Opening lip/palate. Cleft lip is an opening in the skin and muscle of the upper lip and is a birth defect. Cleft palate is an opening in the roof of the mouth. It can be partial or complete. You can have cleft lip or palate with or without the other.
A non fusion. A cleft lip is a lack of fusion of the lip. A cleft palate is a lack of fusion of the roof of the mouth. They can occur together or separately.
Facial birth defects. A cleft lip is a congenital defect of the upper lip where there is a notch or split in it that can go all the was through the bone to the base of the nose. A cleft palate is a split in the roof of the mouth. They can occur together or singly. You can find lots of information about these anomalies on the internet.
Birth defect. A cleft is a birth defect that occurs when the tissues of the lip and/or palate of the fetus do not fuse very early in pregnancy. A cleft lip, sometimes referred to as a harelip, is an opening in the upper lip that can extend into the base of the nostril. A cleft palate is an opening in the roof of the mouth.
Birth defect. Cleft lip and palate are a midline defect in which the lip and/or palate fails to fuse in the midline resulting in an open cleft of defect which can affect oral intake and speech.
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).
Not closeed properly. A cleft lip and a cleft palate are conditions when the lip and/or palate don't come together properly. There left is a malformation in both and possibly even holes that need to be fixed. They do make obturators to help with keeping the palatial situation to a minimum until surgery can be done. The lip likewise can be repaired with surgery at almost any time.
Fissures. Cleft lip and palate are fissures or opennings. They are developmental defects that occur prior to birth. They are very disfiguring, but can be corrected through surgery. Many times several surgeries are needed.
A defect. Or failure of the lip and/or palate to close during develoent of the fetus. The two sides of the face come together and join a structure called the pre maxilla to form a normal face. Failure to fuse results in a cleft.
Surgical repair. These defects are responsive ti a staged repair. Often the first work is done in early infancy to close the front defect in the lip & assist feeding. Palate repair can sometimes be delayed until the child is older & can better tolerate the work.
Surgery. Surgery can correct both. Usually the soft tissue surgery (lip) is done first followed later by repair of the palate.
A lot. Surgical repair is the treatment for cleft lip and palate. It will often be multiple, staged surgeries during childhood. It is best to be treated at a multi-disciplinary cleft lip and palate clinic. You can find one in your area by checking out the acpa website.
Surgery. Surgery is needed to correct this problem.
What is the connection between cleft lip and palate and ear infections? My child was born with a cleft lip and palate. He often gets ear infections, and he has actually experienced some hearing loss because of them. Why do children with cleft palates get
It. It is thought that children with cleft palate also do not have the proper mechanism for clearing the eustachean tube- the tube that communicates your ear with your throat that allows you to clear your ears when on an airplane. This tube can get easily occluded in cleft palate children and lead to inner ear infections.
See ENT. Please consult with a ENT physician. This is a complex case. A lot of cleft lip/ palates are treated very early in life to prevent future problems. Children's hospitals are a great place for these types of patients.
eustachian tubes. The eustachian tubes open into the middle ear and are not protected from formula, food or other oral fluids in the cleft palate child like they are with a normal palate. They become funnels into the middle ear to cause infections and future hearing loss.
See an ENT. All children with cleft palate should see an ent. Typically ear tubes are inserted at the time of the cleft palate repair. Hearing loss is very common and should be thoroughly investigated.
Mechanics. There is a muscle that straightens the Eustachian tube that drains mucus from the middle ear. This levator palitini muscle is not in the right position with CL/P so it does not function as well. This along with other feeding/swallowing issues makes these kids more prone to ear infections until their head grows larger. Many CP teams will place tubes during the initial surgery as part of overall Rx.
Congenital disorder. A cleft lip or palate is when in the womb a developing baby's nose, upper lip and the roof of the mouth (palate) do not properly come together. This can be a signal for other developmental problems or it can be an isolated finding. Surgery can correct this problem as it can lead to feeding difficulties for the newborn.
Failure to join. The fetal foreface forms from separate skin pods, like a hand/palm down, thumb&5th finger will be lower lip, middle 3 come together as middle, nose openings &upper lips. All by 35 days. If the 3 top pods don't join u have 1 or 2 sided cl. The palatal ridges grow together from a front & 2 sides by 9wks & failure=cp, & may nor have a cl. There is polygenic linkage & some segragation of pure cl from cp.
Cleft li/palate. Cleft lip and cleft palate are not a disease. They are birth defects where the process of the face and mouth coming together early in the pregnancy has not been completed.
Congenital disorder. Cleft lip and palate arise when fusion of paired sides of the developing embryo fails. This occurs at about 8 weeks into pregnancy for lip defect and at about 12 weeks for the palate fusion defect. In utero (during pregnancy) repairs have been done and get remarkable results with almost or no scar visible as the tissues are still very close to stem cells themselves. After birth, lip repair done.
Repair. These are complex deformities that are best repaired by a team that includes plastic surgeons, ENT surgeons, speech pathologists, orthodontists, and others. These are often found at university hospital centers and give the best options for continuing care of these patients. I would encourage you to look for one of these clinics.
Surgical repair. While there are other options other than surgery like obturators, surgery is by far the best option in children.
Surgery. If the deviated septum is bad enough to cause trouble breathing through the nose, medications such as nasal steroids can be tried. If that doesn't work, then surgery, "septoplasty" is the only answer. The patient should be a teenager at least as the surgery can interfere with midface growth in a younger child.
Repair. Surgical repair can address all three - cleft lip and septum first, then the cleft palate at a later stage. Children with cleft lip & palate may need minor revisionary surgery (especially of the nose and septum) later in life, followed by a formal rhinoplasty (nose job) for final "touch-ups" once their faces have matured - around 16/17 years old.