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Cleft of Hard Palate

Cleft Palate


Presentation

  • […] if the condition was present at the time of inpatient admission.[icd.codes]
  • This presented as a very rare occurrence in three different variations, each having specific clinical appearances. The literature search revealed three publications each describing a single isolated hard palate cleft.[ncbi.nlm.nih.gov]
  • Repair of cleft lip and simultaneous repair of cleft hard palate with vomer flap in unilateral complete cleft lip and palate: a comparative study. ( 20842387 ) 2010 4 The effect on the ear of late closure of the cleft hard palate. ( 3697560 ) 1986 5 Present[malacards.org]
  • .- ) Cleft palate Approximate Synonyms Cleft of hard palate Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including[icd10data.com]
  • It should, however, be noted that a bifid uvula occurs in isolation in about 0.1-3% of the population 3 , 4 , 5 and that not all of the above signs need to be present to diagnose a submucous cleft palate. 6 , 7 A 68-year-old man was referred to our ENT[nature.com]
Camping
  • Besieged on both sides, the plastic surgeon must temper the demands of both camps, seeking the overall benefit of the patient.[ncbi.nlm.nih.gov]
  • We offer a support group for parents of children with cleft lip and palate and a camp for children with cleft lip and palate. References & Sources Pediatric Plastic Surgery – Clefts, In E.P. Buchanan, & L.[texaschildrens.org]
Respiratory Distress
  • Signs : bilateral nasal discharge, dysphagia, poor growth, respiratory distress. Diagnosis : endoscopy, radiography, microbiology. Treatment : surgical repair.[vetstream.com]
Ulcer
  • This report describes a 32-year-old man who sustained laceration and cleft of the tongue and ulceration of the hard palate as a result of the use of an oral airway in conjunction with oral intubation.[ncbi.nlm.nih.gov]

Workup

  • Lateral cephalometric radiographs in a 14-year-old girl with Stickler syndrome and isolated cleft palate who underwent a preoperative workup for treatment of obstructive sleep apnea.[pubs.rsna.org]

Treatment

  • We can help to maximize normal appearance through surgery and other treatments.[chop.edu]
  • Treatment involves a team of health care providers. The type of treatment depends on how severe the problem is. Surgery is the most common treatment for a cleft palate.[healthlinkbc.ca]
  • There are eleven NHS centres in the UK dedicated to the treatment of cleft lip and palate. Who will my baby see? Babies with cleft lip and/or palate will be seen by a multi-disciplinary treatment team.[bapras.org.uk]

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]
  • Prognosis : poor or guarded - better for soft palate defects detected and treated early; wound breakdown and complications common. Pathogenesis Etiology Hereditary. Trauma.[vetstream.com]
  • Prognosis Both cleft lip and cleft palate are treatable birth defects.[encyclopedia.com]
  • These are distinct entities with different implications regarding underlying genetic syndromes, associated anomalies, and prognosis.[pubs.rsna.org]

Etiology

  • Pathogenesis Etiology Hereditary. Trauma. Timecourse Some horses grow reasonably but develop nasal reflux of food at older ages (often up to 4 years for first time).[vetstream.com]
  • Some content is also relevant to individuals with velopharyngeal inadequacy, secondary to various other etiologies. See the Cleft Lip and Palate Evidence Map for summaries of the available research on this topic.[asha.org]
  • Cartilage hypoplasia and cranial base abnormality have also been posited as potential etiologies.[medicine.uiowa.edu]
  • Cleft palate fistulas: a multivariate statistical analysis of prevalence, etiology, and surgical management. Plast Reconstr Surg. 1991;87(6):1041-7. . PMid:2034725 4. Musgrave RH, Bremner JC. Complications of cleft palate surgery.[rbcp.org.br]

Epidemiology

  • 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]
  • Van der Woude syndrome: a review—cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic counselling and treatment . Eur J Orthod 2004 ;26(1):17–24. Crossref , Medline , Google Scholar 4.[pubs.rsna.org]
  • Cleft lip and palate (CL/P) and cleft palate alone (CP) are different entities with varying incidence, epidemiology, and genetics.[encyclopedia.com]
Sex distribution
Age distribution

Prevention

  • The flap was directed into the palatal defect via the right alveolar cleft and sutured in a fashion to prevent dehiscence and fistulization. RESULTS: The surface of the flap mucosalized over an 8-week period. The defect was completely closed.[ncbi.nlm.nih.gov]
  • 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]
  • A defect in the alveolus can (1) displace, tip, or rotate permanent teeth , (2) prevent permanent teeth from appearing, and (3) prevent the alveolar ridge from forming. These problems can usually be repaired through oral surgery.[webmd.com]

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