. For example, some teams wait on jaw correction until the child is aged 10 to 12 (argument: growth is less influential as deciduous teeth are replaced by permanent teeth, thus saving the child from repeated corrective surgeries), while other teams correct the jaw earlier (argument: less speech therapy is needed than at a later age when speech therapy becomes harder). Within teams, treatment can differ between individual cases depending on the type and severity of the cleft.deciduous teethpermanent teeth Treatment

Your doctor may give you a special liquid for cleaning the wound. Use a cotton swab (Q-tip) to do so. Begin at the end that is closer to the nose. Always begin cleaning away from the incision in small circles. Do not rub right on the wound. If your doctor gave you an antibiotic ointment, put it on your child's incision after it is clean and dry. Post surgical care instructions.

Feed your child only the way your doctor or nurse told you. Do not give your child a pacifier. Babies will need to sleep in an infant seat, on their backs. Do not hold your child with their face toward your shoulder. They can bump their nose and harm their incision. Keep all hard toys away from your child. Use clothes that do not need to be pulled over the child's head or face.

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