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Cleft Lip and Cleft Palate (Special care (Use of special nipples to…
Cleft Lip and Cleft Palate
Cleft Lip
Maxillary processes do not fuse during the 6th week of gestation.
Determined
at birth
Repaired around
3 months
Cleft Palate
Failure of fusion during the 5-12th week of gestation
Determined in
Neonatal period
Repaired around
18 months
(unless they have cleft lip or trouble getting nutrition
Special care
Use of special nipples to facilitate feeding
Feed in side laying position
No metal or straws
Daily weights to check fluid balance
Higher risk for ear infections b/c side laying while feeding
Risk for aspiration, infection. Altered nutrition, fluid-balance, and self image.
Associated problems
10% have associated problems
May affect speech, hearing, dentition
As long as they are gaining weight and growing, no big hurry for surgery
Prevention
Prenatal Vitamins! (caused by deficiency of folate)
Can be hereditary (African American more rare)