Presentation
BACKGROUND: The optimal management of cleft lip-cleft palate patients presents a formidable challenge to the cleft surgeon. [ncbi.nlm.nih.gov]
Entire Body System
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Poor Growth
Problems that may be present because of a cleft lip or palate are: Feeding difficulties Failure to gain weight Flow of milk through the nose during feeding Dental problems, such as missing, extra, malformed, displaced, and crooked teeth, and cavities Poor [adoptionnutrition.org]
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Respiratoric
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Sneezing
He may sneeze the food out, swallow it down with the next bite, or need a little sip of fluid. If the nasal passages become noticeably clogged, give him a little water. [adoptionnutrition.org]
Psychiatrical
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Suggestibility
There is evidence, however, to suggest that the risk of developing clefts in stillbirths and abortions is three times as frequent as in livebirths and that clefts with associated malformations behave differently epidemiologically from clefts without associated [ncbi.nlm.nih.gov]
Face, Head & Neck
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Hypertelorism
We describe a male patient with holoprosencephaly, ectrodactyly, cleft lip/cleft palate and hypertelorism. This rare association has previously been reported in two patients. [ncbi.nlm.nih.gov]
Workup
Early in life a thorough examination should be performed by a pediatrician to make sure there are no other anomalies that require workup. [reidhealth.org]
Treatment
BACKGROUND: The treatment of patients affected by unilateral cleft lip-cleft palate is based on a multistage procedure of surgical and nonsurgical treatments in accordance with the different types of deformity. [ncbi.nlm.nih.gov]
Your child’s individualized treatment plan and surgical timeline extend into young adulthood. We use the latest research to offer the most current treatment options for cleft lip and cleft palate. [dukehealth.org]
treatment before turning 22, and be under the age of 28 when receiving treatment Prescribed dental patient certification From 1 December 2015, when providing treatment under the scheme, you must certify that your patient meets all of the eligibility [humanservices.gov.au]
We can help to maximize normal appearance through surgery and other treatments. [chop.edu]
Prognosis
Type-specific sonographic features include: type III: may be seen as a premaxillary echogenic mass 8 Ancillary sonographic features there can be polyhydramnios if the defect is severe and impairs swallowing Treatment and prognosis The overall prognosis [radiopaedia.org]
Etiology
Regardless, it is still unclear as to the nature of the genetic and environmental components of the etiology as well as the nature of the relevant pathogenetic mechanisms. [ncbi.nlm.nih.gov]
It is important to recognize that the risk of occurrence for ICP and CL/CP is very different (see etiology) with CL/CP being far more common. [kidsplastsurg.com]
Embryology Etiology The development of CLP is dependent on the interaction of environmental factors and genetic predisposition References: [5] [6] [7] [8] Clinical features Subtypes and variants Diagnostics Treatment References: [11] [12] [13] [14] [15 [amboss.com]
Likewise, obesity, which is increasingly common in children and teenagers, may worsen obstructive sleep apnea of anatomic etiology, leading to adverse health and school performance issues. [pediatrics.aappublications.org]
Epidemiology
More research is needed to study the risk of developing clefts among the various groups that exhibit different epidemiologic behavior for each race. [ncbi.nlm.nih.gov]
Epidemiology References: [1] [2] [3] [4] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Epidemiology 2007;18:226–33. Yazdy MM, Autry AR, Honein MA, Frias JL. Use of special education services by children with orofacial clefts. Birth Defects Research (Part A): Clinical and Molecular Teratology 2008;82:147-54. [cdc.gov]
Epidemiology and Etiology of CL/P CL/P is one of the most frequently observed congenital anomalies, occurring in approximately 1 in 600 to 700 births in the United States ( Table 2 ). 8 The Centers for Disease Control and Prevention recently estimated [pediatrics.aappublications.org]
Pathophysiology
It is important that they are reassured that they did nothing wrong to cause the child’s birth defect. (1-7) Cleft lip and palate pathophysiology Normally the tissues of the face develop from either side and fuse in the middle. [news-medical.net]
Prevention
CDC funds the Centers for Birth Defects Research and Prevention, which collaborate on large studies such as the National Birth Defects Prevention Study (NBDPS; births 1997-2011) and the Birth Defects Study To Evaluate Pregnancy exposureS (BD-STEPS; began [cdc.gov]
Prevention of middle ear fluid collection Prevention of middle ear fluid collection, infections and hearing loss can be done using a tube equalizes the pressure. Pressure-equalizing tubes help prevent fluid from building up in the ear. [news-medical.net]
Potential Solutions: Feed the baby in a more upright position to prevent milk from coming out of the nose. Upright feeding also helps prevent ear infections. Try using specialized bottles, such as the Haberman Feeder or Pigeon nipple. [adoptionnutrition.org]
The parents or caretakers of bottle-fed children also showed a lack of motivation to perform regular preventive dental home care for their children. [ncbi.nlm.nih.gov]