Presentation
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Also, 116 (74.3%) subjects presented in infancy, 29 (18.6%) presented during childhood, and 11 (7.1%) presented in adulthood. [afrjpaedsurg.org]
A large percentage (52.5%) of the 40 patients presenting with tooth agenesis in Q1 presented tooth agenesis also in Q2. [progressinorthodontics.springeropen.com]
Age at presentation ranged from birth to 35 years (median-5 months) for the CL/P group, and birth to 29 years (median-12 months) for those with CP. The most common age of presentation was within the first month of life for both groups. [jpma.org.pk]
All patients’ files were reviewed for the following information: demographic data (age, gender), medical history (age at presentation, presenting symptoms, other medical problems), surgical history (for any operation done other than the primary repair [jpss.eu]
Entire Body System
- Surgical Procedure
Keywords Alveolar Bone Grafting; Cleft Lip; Cleft Palate; Reconstructive Surgical Procedures. Refbacks There are currently no refbacks. [actamedicaportuguesa.com]
A septoplasty, a surgical procedure that straightens the septum, can help restore the nasal airway. [chop.edu]
WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED? A plastic and reconstructive surgeon performs the procedure in a hospital equipped with a surgical department. [encyclopedia.com]
In general, surgical procedures will be required to repair the actual cleft, and then further therapies can address difficulties with hearing and speech. [cleftresources.com]
The timing for the corrective surgical procedure for cleft lip and palate repair varies with limitation to the age, size, and weight of the neonate. [jiadsr.org]
- Feeding Difficulties
[…] methods have been used in the past to resolve the feeding difficulties. [jiadsr.org]
Feeding difficulties occur more with cleft palate abnormalities. Children with cleft lip but without cleft palate do not usually have feeding difficulties. [chop.edu]
These include feeding difficulties, speech and language delays, ear infections/hearing loss, esthetic problems, dental anomalies, psychosocial problems, and reduced quality of life. [6], [7], [8] To correct the problems, these defects need to be repaired [jcsjournal.org]
Babies with cleft lips and palates have feeding difficulties, which are more severe in babies with cleft palates. The difficulty in feeding is due to the baby being unable to achieve complete suction. [encyclopedia.com]
Collectively CL, CLP, and CP are the most common craniofacial birth defects worldwide, and affected individuals face feeding difficulties early in life and typically require multiple corrective surgeries, therapeutic dental procedures, and speech therapy [f1000research.com]
- Pathologist
If the child avoids these sounds or does not appear comfortable with these movements, treatment by a speech pathologist is recommended. The pathologist will assist in teaching the child how to correctly use his/her lips during the sounds. [mrshc.org]
All clinicians and scientists interested in birth defects, including pediatricians, geneticists, genetic counselors, obstetricians, and pediatric pathologists, will find this book to be an invaluable source of information. [books.google.de]
Speech and language assessments Shortly after birth, a speech and language pathologist will evaluate your child’s feeding skills and oral-motor development to determine the need for any specific treatment or procedures. [chop.edu]
Warning Signs in Development of Speech, Language, and Communication: When to Refer to a Speech-Language Pathologist, Journal of Child and Adolescent Psychiatric Nursing, Wiley Periodicals Inc., 24: 175-184. Tough, J. (2012). [rrttlc.ro]
For reasons previously stated, speech remains the gold standard for cleft palate surgery. [35], [36] However, because of the short period of the study and non-availability of trained speech pathologist, this important indicator could not be evaluated [afrjpaedsurg.org]
Gastrointestinal
- Vomiting
Stay on the cutting edge of management of emergence agitation, sleep-disordered breathing and postoperative vomiting; the use of new devices such as cuffed endotracheal tubes and new airway devices; and much more. [books.google.de]
Psychiatrical
- Denial
[…] disfigurement may complicate the role of parenthood and the encounter with the infant. [13] Parents can experience a shock and they have to adjust to the loss of the anticipated perfect child; they are likely to experience emotional reactions such as confusion, denial [jcsjournal.org]
Opportunity to withdraw at any stage of the study was made known to each subject or their parents/guardian without victimization or denial of treatment. [afrjpaedsurg.org]
- Fear
[…] remoteness of available health services, and lack of finance has been found responsible for late presentation of cleft lip and palate patients for treatment. [36] Other reasons suggested are superstition, health belief system of the people, and the fear [afrjpaedsurg.org]
Urogenital
- Urinary Retention
In both groups, none of the patients required perioperative blood transfusions, none had urinary retention, wound infection, enterocolitis, anastomotic leak or strictures, or intraabdominal abscesses. [jpss.eu]
Neurologic
- Language Delays
Also, research has found that these children have higher incidences of language delay. Early evaluation and treatment for these speech and language delays is recommended. [mrshc.org]
Speech and language delay Due to the opening of the roof of the mouth and the lip, muscle function may be decreased, which can lead to delayed or abnormal speech. Referral to a speech therapist should be discussed with your child’s physician. [chop.edu]
These include feeding difficulties, speech and language delays, ear infections/hearing loss, esthetic problems, dental anomalies, psychosocial problems, and reduced quality of life. [6], [7], [8] To correct the problems, these defects need to be repaired [jcsjournal.org]
- Confusion
[…] disfigurement may complicate the role of parenthood and the encounter with the infant. [13] Parents can experience a shock and they have to adjust to the loss of the anticipated perfect child; they are likely to experience emotional reactions such as confusion [jcsjournal.org]
Parental concerns Parents of a newborn baby with a cleft lip or palate are often confused and afraid of the impact the defect will have on their child's life. These feelings can be alleviated by learning about the cleft and treatment options. [encyclopedia.com]
- Agitation
Stay on the cutting edge of management of emergence agitation, sleep-disordered breathing and postoperative vomiting; the use of new devices such as cuffed endotracheal tubes and new airway devices; and much more. [books.google.de]
- Burning Sensation
The keloid can cause itching and a burning sensation. Scratching must be avoided because it can lead to healing problems. [encyclopedia.com]
- Irritability
Initially, child was irritable and slow in suckling the milk. After few days, irritability decreased and mother was able to feed the infant comfortably with the appliance in place. [jiadsr.org]
Workup
Before any surgical correction of clefts, all children should have a systematic clinical cardiac assessment as a part of preoperative workup, due to the highest risk of CHD among the associated abnormalities. [journals.plos.org]
Routine surgical preoperative workup was done for the subjects [who met the minimum criteria of age ≥10 weeks, weight ≥10 pounds (4.5 kg) with a hemoglobin concentration of 10 gm/dl, and free from upper respiratory tract infection] before scheduling for [afrjpaedsurg.org]
Treatment
We can help to maximize normal appearance through surgery and other treatments. [chop.edu]
and free cleft treatment available in the hospital. [afrjpaedsurg.org]
In some cases surgical intervention is required prior to the initiation of speech treatment. What contributes to the incomplete closure of lip/palate continues to be researched. [mrshc.org]
In 57 in-depth chapters they cover all aspects of pathophysiology, epidemiology, diagnosis and treatment. [books.google.de]
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 Both cleft lip and cleft palate are treatable birth defects. [encyclopedia.com]
Prognosis Treatment takes place over several years as the child grows and the palate and dentition develop. However, it is possible to achieve a normal appearance, and normal speech and eating habits, early in the process. [patient.info]
They further suggest that type 1 clefts are associated with a low rate of anomalies and type 2 and 3 clefts with intermediate prognosis. Type 4 and 5 clefts are universally associated with concurrent anomalies and with fatal outcome[ 26 ]. [wjgnet.com]
Prognosis of facial growth in patients with unilateral complete clefts of the lip, alveolus and palate. J Craniomaxillofac Surg. 29, 198-204 (2001). Parsons, K. J., Andreeva, V., James Cooper, W., Yelick, P. C., Craig Albertson, R. [jove.com]
Etiology
Environmental risk factors for orofacial clefts There are several recognized environmental risk factors and multiple genes involved in the etiology of orofacial clefts, which means the etiology is complex and heterogeneous. [f1000research.com]
Embryology Etiology The development of CLP is dependent on the interaction of environmental factors and genetic predisposition Genetic predisposition Family history: multifactorial inheritance pattern ( Mendelian inheritance is rare) An affected parent [amboss.com]
Lecturer, SEGi University Published on Mar 23, 2013 At the end of this lecture, students should be able to: Develop an understanding terms Cleft lip & Palate Develop an understanding of incidence of the condition Describe the etiology and pathogenesis [slideshare.net]
In Nigeria, many deformities have been attributed to supernatural forces, [25], [26] as in the Hausa/Fulani, who attribute the etiology to the “will of God." [25] In another study on the cultural beliefs of Nigerians about the etiology of cleft deformities [jcsjournal.org]
The etiology of observed differences in academic achievement is unclear. [pediatrics.aappublications.org]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
To date, little is known regarding the epidemiology and pattern of orofacial clefts in Tanzania. [bmcoralhealth.biomedcentral.com]
However, there have been very few epidemiological studies of oral clefts in Thais. Objectives To describe the epidemiology and factors associated with oral clefts in Thais. [degruyter.com]
Pathophysiology
In 57 in-depth chapters they cover all aspects of pathophysiology, epidemiology, diagnosis and treatment. [books.google.de]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Prevention Identification of modifiable risk factors is the first step towards primary prevention: Pre-pregnancy planning seems to reduce risk. [patient.info]
Having certain infections during pregnancy, like rubella (also called German measles) What can you do to help prevent cleft lip and cleft palate in your baby? You can’t always prevent cleft lip and cleft palate in your baby. [marchofdimes.org]
Prevention While little is known about how to prevent clefts, researchers from the California Birth Defects Monitoring Program found that women considering pregnancy may be able to reduce the risk of facial clefts (and possibly other birth defects) in [encyclopedia.com]
Speech During speech, the palate controls air flow, preventing air from escaping through our nostrils. In addition, many speech sounds are produced by touching tongue to palate. [cleftresources.com]