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Cleft Lip and Palate - Coggle Diagram
Cleft Lip and Palate
Treatment and Management
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0-3 months
Taping + Surgery
Steristrips + Tegaderm
Reduced tension on lip close, stable platform for nasal repair, realignment of alveolar segments, reduction in need for secondary alveolar bone graft
Naso-Alveolar Molding
Improved Feeding, tongue position, symmetry of alar domes
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Complications
Feeding issues
Need to feed in upright posiotion to diminish nasal regurgitation, frequenbt burning, breast feeding is difficult, special squeenze bottle and nipple smyptoms can be used
Dental Concerns
Maxillary midline deviated to unaffected side, nasal septum deviated to unaffected side, flat alar cartilage, short columella
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Missing, malformed, malpositioned or supernumary teeth
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Embryology
Cleft Lip
Front, maxillary, mandibular processes form the face, neural crest origin, left left lip due to failure of fusion of median nasal and maxillary processes
Cleft Palate
Palatal process from maxillary processes fuse with premaxilla and nasal septum from anterior to posterior
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