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Doctor insights on: Cleft Palate Therapy

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Can a palate expander fix a cleft palate?

Can a palate expander fix a cleft palate?

Not it's job: Palatal expander used to widen a narrow upper jaw. It does not correct a cleft, but properly repositions the 2 halves of the upper jaw from side-to-side. Repair of the cleft usually means some surgery. Talk to the cleft team about what's being done and why. ...Read more

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Palate (Definition)

The palate is the anatomical description of the roof of the mouth. It separated into two parts: the hard palate (more forward) and the soft palate (which is closer to the throat), it separates the mouth ...Read more


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Can cleft lips and cleft palates be repaired?

Can cleft lips and cleft palates be repaired?

Cleft repair: Yes, both cleft lip and cleft palate can be repaired. The website of the cleft palate foundation ( http://www.Cleftline.Org/ ) has useful information about cleft surgery and other aspect of cleft care. ...Read more

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Cleft palate and palatine processes for surgery?

Cleft palate and palatine processes for surgery?

Good if needed: Have your orthodontist and your oral surgeon both review your situation. The co-ordination between the 2 of them generally gives better results. ...Read more

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Can cleft lips and cleft palates be prevented?

Can cleft lips and cleft palates be prevented?

Prevent cleft lip...: Many cases of cleft lip and palate cannot be prevented. Avoiding alcohol and tobacco use during pregnancy can lower you risk of having a baby with a cleft lip. Use of multivitamin or prenatal vitamins including Folic Acid during pregnancy or if you are planning to get pregnant may prevent cleft lip and cleft palate. ...Read more

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What is a cleft lip and cleft palate?

Incomplete closure: During development of the fetus the palate and upper lip start separated from each other. During development the palate and lip come together and ultimately fuse. Rarely the palate doesn't fuse leading to a space between the two sides (cleft palate) or the lip doesn't fuse (cleft lip) or both fail to fuse (cleft lip and palate). ...Read more

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Cleft lip and palate repair--best at birth or later?

Lip by 3 months.: Lip repair is usually done by 3 months old, and palate repair by 10 months before speech begins. The age of lip repair is not critical, and most surgeons do not feel that the risks of early (ie 0-4 weeks old) outweigh the theoretical benefits. So, repair at birth is frowned on by most cleft centers and surgeons. ...Read more

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Is there funding for cleft palate repairs?

Cleft palate: You should check with a dental school there are groups of oral surgeons and orthodontist s who specifically spend certain times to do these procedures many times they volunteer their services. ...Read more

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What does orthognathic surgery for bilateral complete cleft lip and palate involve?

What does orthognathic surgery for bilateral complete cleft lip and palate involve?

Many surgeries : This surgery can include repair of the lip and nose by clipping then sewing the tissues together in the first 6 months of life. The palate (roof of mouth) repair around 12-18 months of age involves sewing the two sides together. A repair of a cleft in the gumline may involve adding bone and orthodontics (braces) usually 9-12 years old. ...Read more

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What is orthognathic surgery for bilateral complete cleft lip and palate?

What is orthognathic surgery for bilateral complete cleft lip and palate?

Clefts and Jaw Sx: In cleft patients, it is common for the maxilla to fail to develop along normal growth patterns, a lot of this has to do with scarring from previous surgeries. In order to correct for this underdevelopment of the upper jaw, orthognathic surgery is performed. Typically, the upper jaw is advanced forward, and because it is a bilateral cleft, it will technically be a three-piece segmental LeFort. ...Read more

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Does one inherit cleft lip and palate?

Yes: The cause for cleft lip/palate is both genetic and/or environmental factor. It is prevalent in native americans and asian. ...Read more

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Does anyone have speech therapy for a cleft lip and palate?

Lip no, palate yes: Generally isolated cleft lip patients do not require speech therapy and, generally, patients with cleft palate do as this affects normal speech development. These problems are generally handled in multispecialty clinics with many disciplines working together: plastic surgeons, ENT surgeons, speech therapists, orthodontists, etc. ...Read more

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How successful is repair of a cleft lip and palate?

Very Successful: Cleft lip and palate surgeries have produced some very successful functional and esthetic results. The type of cleft, timing of surgery, skill of the surgeon, technique and materials used, are factors that can influence the surgical outcome. ...Read more

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Braces ok after cleft lip and palate?

Braces ok after cleft lip and palate?

Yes: Many individuals that have had the surgeries to repair the clefts have gotten braces. However, the situation is different and is made more complex due to the cleft healing sights. Talk to an orthodontis or dentist to get more input and find your options. I think it is a good option. ...Read more

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How do cleft lip and palate develop?

How do cleft lip and palate develop?

Failure of fusion: There are essentially three layers in the developing embryo and it is felt that failure of the middle layer to advance and fuse in the face (from the frontonasal process of the bronchial arches) maybe responsible. While socioeconomic factors and nutrition play a role, genetic factors are also contributory. ...Read more

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Does a cleft lip or cleft palate cause problems for a child?

Does a cleft lip or cleft palate cause problems for a child?

Feeding, then speech: Cleft lip is usually just an appearance issue, but cleft palate can result in early problems feeding, and later with speech. Other problems with teeth, etc can also arise. ...Read more

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What is the type of doctor who reconstructs cleft lips and cleft palates?

What is the type of doctor who reconstructs cleft lips and cleft palates?

Cleft lip: it would be an oral,surgeon that would do the repair of a cleft lip or palate. They would be working with a team of ENTs, pediatric specialists and others to treat this. ...Read more

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How frequently do cleft lips and cleft palates occur?

How frequently do cleft lips and cleft palates occur?

It depends on a lot.: Cleft lip and palate can be as high as 50% (one in two children) for people with certain genetic make up, or much lower. Caucasians have about a 1 in 1000 risk of cleft lip and or palate, Africans about 1 in 1200, some Asians as high as 1 in 300. ...Read more

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Chances of another child with cleft lip and palate?

Chances of another child with cleft lip and palate?

Depends on linkage: Cleft lip & palate are influenced by several genes & not passed as dominant or recessive traits. The chance of having a second child with a cl&p s quoted as ~4% while the chances of a cl&p parent having an affected child is ~6%. ...Read more

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What causes a cleft palate?

What causes a cleft palate?

Cleft palate: Cleft palate can consist of the hard or soft palate. It develops due to a failure of fusion in facial development during the first trimester. There are a number factors - both genetic and environmental- that have been associated with these conditions. ...Read more

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Is 20 mcg/kg of IV Propofol enough for a 1 y/o baby on a cleft palate repair? Could he experience awareness?

Is 20 mcg/kg of IV Propofol enough for a 1 y/o baby on a cleft palate repair? Could he experience awareness?

Talk to Drs: That dose is not a real dose. If you have concerns about your baby's anesthetic, please discuss it with your anesthesiologist. ...Read more

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My child has a cleft palate. Will she need speech therapy?

Cleft speech therapy: Most, but not all, children with a surgically repaired cleft palate will need some speech therapy. A smaller number will need a second operation plus speech therapy to achieve normal speech. The goal is to have normal speech before starting first grade. ...Read more

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What is the treatment doctors use for cleft palate?

What is the treatment doctors use for cleft palate?

Cleft repair: Complex and long term care and treatment requiring multiple surgeries over several years. Must include a multidisciplinary team, look for the children's hospitals, and go have a consult. They are very friendly and informative. ...Read more

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Hello, I would like to talk about my nephew Ranbir Guha.He has a problem like cleft palate.Please suggest us what we should do for his treatment?

See a doctor: Treatment for a cleft palate is ideally a team approach involving many different medical and dental specialties. The starting place can be with your family physician who can refer you to the specialists who treat cleft palates. ...Read more

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Does anyone have speech therapy for a cleft lip and palate?

Lip no, palate yes: Generally isolated cleft lip patients do not require speech therapy and, generally, patients with cleft palate do as this affects normal speech development. These problems are generally handled in multispecialty clinics with many disciplines working together: plastic surgeons, ENT surgeons, speech therapists, orthodontists, etc. ...Read more

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What is the best treatment for cleft lip or palate?

Surgical repair: While there are other options other than surgery like obturators, surgery is by far the best option in children. ...Read more

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Cleft lip & palates. What do you know about getting treatment in india?

Cleft lip & palates. What do you know about getting treatment in india?

Cleft lips/palates: You have plenty of well trained plastic surgeons who can correct the deformity. Enquire within the city you are hailing from. ...Read more

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What is a cleft palate?

Birth defect: Cleft palate is a birth defect that affects the roof of the mouth. It is present in 1 out of 2500 people. ...Read more

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What is the procedure to fix a cleft palate like?

What is the procedure to fix a cleft palate like?

Depends: A cleft palate repair is designed to close the cleft and re-orient the soft palate muscles to allow for normal speech development. Ideally, this is accomplished with one surgery. Around 20% of children with cleft palates will need a second surgery to improve nasal speech when they are 4-5 years old. Depending on the severity and whether the gums are involved, bone surgery may be needed later. ...Read more

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What causes cleft palate in a baby?

Familial,environment: Multifactorial with genetic and environmental factors play major roles. Cleft lip, with or without cleft palate, are due to a failure of fusion of the medial nasal, lateral nasal, and maxillary processes on one or both side. Isolated clefts of the secondary palate are due to failure of palatal shelves to fuse. Must distinguished between isolated deformities or part of a syndrome. ...Read more

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What obstacles to overcome cleft palate?

What obstacles to overcome cleft palate?

Worrisome Emotions: There are specialists in cleft palate that can offer you an expert advice, and who will be able to answer any questions or concerns you may have. Ask your pediatrician for referral. ...Read more

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Cleft palate and palatine processes for surgery?

Good if needed: Have your orthodontist and your oral surgeon both review your situation. The co-ordination between the 2 of them generally gives better results. ...Read more

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What is the genetics of cleft palate?

CLeft: This happens when the facial bones fail to fuse properly. There are environmental as well as genetic factors. The genetic factors for the more common type are patchy however for the more severe syndrome it is better understood. You should talk to your dentist and md to get a referral to a genetics specialist if you require more info. ...Read more

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How can a cleft palate cam be harmful?

If it is open: If the degree of the cleft palate is an opening to the area above the palate food and bacteria from the mouth can enter this area and cause infection. ...Read more

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Can a palate expander fix a cleft palate?

Not it's job: Palatal expander used to widen a narrow upper jaw. It does not correct a cleft, but properly repositions the 2 halves of the upper jaw from side-to-side. Repair of the cleft usually means some surgery. Talk to the cleft team about what's being done and why. ...Read more

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How can submucous cleft palate be treated?

How can submucous cleft palate be treated?

Speech therapy: Only 50% of submucous cleft palates need to be repaired, no matter how wide they appear. Speech therapy is the way to start if there is excessive air escape with speech. Surgery only if air escape persists. 50% never have a speech problem. ...Read more

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New born baby with cleft palate, what to do?

New born baby with cleft palate, what to do?

Contact ACPA: The American Cleft Palate Craniofacial Association is an international non-profit medical society of health care professionals who treat and/or perform research on birth defects of the head and face. You may contact them for the referral near you. Here is the link: http://www.acpa-cpf.org/who_we_are/ Good luck. ...Read more

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How do I breastfeed a baby with a cleft palate?

With help: It can be difficult to nurse a baby with a cranio-facial problem like cleft palate. You'll want to work with both your cranial-facial team and a lactation consultant for specific-advice, and monitor baby's growth and intake. You may need to pump and feed at least some milk via bottle or other system to ensure baby gets enough, but that isn't always necessary. ...Read more

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How can I breastfeed a baby with a cleft palate?

How can I breastfeed a baby with a cleft palate?

Possibly: Some babies with an incomplete cleft palate are able to nurse. Otherwise you can express your milk and bottle feed with a specific nipple that has a flap to seal the palate while feeding. ...Read more

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What does it mean to have a submucous cleft palate?

See below: A cleft palate is a defect in the roof of the mouth that you are born with. The muscles and the overlying skin don't come together during development. In submucous cleft palates, the muscles are not joined, but the overlying skin is, so you don't see a defect. This condition can be associated with speech problems so it should be evaluated by an experience cleft palate team. ...Read more

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Dr. Daniel Sampson
204 doctors shared insights

Cleft Palate (Definition)

Also called palatoschisis, it is a congenital fissure in the roof of the mouth, resulting from incomplete fusion of the palate during embryonic development. It may involve only the uvula or extend ...Read more


Dr. Daniel Sampson
363 doctors shared insights

Cleft Lip (Definition)

A lip that ...Read more