Materiały źródłowe

• #1 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with these conditions can live normal and healthy lives. Treatment of these conditions is best when started at a young age. However, it is never too late to seek care. Even older adults can have their clefts repaired. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. […] If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech.

• #2 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. Babies may fail their newborn hearing test, not because they are deaf but because there is some extra fluid in their ears. These issues can be treated easily if managed by the appropriate doctors, who specialize in taking care of children with cleft. If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech. Many people dont even realize when they have met a person who was born with a cleft.

• #3 Cleft lip and cleft palate – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

  A cleft lip is an opening or split in the upper lip that doesn’t close fully when an unborn baby is developing in the womb. Cleft lip may happen only on one side (unilateral) or both sides (bilateral). A baby with a cleft lip also may have a cleft in the roof of the mouth called a cleft palate. […] A cleft palate is an opening or split in the roof of the mouth that occurs when the tissue doesn’t close fully during development in the womb before birth. A cleft palate often includes a split in the upper lip (cleft lip), but it can occur without affecting the lip. […] Usually, a split (cleft) in the lip or roof of the mouth (palate) can be seen right away at birth. It may be found before birth during a prenatal ultrasound. Cleft lip and cleft palate may look like: A split in the lip and palate that affects one or both sides of the face. A split in the lip that appears as only a small notch in the lip or extends from the lip through the upper gum and palate into the bottom of the nose. A split in the roof of the mouth that doesn’t affect how the face looks.

• #4 Symptoms of Cleft Lip and Cleft Palate | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/mouth-and-jaw/cleft-lip-cleft-palate/symptoms.html

  The symptoms of these abnormalities are visible during the first examination by your infant’s physician. Although the degree of the abnormality can vary, upon inspection of the mouth and lips, the abnormality can be noted, as there is an incomplete closure of either the lip, roof of the mouth, or both.

• #5 Cleft lip and cleft palate – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

  A cleft lip is an opening or split in the upper lip that doesn’t close fully when an unborn baby is developing in the womb. Cleft lip may happen only on one side (unilateral) or both sides (bilateral). A baby with a cleft lip also may have a cleft in the roof of the mouth called a cleft palate. […] A cleft palate is an opening or split in the roof of the mouth that occurs when the tissue doesn’t close fully during development in the womb before birth. A cleft palate often includes a split in the upper lip (cleft lip), but it can occur without affecting the lip. […] Usually, a split (cleft) in the lip or roof of the mouth (palate) can be seen right away at birth. It may be found before birth during a prenatal ultrasound. Cleft lip and cleft palate may look like: A split in the lip and palate that affects one or both sides of the face. A split in the lip that appears as only a small notch in the lip or extends from the lip through the upper gum and palate into the bottom of the nose. A split in the roof of the mouth that doesn’t affect how the face looks.

• #6 Cleft Lip and Palate: Symptoms & Causes | NewYork-Presbyterian

  https://www.nyp.org/pediatrics/craniofacial-centers/cleft-lip-palate

  A cleft (split) in the lip and/or palate is usually noticed at birth. Cleft lip and cleft palate may include: […] A split in the lip on one or both sides of the face might look like a small gap in the lip or might be a larger gap from the lip to the bottom of the nose. […] A split in the roof of the mouth (palate) that doesnt affect the appearance of the face. […] A split in the lip on one or both sides of the face with a split in the roof of the mouth.

• #7 Cleft lip and cleft palate – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

  A cleft lip is an opening or split in the upper lip that doesn’t close fully when an unborn baby is developing in the womb. Cleft lip may happen only on one side (unilateral) or both sides (bilateral). A baby with a cleft lip also may have a cleft in the roof of the mouth called a cleft palate. […] A cleft palate is an opening or split in the roof of the mouth that occurs when the tissue doesn’t close fully during development in the womb before birth. A cleft palate often includes a split in the upper lip (cleft lip), but it can occur without affecting the lip. […] Usually, a split (cleft) in the lip or roof of the mouth (palate) can be seen right away at birth. It may be found before birth during a prenatal ultrasound. Cleft lip and cleft palate may look like: A split in the lip and palate that affects one or both sides of the face. A split in the lip that appears as only a small notch in the lip or extends from the lip through the upper gum and palate into the bottom of the nose. A split in the roof of the mouth that doesn’t affect how the face looks.

• #8 Cleft Lip and Palate Clinic Conditions We Treat | Texas Children’s

  https://www.texaschildrens.org/departments/cleft-lip-and-palate-clinic/conditions-we-treat

  Cleft lip and palate is the result of abnormal fusion of the facial structures during pregnancy. Patients are diagnosed at birth by the presence of a gap or crack of the lip and/or palate. The range of severity for this defect can be quite wide. Cleft lip and/or palate occurs in approximately 1 in 1000 births. […] In addition to cosmetic problems, these children can have difficulty with feeding and development of speech. Early referral to a craniofacial clinic is needed to ensure the best outcomes for these children. […] The easiest way to classify cleft lip is either as a unilateral or bilateral cleft. […] Complete cleft lips are clefts that extend up and into the nostril and will involve the tooth bearing structures in the mouth (known as the alveolus). […] A microform cleft lip is the least severe form of cleft lip and is usually only noticeable as lip notching.

• #9 Cleft Lip & Palate Association

  https://www.clapa.com/what-is-cleft-lip-palate/

  You can have a cleft lip, a cleft palate, or a cleft lip and palate. A cleft palate by itself is often called an isolated cleft palate. […] Surgery is needed to close the gap left by the cleft. This will usually happen when the child is under a year old. […] Every cleft is unique, just like every child, so the exact treatment pathway will vary. It may include further surgery to help with issues such as speech and growth of adult teeth. It may also include speech therapy, help with hearing, orthodontic work, etc.

• #10 Cleft lip and cleft palate – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

  Less often, a cleft occurs only in the muscles of the soft palate, which are at the back of the mouth and covered by the mouth’s lining. This is called a submucous cleft palate. This type of cleft may not be seen at birth and may not be diagnosed until later when signs arise, such as: Having a hard time feeding. Nasal speaking voice. Constant ear infections. Rarely, having a hard time swallowing. Liquids or foods may come out of the nose. […] A cleft lip and cleft palate may be seen at birth or may be found on ultrasound before birth. Your healthcare professional can start coordinating care at that time. If your baby has symptoms of a submucous cleft palate, make an appointment with your child’s healthcare professional.

• #11 Cleft Lip and Cleft Palate: Symptoms, Causes and Treatment | MedPark Hospital

  https://www.medparkhospital.com/en-US/disease-and-treatment/cleft-lip-and-cleft-palate

  An opening or a split in the lip or palate can be identified at birth. They may appear as: […] Another kind of cleft palate called submucous cleft palate is unnoticeable at birth but as its signs and symptoms develop. The signs and symptoms of submucous cleft palate may include: Feeding problems, Swallowing problems, such as liquids or food coming out from the nose, Voice of nasal speaking, Chronic infections in the ear.

• #12 Cleft Lip and Palate: Causes, Symptoms, Diagnosis, Treatment

  https://www.webmd.com/oral-health/cleft-lip-cleft-palate

  Babies with a cleft palate may have more trouble eating from the bottle or breast because the roof of their mouth isn’t fully formed. Food or liquid may come out of their nose when they try to eat. […] Other symptoms include: Delayed speech or trouble speaking, Ear infections, Hearing loss, Missing, crooked, or small teeth, Teeth and jaws that don’t line up evenly.

• #13

  https://www.nhs.uk/conditions/cleft-lip-and-palate/

  A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. […] Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth […] hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing […] dental problems a cleft lip and palate can mean a child’s teeth do not develop correctly and they may be at a higher risk of tooth decay […] speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older. […] Most of these problems will improve after surgery and with treatments such as speech and language therapy. […] The majority of children treated for cleft lip or palate grow up to have completely normal lives. […] Most affected children will not have any other serious medical problems and treatment can usually improve the appearance of the face and problems with feeding and speech.

• #14 Cleft Lip & Cleft Palate: Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10947-cleft-lip-cleft-palate

  With a separation or opening in the palate, food and liquids can pass from your child’s mouth back through their nose. Some babies have difficulty breastfeeding or taking a bottle because they can’t create enough suction. […] Children with cleft palate are more prone to fluid buildup in their middle ears (glue ear). If left untreated, this causes hearing loss. […] Children with cleft palate may have trouble speaking. Their voices may not carry well, and their speech may be difficult to understand. Not all children have these problems, and surgery may solve them.

• #15 Cleft Lip and Palate in Children

  https://www.nationwidechildrens.org/conditions/health-library/cleft-lip-and-palate-in-children

  Beyond the appearance of a cleft lip, other possible complications include: Feeding trouble. Feeding trouble happens more with cleft palate defects. Your baby may not be able to suck correctly because the roof of the mouth is not formed completely. Most babies with cleft palate aren’t able to breastfeed. […] A baby with a cleft palate will need extra support with feeding. Talk with your child’s healthcare provider to find out the best way to feed your baby.

• #16 Cleft Lip and Palate

  https://www.asha.org/practice-portal/clinical-topics/cleft-lip-and-palate/?srsltid=AfmBOoqpDxVgLr-jrMpZaegak1GmCczDadbYwLMJN-pO_72sLmR-lpSH

  Feeding deficits can vary considerably in infants with clefting, depending on the type and severity of the cleft. In most cases, infants with clefts who are otherwise typically developing have normal pharyngeal swallowing function; once the milk reaches the oropharynx, the swallow is initiated with normal airway protection. Preterm infants may have feeding and swallowing deficits. Preterm infants with cleft lip and palate are therefore at an even higher risk for aspiration and poor nutritional intake. […] Potential deficits associated with feeding difficulties include fatigue due to excessive energy expended during feeding; poor weight gain due to inadequate nutritional intake; excessive air intake; and nasal regurgitation. […] Infants with cleft palate and other craniofacial anomalies associated with genetic syndromes or sequences may have more significant feeding and swallowing difficulties. For example, children with Pierre Robin sequence are at increased risk for airway obstruction, dysphagia, and aspiration due to micrognathia (undersized lower jaw) and glossoptosis (displacement of the tongue), which position the tongue toward or even against the posterior pharyngeal wall. […] More significant feeding and swallowing difficulties seen in these populations may be signaled by the following: inability to establish the suckswallowbreathe sequence, arching of the back or refusal of the nipple, coughing, choking and gagging, increased respiration rate, oxygen desaturation.

• #17 Cleft lip and cleft palate – Wikipedia

  https://en.wikipedia.org/wiki/Cleft_lip_and_cleft_palate

  Children with cleft palate have a very high risk of developing a middle ear infection, specifically otitis media. […] There are different options on how to feed a baby with cleft lip or cleft palate which include: breast-feeding, bottle feeding, spoon feeding and syringe feeding. […] Nasal regurgitation is common due to the open space between the oral cavity and the nasal cavity. […] Babies with cleft lip are more likely to breastfeed successfully than those with cleft palate and cleft lip and palate.

• #18 Cleft Lip and Palate

  https://www.asha.org/practice-portal/clinical-topics/cleft-lip-and-palate/?srsltid=AfmBOoqpDxVgLr-jrMpZaegak1GmCczDadbYwLMJN-pO_72sLmR-lpSH

  Feeding deficits can vary considerably in infants with clefting, depending on the type and severity of the cleft. In most cases, infants with clefts who are otherwise typically developing have normal pharyngeal swallowing function; once the milk reaches the oropharynx, the swallow is initiated with normal airway protection. Preterm infants may have feeding and swallowing deficits. Preterm infants with cleft lip and palate are therefore at an even higher risk for aspiration and poor nutritional intake. […] Potential deficits associated with feeding difficulties include fatigue due to excessive energy expended during feeding; poor weight gain due to inadequate nutritional intake; excessive air intake; and nasal regurgitation. […] Infants with cleft palate and other craniofacial anomalies associated with genetic syndromes or sequences may have more significant feeding and swallowing difficulties. For example, children with Pierre Robin sequence are at increased risk for airway obstruction, dysphagia, and aspiration due to micrognathia (undersized lower jaw) and glossoptosis (displacement of the tongue), which position the tongue toward or even against the posterior pharyngeal wall. […] More significant feeding and swallowing difficulties seen in these populations may be signaled by the following: inability to establish the suckswallowbreathe sequence, arching of the back or refusal of the nipple, coughing, choking and gagging, increased respiration rate, oxygen desaturation.

• #19 Cleft Palate – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK563128/

  A cleft palate is a common congenital craniofacial condition characterized by an opening or split in the roof of the mouth due to incomplete tissue fusion during fetal development. This condition can affect infants’ feeding and breathing and children’s speech, as the anomaly impairs the separation between the nasal and oral cavities. Infants with a cleft palate often struggle with nasal reflux, forming a secure latch for feeding, and may tire easily during feeding due to increased effort. […] Cleft lip and palate, one of the most common congenital craniofacial abnormalities, is characterized by failure of normal fusion of the palate and lip during development, resulting in a clinically evident discontinuity of the lip or palate at birth. Cleft lip and palate (CL/P) and cleft palate alone (CPO) are not only cosmetic deformities but have significant functional morbidity for the newborn without adequate management. CL/P impacts the newborn’s ability to feed in multiple ways, including increased nasal reflux, inability to form an adequate latch, and increased work of feeding, leading to fatigue.

• #20 Cleft Lip and Palate

  https://www.asha.org/practice-portal/clinical-topics/cleft-lip-and-palate/?srsltid=AfmBOoqpDxVgLr-jrMpZaegak1GmCczDadbYwLMJN-pO_72sLmR-lpSH

  Feeding deficits can vary considerably in infants with clefting, depending on the type and severity of the cleft. In most cases, infants with clefts who are otherwise typically developing have normal pharyngeal swallowing function; once the milk reaches the oropharynx, the swallow is initiated with normal airway protection. Preterm infants may have feeding and swallowing deficits. Preterm infants with cleft lip and palate are therefore at an even higher risk for aspiration and poor nutritional intake. […] Potential deficits associated with feeding difficulties include fatigue due to excessive energy expended during feeding; poor weight gain due to inadequate nutritional intake; excessive air intake; and nasal regurgitation. […] Infants with cleft palate and other craniofacial anomalies associated with genetic syndromes or sequences may have more significant feeding and swallowing difficulties. For example, children with Pierre Robin sequence are at increased risk for airway obstruction, dysphagia, and aspiration due to micrognathia (undersized lower jaw) and glossoptosis (displacement of the tongue), which position the tongue toward or even against the posterior pharyngeal wall. […] More significant feeding and swallowing difficulties seen in these populations may be signaled by the following: inability to establish the suckswallowbreathe sequence, arching of the back or refusal of the nipple, coughing, choking and gagging, increased respiration rate, oxygen desaturation.

• #21 Cleft Lip and Cleft Palate | UPMC Children’s Pittsburgh

  https://www.chp.edu/our-services/plastic-surgery/conditions/cleft-lip-and-cleft-palate

  If your baby has a cleft lip or cleft palate, they may have trouble eating. If left untreated, they may also have issues later on with speaking and with their teeth. […] The symptoms of both conditions include feeding difficulties, such as not being able to suck. Children with cleft palate may also have problems with swallowing and food coming out of their nose. […] Babies with cleft lip or cleft palate may struggle to feed because they can’t suck or swallow properly. As the child grows, they may have problems with: Hearing, Teeth development, Speech, Social development. […] Most children who have surgery attain a normal appearance and are able to speak and eat normally.

• #22 Cleft Lip and Palate

  https://www.marshallhealth.org/services/cleft-lip-and-palate/

  Your baby’s healthcare provider will help you figure out how to best care for your baby. The main concern for your baby is good nutrition. Sucking is difficult because of the opening in the formed roof of the mouth. A baby with a cleft lip, a cleft palate or both will have specific healthcare needs. What works for one child may not work for another. […] A baby with just a cleft lip usually does not have trouble feeding. […] A baby with a cleft palate will need extra support with feeding.

• #23 Cleft lip and palate | Great Ormond Street Hospital

  https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/cleft-lip-and-palate/

  The main symptoms are the effect the condition has on feeding, speech, hearing and appearance. […] If a baby has a cleft palate with or without a cleft lip, they might have trouble feeding properly because they cant suck very well. The baby is unable to create a seal enabling them to create suction to get milk from the breast or bottle. […] Other symptoms can include hearing problems as children with the condition are more at risk of glue ear. This can also lead to ear infections. As the palate plays an important role in speech it is important the cleft is repaired with surgery to reduce speech problems when the child is older. […] Most children are able to develop good speech and language skills following surgery. But sometimes a repaired cleft palate can make it difficult for a child to pronounce some sounds clearly. This may affect speech quality making it sound a bit nasal. A speech and language therapist will be able to help. […] Occasionally, a child may need an extra operation to aid speech which involves reducing the amount of air that goes through the nose.

• #24 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with these conditions can live normal and healthy lives. Treatment of these conditions is best when started at a young age. However, it is never too late to seek care. Even older adults can have their clefts repaired. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. […] If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech.

• #25 Cleft Lip and Palate | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/cleft-lip-palate

  Symptoms of cleft lip and palate may include: […] Speech problems […] In rare cases, when fistulae become very large, they create speech problems.

• #26 Pediatric Cleft Lip/Cleft Palate – Conditions and Treatments | Children’s National Hospital

  https://www.childrensnational.org/get-care/health-library/cleft-lip-and-cleft-palate

  Beyond the appearance of a cleft lip, other possible complications include: Feeding trouble. Feeding trouble happens more with cleft palate defects. Your baby may not be able to suck properly because the roof of the mouth is not formed completely, Ear infections and hearing loss. Ear infections are often caused by problems with the tubes that connect the middle ear to the throat (Eustachian tubes). Infections that come back again and again can then lead to hearing loss, Speech and language delay. Muscles involved with speech may not work well. This can lead to a delay in speech or odd speech. Talk with your childs healthcare provider about seeing a speech therapist, Dental problems. Your child may have problems with his or her teeth. Your child may need to see an orthodontist. This is a dentist with special training to treat teeth that are out of line as well as problems with the jaw.

• #27 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Symptoms-and-diagnosis-of-cleft-lip-and-palate.aspx

  Permanent hearing loss may be avoided by appropriate timing of surgical correction of the clefts. […] Children with cleft lips may or may not have too much difficulty with speech. However those with cleft palates may have difficulty in pronouncing certain sounds and have speech and language delays. […] Certain consonants like p, b, t, d, k, g, f, v, s, z, sh, ch are especially difficult to pronounce for these children. In these children the words might sound nasal. […] After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] Diagnosis may be made at birth using complete physical examination by the physician. Since many of the associated syndromes show defects in the genes and chromosomes, a chromosomal analysis is suggested for the baby. […] Diagnosis of associated problems like feeding problems, hearing loss, ear infections, speech defects and teething problems is also important in treatment of cleft lip and/or palate.

• #28 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Symptoms-and-diagnosis-of-cleft-lip-and-palate.aspx

  Permanent hearing loss may be avoided by appropriate timing of surgical correction of the clefts. […] Children with cleft lips may or may not have too much difficulty with speech. However those with cleft palates may have difficulty in pronouncing certain sounds and have speech and language delays. […] Certain consonants like p, b, t, d, k, g, f, v, s, z, sh, ch are especially difficult to pronounce for these children. In these children the words might sound nasal. […] After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] Diagnosis may be made at birth using complete physical examination by the physician. Since many of the associated syndromes show defects in the genes and chromosomes, a chromosomal analysis is suggested for the baby. […] Diagnosis of associated problems like feeding problems, hearing loss, ear infections, speech defects and teething problems is also important in treatment of cleft lip and/or palate.

• #29 Cleft Lip & Cleft Palate: Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10947-cleft-lip-cleft-palate

  With a separation or opening in the palate, food and liquids can pass from your child’s mouth back through their nose. Some babies have difficulty breastfeeding or taking a bottle because they can’t create enough suction. […] Children with cleft palate are more prone to fluid buildup in their middle ears (glue ear). If left untreated, this causes hearing loss. […] Children with cleft palate may have trouble speaking. Their voices may not carry well, and their speech may be difficult to understand. Not all children have these problems, and surgery may solve them.

• #30 Cleft Palate And Lip: Causes, Symptoms & Diagnosis

  https://www.healthline.com/health/cleft-lip-and-palate

  In most cases, the split in the lip that is characteristic of a cleft is the most noticeable sign of the defect. Milk may come out of your baby’s nose while feeding because the barrier between the mouth and nose is abnormal. It’s also possible for children with a cleft to have dental problems, such as missing teeth or having extra teeth. […] A cleft palate can also trigger frequent middle ear infections and problems with your child’s Eustachian tubes. These tubes help to drain fluid out of the ears and are responsible for making sure that the amount of pressure is equal on both sides of your eardrum. If your child has problems with ear infections and their Eustachian tubes don’t drain properly, hearing loss can result. […] Your child may also have problems with speech. This is more common in cases of cleft palate than in cases of cleft lip. Speech problems caused by a cleft are usually characterized by a nasal quality in the voice.

• #31 Cleft Lip and Cleft Palate | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/cleft-lip-and-cleft-palate

  A cleft palate is typically closed between the ages of 9 and 11 months, before a baby makes their first attempt to use words. Your child’s plastic surgeon will discuss the best repair plan for their needs and circumstances. […] Approximately five to 15 percent of all children who have undergone a cleft palate repair will need a second operation to correct nasal-sounding speech. These operations are often performed around 4 to 6 years old.

• #32 Cleft Lip and Palate: Causes, Types, Treatment

  https://www.gillettechildrens.org/conditions-care/cleft-lip-and-palate

  If your child has a cleft lip, you can expect they’ll generally develop normal or near-normal speech by kindergarten or early elementary school. […] If your child has a cleft palate, they might develop speech more slowly. A cleft palate impacts speech because the palate may not function properly to touch the back of the throat when speaking; therefore, air escapes and the voice sounds nasally. Your child might have difficulty producing some consonant sounds. After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] If your child’s cleft extends into the upper gums (which contain the teeth), some primary and permanent teeth might be missing, abnormally shaped, or out of position. Some children with cleft palates also lack teeth. Dental and orthodontic care can help most children who have cleft palates.

• #33

  https://www.nhs.uk/conditions/cleft-lip-and-palate/

  A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. […] Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth […] hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing […] dental problems a cleft lip and palate can mean a child’s teeth do not develop correctly and they may be at a higher risk of tooth decay […] speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older. […] Most of these problems will improve after surgery and with treatments such as speech and language therapy. […] The majority of children treated for cleft lip or palate grow up to have completely normal lives. […] Most affected children will not have any other serious medical problems and treatment can usually improve the appearance of the face and problems with feeding and speech.

• #34 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. Babies may fail their newborn hearing test, not because they are deaf but because there is some extra fluid in their ears. These issues can be treated easily if managed by the appropriate doctors, who specialize in taking care of children with cleft. If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech. Many people dont even realize when they have met a person who was born with a cleft.

• #35 Cleft lip and palate – UF Health

  https://ufhealth.org/conditions-and-treatments/cleft-lip-and-palate

  A child may have one or more birth defects and the severity can vary significantly. A cleft lip may be just a small notch in the lip. It may also be a complete split in the lip that goes all the way to the base of the nose. A cleft palate can be on one or both sides of the roof of the mouth. It may go the full length of the palate. Other symptoms include: Change in nose shape (how much the shape changes varies), Poorly aligned teeth. Problems that may be present because of a cleft lip or palate are: Failure to gain weight, Feeding problems, Flow of milk through nasal passages during feeding, Poor growth, Repeated ear infections, Speech difficulties. […] Hearing problems are common in children with cleft lip or palate. Your child should have a hearing test at an early age, and it should be repeated over time. Your child may still have problems with speech after the surgery. This is caused by muscle problems in the palate. Speech therapy will help your child.

• #36 Cleft palate and cleft lip | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cleft-palate-and-cleft-lip

  Children born with a cleft palate have a greater tendency to develop recurring ear infections, such as glue ear. […] Your child may need some or all of these treatments, depending on their condition. However, location and severity are just part of the picture. Treatment needs and success will depend on a range of factors. A severe cleft does not always need complex treatment.

• #37 Cleft Lip and Palate: Causes, Symptoms, Diagnosis, Treatment

  https://www.webmd.com/oral-health/cleft-lip-cleft-palate

  Babies with a cleft palate may have more trouble eating from the bottle or breast because the roof of their mouth isn’t fully formed. Food or liquid may come out of their nose when they try to eat. […] Other symptoms include: Delayed speech or trouble speaking, Ear infections, Hearing loss, Missing, crooked, or small teeth, Teeth and jaws that don’t line up evenly.

• #38 Cleft Lip/Palate: Causes, Symptoms, Treatment | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/cleft-lip-palate

  Cleft lip and cleft palate symptoms include: […] Difficulty with feeding […] Difficulty swallowing […] Speech issues […] Dental problems […] Chronic ear infections.

• #39 Cleft Palate And Lip: Causes, Symptoms & Diagnosis

  https://www.healthline.com/health/cleft-lip-and-palate

  In most cases, the split in the lip that is characteristic of a cleft is the most noticeable sign of the defect. Milk may come out of your baby’s nose while feeding because the barrier between the mouth and nose is abnormal. It’s also possible for children with a cleft to have dental problems, such as missing teeth or having extra teeth. […] A cleft palate can also trigger frequent middle ear infections and problems with your child’s Eustachian tubes. These tubes help to drain fluid out of the ears and are responsible for making sure that the amount of pressure is equal on both sides of your eardrum. If your child has problems with ear infections and their Eustachian tubes don’t drain properly, hearing loss can result. […] Your child may also have problems with speech. This is more common in cases of cleft palate than in cases of cleft lip. Speech problems caused by a cleft are usually characterized by a nasal quality in the voice.

• #40 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Symptoms-and-diagnosis-of-cleft-lip-and-palate.aspx

  Permanent hearing loss may be avoided by appropriate timing of surgical correction of the clefts. […] Children with cleft lips may or may not have too much difficulty with speech. However those with cleft palates may have difficulty in pronouncing certain sounds and have speech and language delays. […] Certain consonants like p, b, t, d, k, g, f, v, s, z, sh, ch are especially difficult to pronounce for these children. In these children the words might sound nasal. […] After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] Diagnosis may be made at birth using complete physical examination by the physician. Since many of the associated syndromes show defects in the genes and chromosomes, a chromosomal analysis is suggested for the baby. […] Diagnosis of associated problems like feeding problems, hearing loss, ear infections, speech defects and teething problems is also important in treatment of cleft lip and/or palate.

• #41 Cleft lip and cleft palate – Wikipedia

  https://en.wikipedia.org/wiki/Cleft_lip_and_cleft_palate

  Opening in the upper lip that may extend into the nose or palate. […] These disorders can result in feeding problems, speech problems, hearing problems, and frequent ear infections. […] Cleft lip and palate are the result of tissues of the face not joining properly during development. […] Cleft lip or palate can be successfully treated with surgery. […] With appropriate treatment, outcomes are good. […] Cleft lip and palate occurs in about 1 to 2 per 1000 births in the developed world. […] Due to lack of suction, an infant with a cleft may have trouble feeding. […] Individuals with cleft also face many middle ear infections which may eventually lead to hearing loss. […] Velopharyngeal insufficiency (VPI) can occur as a result of an unrepaired or repaired cleft lip and palate.

• #42

  https://www.nhs.uk/conditions/cleft-lip-and-palate/

  A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. […] Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth […] hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing […] dental problems a cleft lip and palate can mean a child’s teeth do not develop correctly and they may be at a higher risk of tooth decay […] speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older. […] Most of these problems will improve after surgery and with treatments such as speech and language therapy. […] The majority of children treated for cleft lip or palate grow up to have completely normal lives. […] Most affected children will not have any other serious medical problems and treatment can usually improve the appearance of the face and problems with feeding and speech.

• #43 Cleft Lip and Palate: Causes, Symptoms, Diagnosis, Treatment

  https://www.webmd.com/oral-health/cleft-lip-cleft-palate

  Babies with a cleft palate may have more trouble eating from the bottle or breast because the roof of their mouth isn’t fully formed. Food or liquid may come out of their nose when they try to eat. […] Other symptoms include: Delayed speech or trouble speaking, Ear infections, Hearing loss, Missing, crooked, or small teeth, Teeth and jaws that don’t line up evenly.

• #44 Cleft Lip and Palate Symptoms

  https://www.batesondentistry.com/cleft-lip-and-palate-symptoms-and-solutions/

  A cleft can extend into the upper gum area, affecting normal tooth growth and development. Additional dental issues often appear in those with clefts, including cavity development in larger numbers, missing, crowded, crooked, or malformed teeth, poor teeth or jaw alignment, and defects in the supporting bone of the alveolar ridge (bony upper gum area), leading to a variety of dental problems.

• #45 Cleft lip and palate: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001051.htm

  Cleft lip and palate are birth defects that affect the upper lip and the roof of the mouth. […] A child may have one or more birth defects and the severity can vary significantly. A cleft lip may be just a small notch in the lip. It may also be a complete split in the lip that goes all the way to the base of the nose. A cleft palate can be on one or both sides of the roof of the mouth. It may go the full length of the palate. […] Other symptoms include: Change in nose shape (how much the shape changes varies), Poorly aligned teeth. […] Problems that may be present because of a cleft lip or palate are: Failure to gain weight, Feeding problems, Flow of milk through nasal passages during feeding, Poor growth, Repeated ear infections, Speech difficulties. […] Hearing problems are common in children with cleft lip or palate. Your child should have a hearing test at an early age, and it should be repeated over time. […] Your child may still have problems with speech after the surgery. This is caused by muscle problems in the palate. Speech therapy will help your child.

• #46 Stages of Cleft Lip and Palate Care

  https://www.massgeneral.org/children/cleft-lip-and-palate/stages-of-cleft-lip-and-palate-care

  While nearly all children with clefts will need braces (orthodontia), a smaller number of children will need orthognatic (jaw) surgery. In these children, the growth of the upper jaw remains behind the lower jaw and the face develops a sunken appearance as the child grows into adolescence. The surgery involves repositioning the jaws to improve the child’s bite and appearance. […] The need for further correction is dependent upon how your child’s face develops. Additional surgeries may be needed over time to modify the changes that occur with growth. […] Children may need dental, orthodontic and/or speech therapy. Each of the specialties play an important role during different periods of the child’s growth. Children with clefts will need to be followed from infancy through adolescence.

• #47 Cleft Lip and Palate Symptoms

  https://www.batesondentistry.com/cleft-lip-and-palate-symptoms-and-solutions/

  A cleft can extend into the upper gum area, affecting normal tooth growth and development. Additional dental issues often appear in those with clefts, including cavity development in larger numbers, missing, crowded, crooked, or malformed teeth, poor teeth or jaw alignment, and defects in the supporting bone of the alveolar ridge (bony upper gum area), leading to a variety of dental problems.

• #48 Cleft Lip and Palate Symptoms

  https://www.batesondentistry.com/cleft-lip-and-palate-symptoms-and-solutions/

  A cleft can extend into the upper gum area, affecting normal tooth growth and development. Additional dental issues often appear in those with clefts, including cavity development in larger numbers, missing, crowded, crooked, or malformed teeth, poor teeth or jaw alignment, and defects in the supporting bone of the alveolar ridge (bony upper gum area), leading to a variety of dental problems.

• #49 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with these conditions can live normal and healthy lives. Treatment of these conditions is best when started at a young age. However, it is never too late to seek care. Even older adults can have their clefts repaired. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. […] If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech.

• #50 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. Babies may fail their newborn hearing test, not because they are deaf but because there is some extra fluid in their ears. These issues can be treated easily if managed by the appropriate doctors, who specialize in taking care of children with cleft. If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech. Many people dont even realize when they have met a person who was born with a cleft.

• #51 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #52 Cleft Lip/Cleft Palate | Birth Defects | CDC

  https://www.cdc.gov/birth-defects/about/cleft-lip-cleft-palate.html

  Surgery to repair a cleft lip usually occurs in the first few months of life. It is recommended within the first 12 months of life. Surgery to repair a cleft palate is recommended within the first 18 months of life, or earlier if possible. Many children will need additional surgical procedures as they get older. Surgical repair can help restore function to the lips and mouth. It may help improve breathing, hearing, and speech and language development. Children born with orofacial clefts may also need special dental or orthodontic care or speech therapy. […] With treatment, most children with orofacial clefts do well and lead a healthy life. Some children may have issues with self-esteem if they are concerned with visible differences between themselves and other children.

• #53 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #54 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are treated with surgeries that happen at a very early age. Cleft lip repair typically happens before the baby is six months old, and cleft palate repair is done between 12 and 18 months. They may also need additional surgeries when they get older to optimize their appearance and function. This includes fixing a gap in the gums, helping with speech problems, or improving the appearance and function of the nose.

• #55 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #56 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are treated with surgeries that happen at a very early age. Cleft lip repair typically happens before the baby is six months old, and cleft palate repair is done between 12 and 18 months. They may also need additional surgeries when they get older to optimize their appearance and function. This includes fixing a gap in the gums, helping with speech problems, or improving the appearance and function of the nose.

• #57 Cleft Lip/Cleft Palate | Birth Defects | CDC

  https://www.cdc.gov/birth-defects/about/cleft-lip-cleft-palate.html

  Surgery to repair a cleft lip usually occurs in the first few months of life. It is recommended within the first 12 months of life. Surgery to repair a cleft palate is recommended within the first 18 months of life, or earlier if possible. Many children will need additional surgical procedures as they get older. Surgical repair can help restore function to the lips and mouth. It may help improve breathing, hearing, and speech and language development. Children born with orofacial clefts may also need special dental or orthodontic care or speech therapy. […] With treatment, most children with orofacial clefts do well and lead a healthy life. Some children may have issues with self-esteem if they are concerned with visible differences between themselves and other children.

• #58 Cleft Palate – Causes, Symptoms, Complications and Treatment | Apollo Hospitals

  https://www.apollohospitals.com/diseases-and-conditions/cleft-palate-causes-symptoms-complications-and-treatment/

  Many children might need additional surgeries when they grow up. These additional surgeries can improve the appearance of the face and might also improve hearing, breathing, and speech and language pattern. […] A child might have other health problems, which might include: Breathing problem, Frequent ear infections, Trouble during feeding, A rare chance of hearing loss, Eye problems, Speech difficulties.

• #59 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #60 Cleft Lip/Cleft Palate | Birth Defects | CDC

  https://www.cdc.gov/birth-defects/about/cleft-lip-cleft-palate.html

  Surgery to repair a cleft lip usually occurs in the first few months of life. It is recommended within the first 12 months of life. Surgery to repair a cleft palate is recommended within the first 18 months of life, or earlier if possible. Many children will need additional surgical procedures as they get older. Surgical repair can help restore function to the lips and mouth. It may help improve breathing, hearing, and speech and language development. Children born with orofacial clefts may also need special dental or orthodontic care or speech therapy. […] With treatment, most children with orofacial clefts do well and lead a healthy life. Some children may have issues with self-esteem if they are concerned with visible differences between themselves and other children.

• #61 Cleft Palate With Cleft Lip (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/cleft-palate-cleft-lip.html

  A child with a cleft lip and palate can sometimes have other health problems, such as: fluid buildup behind the ear, trouble feeding, hearing loss, dental problems, speech problems. […] Some kids with cleft lip and palate may need other surgeries as they get older. These might include: Speech surgery: Children can develop speech problems even after the palate has been repaired. […] Most kids with cleft lip and palate are treated successfully with no lasting problems.

• #62 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Symptoms-and-diagnosis-of-cleft-lip-and-palate.aspx

  Permanent hearing loss may be avoided by appropriate timing of surgical correction of the clefts. […] Children with cleft lips may or may not have too much difficulty with speech. However those with cleft palates may have difficulty in pronouncing certain sounds and have speech and language delays. […] Certain consonants like p, b, t, d, k, g, f, v, s, z, sh, ch are especially difficult to pronounce for these children. In these children the words might sound nasal. […] After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] Diagnosis may be made at birth using complete physical examination by the physician. Since many of the associated syndromes show defects in the genes and chromosomes, a chromosomal analysis is suggested for the baby. […] Diagnosis of associated problems like feeding problems, hearing loss, ear infections, speech defects and teething problems is also important in treatment of cleft lip and/or palate.

• #63 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #64 Cleft Lip and Palate Clinic Conditions We Treat | Texas Children’s

  https://www.texaschildrens.org/departments/cleft-lip-and-palate-clinic/conditions-we-treat

  A cleft palate can involve the uvula (the small tissue that hangs down in the back of the mouth), or a bifid uvula (one that looks like it has split in 2). It can involve only the soft palate, or extend into the soft and hard palate. […] If a cleft palate involves both the soft and hard palate and extends into the tooth baring portion of the mouth (alveolus) it is considered a complete cleft palate. […] A submucous cleft palate is a unique type. Although the roof of the mouth appears structurally intact, the muscles of the submucous cleft palate are not in the correct position or orientation. This may contribute to speech problems as a child grows. […] Treatment can begin as early as 1 week of age for severe cleft lip patients. […] Surgical repair of the cleft lip is usually performed in the first 3-6 months of life.

• #65 Stages of Cleft Lip and Palate Care

  https://www.massgeneral.org/children/cleft-lip-and-palate/stages-of-cleft-lip-and-palate-care

  The plastic surgeon repairs the cleft lip shortly after birth, usually at 1 to 6 months of age and repairs the cleft palate by 12 months of age, prior to the child’s first spoken words. Many children with clefts develop hearing problems as a result of chronic ear infections. This problem will require the attention of a pediatric otolaryngologist. […] Each child’s speech development is routinely assessed by the speech and language pathologist. If treatment is needed, the speech pathologist works with the parent, the child and a local speech pathologist. Sometimes additional surgery is needed when speech therapy alone does not improve the child’s ability to speak normally. […] Surgery involves improving the function of the palate and pharynx (throat) where the air needed for sound is directed. Before the child begins school, any significant residual cleft deformities involving the lip and nose are surgically corrected to help minimize the psychological effects of the cleft deformity. Pediatric dental and orthodontic services begin to play a more important role with the development of teeth during the later years of childhood. Surgery to restore the residual cleft in the dental arch is frequently done at this age.

• #66 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #67 What to know about cleft lip and palate

  https://www.babycenter.com/health/conditions/cleft-lip-and-palate_40008530

  In addition to these medical issues, there may be emotional concerns especially for older children. Some may experience stress from repeated medical visits or treatments. […] Children born with clefts may face increased health risks later in life as well. Studies have shown that people born with clefts have higher rates of mental illness and higher rates of certain cancers, which could be related to the genetic cause of the cleft. […] While a cleft lip or palate can be a serious concern, in most cases the outcome for children is excellent. It’s best to coordinate a treatment plan as early as possible, because timely surgery can prevent long-term problems with speech and hearing.

• #68 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #69 Cleft Lip/Cleft Palate | Birth Defects | CDC

  https://www.cdc.gov/birth-defects/about/cleft-lip-cleft-palate.html

  Surgery to repair a cleft lip usually occurs in the first few months of life. It is recommended within the first 12 months of life. Surgery to repair a cleft palate is recommended within the first 18 months of life, or earlier if possible. Many children will need additional surgical procedures as they get older. Surgical repair can help restore function to the lips and mouth. It may help improve breathing, hearing, and speech and language development. Children born with orofacial clefts may also need special dental or orthodontic care or speech therapy. […] With treatment, most children with orofacial clefts do well and lead a healthy life. Some children may have issues with self-esteem if they are concerned with visible differences between themselves and other children.

• #70 Early Signs and Symptoms of Cleft Palate, 3 Types & 3 Stages

  https://www.emedicinehealth.com/early_signs_types_and_stages_of_cleft_palate/article_em.htm

  Cleft palate defects may also result in psychological and social problems for an affected child. The appearance of the cleft palate and associated problems such as speech difficulties may lead to a poor self-image, low self-confidence, depression, anxiety, and difficulty making friends. […] A cleft palate is typically repaired in stages and treatment begins at about 10 to 12 months of age. Treatment requires several surgeries to repair the defects and can take years to complete. Treatment aims to close the gap between the mouth and nose and restore the muscular function of the soft palate. Dental, orthodontic, and/or speech therapy may also be needed. […] Most children with clefts will need braces and orthodontic care. In some cases, the upper jaw and the lower jaw grow unevenly and the face develops a sunken appearance as the child grows into adolescence, and jaw surgery (orthognathic surgery) is needed.

• #71 Early Signs and Symptoms of Cleft Palate, 3 Types & 3 Stages

  https://www.emedicinehealth.com/early_signs_types_and_stages_of_cleft_palate/article_em.htm

  Cleft palate defects may also result in psychological and social problems for an affected child. The appearance of the cleft palate and associated problems such as speech difficulties may lead to a poor self-image, low self-confidence, depression, anxiety, and difficulty making friends. […] A cleft palate is typically repaired in stages and treatment begins at about 10 to 12 months of age. Treatment requires several surgeries to repair the defects and can take years to complete. Treatment aims to close the gap between the mouth and nose and restore the muscular function of the soft palate. Dental, orthodontic, and/or speech therapy may also be needed. […] Most children with clefts will need braces and orthodontic care. In some cases, the upper jaw and the lower jaw grow unevenly and the face develops a sunken appearance as the child grows into adolescence, and jaw surgery (orthognathic surgery) is needed.

• #72 What to know about cleft lip and palate

  https://www.babycenter.com/health/conditions/cleft-lip-and-palate_40008530

  In addition to these medical issues, there may be emotional concerns especially for older children. Some may experience stress from repeated medical visits or treatments. […] Children born with clefts may face increased health risks later in life as well. Studies have shown that people born with clefts have higher rates of mental illness and higher rates of certain cancers, which could be related to the genetic cause of the cleft. […] While a cleft lip or palate can be a serious concern, in most cases the outcome for children is excellent. It’s best to coordinate a treatment plan as early as possible, because timely surgery can prevent long-term problems with speech and hearing.

• #73 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with these conditions can live normal and healthy lives. Treatment of these conditions is best when started at a young age. However, it is never too late to seek care. Even older adults can have their clefts repaired. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. […] If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech.

• #74

  https://www.nhs.uk/conditions/cleft-lip-and-palate/

  A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. […] Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth […] hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing […] dental problems a cleft lip and palate can mean a child’s teeth do not develop correctly and they may be at a higher risk of tooth decay […] speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older. […] Most of these problems will improve after surgery and with treatments such as speech and language therapy. […] The majority of children treated for cleft lip or palate grow up to have completely normal lives. […] Most affected children will not have any other serious medical problems and treatment can usually improve the appearance of the face and problems with feeding and speech.

• #75 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/lifespan-living/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. Babies may fail their newborn hearing test, not because they are deaf but because there is some extra fluid in their ears. These issues can be treated easily if managed by the appropriate doctors, who specialize in taking care of children with cleft. If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech. Many people dont even realize when they have met a person who was born with a cleft.

• #76 Cleft Lip & Palate Association

  https://www.clapa.com/what-is-cleft-lip-palate/related-conditions-and-syndromes/

  Cleft lip and/or palate are listed as symptoms of over 400 various conditions and syndromes, although some are extremely rare. This means the cleft itself is caused by the condition or syndrome. […] It is estimated that around 15-30% of people born with a cleft are affected by one of these conditions or syndromes. Having a cleft alone does not mean that an individual has one of these conditions. Most people born with a cleft are ‘non-syndromic’ or ‘asyndromic’, meaning it isn’t linked to any wider issues. […] Most of these syndromes and conditions affect people to different degrees. Some people do not even realise they have issues other than their cleft. Some conditions which involve a cleft, such as Pierre Robin Sequence, can make early months a struggle but otherwise do not have to impact a child’s life very much. Other rare syndromes, such as Edwards Syndrome or Patau Syndrome, are much more serious, but these are routinely tested for during pregnancy.

• #77 Cleft Lip and Cleft Palate Causes, Signs and Screening at OHSU

  https://www.ohsu.edu/doernbecher/cleft-lip-and-cleft-palate

  A cleft lip is often diagnosed during pregnancy by a routine ultrasound. A cleft palate is usually diagnosed after birth because the inside of a babys mouth cant be seen on an ultrasound. […] Clefts may occur in just the lip, just the palate, or both together. Cleft lip and cleft palate together is most common. […] Clefts can cause problems with nursing or drinking from a bottle, speech and hearing problems, ear infections, and teeth to be misaligned. […] In rare cases, a cleft palate may only affect the soft palate (fleshy tissue at the back of the mouth). If this occurs, it may not be visible. Instead, the first sign of the cleft may be trouble latching on to the breast or bottle, or inconsistent suction when nursing. […] Certain types of clefts may not be diagnosed until later in childhood. For example, a submucous cleft palate is a cleft in the roof of the mouth that is usually covered by skin.

• #78 HealthtalkCleft and other associated conditions (syndromes) | Real People. Real life experiences. | Healthtalk

  https://healthtalk.org/experiences/cleft-lip-and-palate/cleft-and-other-associated-conditions-syndromes/

  Sometimes when a child is born with a cleft lip and/or palate there is a chance that they may have one or more additional medical conditions. These associated conditions include Pierre Robin sequence (PRS), Stickler syndrome and 22q11 deletion syndrome. […] The most common condition to be associated with a cleft is Pierre Robin sequence (PRS). PRS is usually detected at birth because these babies can be born with an unusually small chin. These babies usually have a cleft palate because the tongue does not fall into place properly while the baby is developing. The cleft is usually wide and U-shaped and will affect the hard palate at the front of the mouth and the soft palate at the back. […] Children born with PRS may also experience breathing difficulties. Clinical nurse specialists (CNS) will advise families on an individual basis but very often they recommend these infants sleep and feed on their sides in the weeks following birth.

• #79 HealthtalkCleft and other associated conditions (syndromes) | Real People. Real life experiences. | Healthtalk

  https://healthtalk.org/experiences/cleft-lip-and-palate/cleft-and-other-associated-conditions-syndromes/

  Because of their reduced airways some PRS babies may have a difficult time with anaesthesia so the anaesthetist and the rest of the surgical team will take special precautions during surgery. […] Stickler syndrome (SS) is also associated with cleft palate. However it is a much rarer condition and may often go undiagnosed. Stickler syndrome is a genetic condition and is normally passed from parent to child. It can affect both boys and girls. Having Stickler syndrome reduces the amount of collagen, the connective tissue which supports the organs and covers the bone ends within each joint, in the body. […] Maria Y’s daughter was suspected to have Pierre-Robin Sequence (PRS) because she was born with a small chin but it was discovered that she had Stickler syndrome. […] The cleft palate was fixed at six months.

• #80 HealthtalkCleft and other associated conditions (syndromes) | Real People. Real life experiences. | Healthtalk

  https://healthtalk.org/experiences/cleft-lip-and-palate/cleft-and-other-associated-conditions-syndromes/

  22q11 deletion syndrome is also known as DiGeorge syndrome, Shprintzen syndrome, or conotruncal anomaly face syndrome. It occurs because of a change on chromosome 22 and can cause characteristic or unusual facial features, heart abnormalities, palate problems (e.g. an isolated cleft palate, a submucous cleft palate (where there is a layer of skin covering the cleft) or a soft palate that looks normal but still causes problems with speech or feeding), low blood calcium levels and low immunity to infection. […] Sometimes a child born with a cleft can have unidentified genetic conditions and will receive long-term medical follow-ups to ensure that any conditions that may emerge are diagnosed as early as possible.

• #81 Cleft Lip & Palate Association

  https://www.clapa.com/what-is-cleft-lip-palate/related-conditions-and-syndromes/

  For most of these conditions, cleft palate (not cleft lip) is listed as a symptom. It is very difficult to detect a cleft palate before birth, but statistically just over half of people with a cleft lip will also have a cleft palate. Expectant parents with a diagnosis of cleft lip may, therefore, be told their child could have another condition. The chances of any of these will be different for each set of parents. As with a cleft lip and palate, sometimes there will be a clear genetic link and sometimes it will happen as a one-off in families.

• #82 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Most cases of cleft lip and cleft palate are seen right away at birth, so special tests aren’t needed. Cleft lip and cleft palate are often seen on ultrasound before a baby is born. […] Healthcare professionals may use ultrasound to find cleft lip, beginning around the 13th week of pregnancy. Sometimes a healthcare professional can find cleft lip earlier using 3D ultrasound techniques. As the unborn baby continues developing, it may be easier to diagnose cleft lip. Cleft palate that occurs alone is harder to see using ultrasound. […] The goals of treatment for cleft lip and cleft palate are to make it easier for a child to eat, speak and hear and achieve a typical look for the face. […] Treatment involves surgery to repair cleft lip and cleft palate and therapies to make any related conditions better.

• #83 Cleft Palate & Cleft Lip in Babies: Signs, Causes & Treatment

  https://www.whattoexpect.com/first-year/cleft-lip-and-palate.aspx

  Cleft lips and/or palates can make it harder for a child to eat efficiently or speak clearly. Theyre also tied to teeth and hearing problems and can increase the risk for frequent ear infections. […] Orofacial clefts, especially lip clefts, can often be detected through a routine ultrasound as early as 13 weeks. If a cleft isnt seen before a baby is born, its usually apparent at birth. Depending on the size and location of the cleft, you may see: […] Babies with cleft lips and/or palates can have other symptoms as well, including: […] Sometimes cleft palates towards the back of the mouth may be harder to spot at birth, especially if the split is covered by the mouths lining. Called submucous cleft palates, these clefts dont typically affect a babys appearance. But they can still cause feeding and ear problems and cause a childs voice to sound nasal.

• #84 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Most cases of cleft lip and cleft palate are seen right away at birth, so special tests aren’t needed. Cleft lip and cleft palate are often seen on ultrasound before a baby is born. […] Healthcare professionals may use ultrasound to find cleft lip, beginning around the 13th week of pregnancy. Sometimes a healthcare professional can find cleft lip earlier using 3D ultrasound techniques. As the unborn baby continues developing, it may be easier to diagnose cleft lip. Cleft palate that occurs alone is harder to see using ultrasound. […] The goals of treatment for cleft lip and cleft palate are to make it easier for a child to eat, speak and hear and achieve a typical look for the face. […] Treatment involves surgery to repair cleft lip and cleft palate and therapies to make any related conditions better.

• #85

  https://www.cgh.com.sg/patient-care/conditions-treatments/cleft-lip-palate-children

  Cleft lip and/or palate are congenital conditions characterised by an opening or split in the upper lip, the roof of the mouth (palate) or both, that are present from birth. […] Most babies with cleft lip and/or palate are otherwise healthy with no other birth defects. Some babies who have clefts may have other medical conditions. […] Cleft lip can usually be diagnosed during the first trimester of pregnancy by a routine ultrasound. Isolated cleft palate is generally diagnosed after the baby is born, however, certain types of cleft palate (for example, submucous cleft palate) might not be identified until later in life. […] Your child will need to return to the Cleft and Craniofacial Centre 7 days after surgery to be reviewed by his/her Plastic Surgeon.

• #86 Cleft lip and cleft palate – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/symptoms-causes/syc-20370985

  Less often, a cleft occurs only in the muscles of the soft palate, which are at the back of the mouth and covered by the mouth’s lining. This is called a submucous cleft palate. This type of cleft may not be seen at birth and may not be diagnosed until later when signs arise, such as: Having a hard time feeding. Nasal speaking voice. Constant ear infections. Rarely, having a hard time swallowing. Liquids or foods may come out of the nose. […] A cleft lip and cleft palate may be seen at birth or may be found on ultrasound before birth. Your healthcare professional can start coordinating care at that time. If your baby has symptoms of a submucous cleft palate, make an appointment with your child’s healthcare professional.

• #87 Submucous Cleft Palate: Symptoms, Diagnosis and Treatment Options

  https://www.nationwidechildrens.org/conditions/submucous-cleft-palate

  An SMCP can include any, or all, of the following signs: […] A very wide or split (bifid) uvula […] Translucency of the tissue along the middle of the soft palate […] A notch in the back of the hard palate. […] In some cases, an infant may struggle with feeding or display leakage of breastmilk or formula through the nose. […] In other cases, feeding may progress without difficulty, but the child may develop chronic ear infections and effusions (fluid in the middle ear space), often requiring placement of ventilation tubes. […] Finally, an SMCP may be identified when a child’s speech has a nasal quality (hypernasality), either occurring on its own or following adenoidectomy. […] If the speech evaluation confirms the presence of hypernasality or nasal air emission, specialized imaging, such as nasopharyngoscopy, may be recommended to evaluate velopharyngeal (VP) closure.

• #88 Cleft Lip and Palate Diagnosis, Causes, Treatment | National Institute of Dental and Craniofacial Research

  https://www.nidcr.nih.gov/health-info/cleft-lip-palate

  Treatment for children with cleft lip or palate depends on the size of the cleft, the childs age and needs, and whether there are additional problems related to a genetic syndrome. […] Surgery is often used to close the lip and palate. Cleft lip surgery is usually done before a babys first birthday, and cleft palate surgery is done before 18 months. If there are other problems as they get older, a child may need additional surgeries, dental and orthodontic care, and speech therapy. With treatment, most children with cleft lip or palate do well and lead a healthy life.

• #89 Stages of Cleft Lip and Palate Care

  https://www.massgeneral.org/children/cleft-lip-and-palate/stages-of-cleft-lip-and-palate-care

  While nearly all children with clefts will need braces (orthodontia), a smaller number of children will need orthognatic (jaw) surgery. In these children, the growth of the upper jaw remains behind the lower jaw and the face develops a sunken appearance as the child grows into adolescence. The surgery involves repositioning the jaws to improve the child’s bite and appearance. […] The need for further correction is dependent upon how your child’s face develops. Additional surgeries may be needed over time to modify the changes that occur with growth. […] Children may need dental, orthodontic and/or speech therapy. Each of the specialties play an important role during different periods of the child’s growth. Children with clefts will need to be followed from infancy through adolescence.

• #90 Cleft Lip and Palate Diagnosis, Causes, Treatment | National Institute of Dental and Craniofacial Research

  https://www.nidcr.nih.gov/health-info/cleft-lip-palate

  Treatment for children with cleft lip or palate depends on the size of the cleft, the childs age and needs, and whether there are additional problems related to a genetic syndrome. […] Surgery is often used to close the lip and palate. Cleft lip surgery is usually done before a babys first birthday, and cleft palate surgery is done before 18 months. If there are other problems as they get older, a child may need additional surgeries, dental and orthodontic care, and speech therapy. With treatment, most children with cleft lip or palate do well and lead a healthy life.

• #91 Cleft lip and cleft palate – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cleft-palate/diagnosis-treatment/drc-20370990

  Surgery to correct a cleft lip and cleft palate is based on your child’s situation. Following the initial cleft repair, your healthcare professional may recommend follow-up surgeries to make speech better or make the lip and nose look better. […] Cleft lip repair between 3 and 6 months of age. Cleft palate repair by 9 to 18 months (usually around 1 year) or earlier if possible. This surgery occurs after any cleft lip repair. […] Surgery can improve your child’s quality of life and make your child eat, breathe and talk better. Possible risks of surgery include bleeding, infection, poor healing, widening or raised scars, and short- or long-term damage to other structures. […] Your healthcare professional may recommend more treatment for other functional and structural changes that cleft lip and cleft palate cause, such as: Feeding strategies, such as using a special bottle nipple or feeder. Speech therapy to make it easier to speak. Orthodontic adjustments to the teeth and bite, such as having braces. Monitoring by a pediatric dentist for tooth development and oral health from an early age. Monitoring and treatment for ear infections, which may include ear tubes. Monitoring hearing and providing hearing aids or other devices to a child with hearing loss. Therapy with a psychologist to help the child cope with the stress of repeated medical procedures or other concerns. Regular screening and treatment for health problems is mostly limited to the first two decades of life, but lifelong monitoring may be needed depending on your child’s individual health problems.

• #92 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are treated with surgeries that happen at a very early age. […] Cleft lip repair typically happens before the baby is six months old, and cleft palate repair is done between 12 and 18 months. […] It is also good to know that someone is never too old to have surgery for a cleft disorder.

• #93 What to know about cleft lip and palate

  https://www.babycenter.com/health/conditions/cleft-lip-and-palate_40008530

  In addition to these medical issues, there may be emotional concerns especially for older children. Some may experience stress from repeated medical visits or treatments. […] Children born with clefts may face increased health risks later in life as well. Studies have shown that people born with clefts have higher rates of mental illness and higher rates of certain cancers, which could be related to the genetic cause of the cleft. […] While a cleft lip or palate can be a serious concern, in most cases the outcome for children is excellent. It’s best to coordinate a treatment plan as early as possible, because timely surgery can prevent long-term problems with speech and hearing.

• #94 Cleft Lip and Palate

  https://www.marshallhealth.org/services/cleft-lip-and-palate/

  A cleft lip and cleft palate can be diagnosed during pregnancy during a routine ultrasound exam. Or, they may be seen during the first exam by your baby’s healthcare provider. […] Both cleft lip and cleft palate can be fixed with surgery. […] Feeding trouble happens more with cleft palate defects. Your baby may not be able to suck properly because the roof of the mouth is not formed completely. Most babies with cleft palate are not able to breastfeed. […] Ear infections are often caused by problems with the tubes that connect the middle ear to the throat (eustachian tubes). Infections that come back again and again can then lead to hearing loss. […] Muscles involved with speech may not work well. This can lead to a delay in speech or odd speech. […] The child may have problems with his or her teeth. Your child may need to see an orthodontist.

• #95

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut3193

  If you have trouble feeding your baby, talk to your doctor. You may be able to breastfeed, but bottle-feeding usually works better than breastfeeding. Some people pump their breast milk and give it to their babies in bottles. Watch your baby for problems with choking, gagging, or milk coming out through the nose while feeding. You may be able to use a small plastic plate that fits into the roof of the baby’s mouth while feeding. This blocks the opening so the baby can suck properly. Be alert for signs of dehydration. This can develop if your baby is not getting enough breast milk or formula. These signs include fewer wet diapers, sunken eyes with few tears, and a dry mouth with little or no spit.

• #96 Cleft lip and palate: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001051.htm

  Cleft lip and palate are birth defects that affect the upper lip and the roof of the mouth. […] A child may have one or more birth defects and the severity can vary significantly. A cleft lip may be just a small notch in the lip. It may also be a complete split in the lip that goes all the way to the base of the nose. A cleft palate can be on one or both sides of the roof of the mouth. It may go the full length of the palate. […] Other symptoms include: Change in nose shape (how much the shape changes varies), Poorly aligned teeth. […] Problems that may be present because of a cleft lip or palate are: Failure to gain weight, Feeding problems, Flow of milk through nasal passages during feeding, Poor growth, Repeated ear infections, Speech difficulties. […] Hearing problems are common in children with cleft lip or palate. Your child should have a hearing test at an early age, and it should be repeated over time. […] Your child may still have problems with speech after the surgery. This is caused by muscle problems in the palate. Speech therapy will help your child.

• #97 Cleft lip and palate – UF Health

  https://ufhealth.org/conditions-and-treatments/cleft-lip-and-palate

  A child may have one or more birth defects and the severity can vary significantly. A cleft lip may be just a small notch in the lip. It may also be a complete split in the lip that goes all the way to the base of the nose. A cleft palate can be on one or both sides of the roof of the mouth. It may go the full length of the palate. Other symptoms include: Change in nose shape (how much the shape changes varies), Poorly aligned teeth. Problems that may be present because of a cleft lip or palate are: Failure to gain weight, Feeding problems, Flow of milk through nasal passages during feeding, Poor growth, Repeated ear infections, Speech difficulties. […] Hearing problems are common in children with cleft lip or palate. Your child should have a hearing test at an early age, and it should be repeated over time. Your child may still have problems with speech after the surgery. This is caused by muscle problems in the palate. Speech therapy will help your child.

• #98 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Symptoms-and-diagnosis-of-cleft-lip-and-palate.aspx

  Permanent hearing loss may be avoided by appropriate timing of surgical correction of the clefts. […] Children with cleft lips may or may not have too much difficulty with speech. However those with cleft palates may have difficulty in pronouncing certain sounds and have speech and language delays. […] Certain consonants like p, b, t, d, k, g, f, v, s, z, sh, ch are especially difficult to pronounce for these children. In these children the words might sound nasal. […] After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] Diagnosis may be made at birth using complete physical examination by the physician. Since many of the associated syndromes show defects in the genes and chromosomes, a chromosomal analysis is suggested for the baby. […] Diagnosis of associated problems like feeding problems, hearing loss, ear infections, speech defects and teething problems is also important in treatment of cleft lip and/or palate.

• #99 Cleft lip and palate | Great Ormond Street Hospital

  https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/cleft-lip-and-palate/

  The main symptoms are the effect the condition has on feeding, speech, hearing and appearance. […] If a baby has a cleft palate with or without a cleft lip, they might have trouble feeding properly because they cant suck very well. The baby is unable to create a seal enabling them to create suction to get milk from the breast or bottle. […] Other symptoms can include hearing problems as children with the condition are more at risk of glue ear. This can also lead to ear infections. As the palate plays an important role in speech it is important the cleft is repaired with surgery to reduce speech problems when the child is older. […] Most children are able to develop good speech and language skills following surgery. But sometimes a repaired cleft palate can make it difficult for a child to pronounce some sounds clearly. This may affect speech quality making it sound a bit nasal. A speech and language therapist will be able to help. […] Occasionally, a child may need an extra operation to aid speech which involves reducing the amount of air that goes through the nose.

• #100 Stages of Cleft Lip and Palate Care

  https://www.massgeneral.org/children/cleft-lip-and-palate/stages-of-cleft-lip-and-palate-care

  The plastic surgeon repairs the cleft lip shortly after birth, usually at 1 to 6 months of age and repairs the cleft palate by 12 months of age, prior to the child’s first spoken words. Many children with clefts develop hearing problems as a result of chronic ear infections. This problem will require the attention of a pediatric otolaryngologist. […] Each child’s speech development is routinely assessed by the speech and language pathologist. If treatment is needed, the speech pathologist works with the parent, the child and a local speech pathologist. Sometimes additional surgery is needed when speech therapy alone does not improve the child’s ability to speak normally. […] Surgery involves improving the function of the palate and pharynx (throat) where the air needed for sound is directed. Before the child begins school, any significant residual cleft deformities involving the lip and nose are surgically corrected to help minimize the psychological effects of the cleft deformity. Pediatric dental and orthodontic services begin to play a more important role with the development of teeth during the later years of childhood. Surgery to restore the residual cleft in the dental arch is frequently done at this age.

• #101 Cleft Lip and Palate: Causes, Types, Treatment

  https://www.gillettechildrens.org/conditions-care/cleft-lip-and-palate

  If your child has a cleft lip, you can expect they’ll generally develop normal or near-normal speech by kindergarten or early elementary school. […] If your child has a cleft palate, they might develop speech more slowly. A cleft palate impacts speech because the palate may not function properly to touch the back of the throat when speaking; therefore, air escapes and the voice sounds nasally. Your child might have difficulty producing some consonant sounds. After cleft-palate repair, most children eventually develop normal speech, although some need speech therapy or additional surgery. […] If your child’s cleft extends into the upper gums (which contain the teeth), some primary and permanent teeth might be missing, abnormally shaped, or out of position. Some children with cleft palates also lack teeth. Dental and orthodontic care can help most children who have cleft palates.

• #102 Early Signs and Symptoms of Cleft Palate, 3 Types & 3 Stages

  https://www.emedicinehealth.com/early_signs_types_and_stages_of_cleft_palate/article_em.htm

  Cleft palate defects may also result in psychological and social problems for an affected child. The appearance of the cleft palate and associated problems such as speech difficulties may lead to a poor self-image, low self-confidence, depression, anxiety, and difficulty making friends. […] A cleft palate is typically repaired in stages and treatment begins at about 10 to 12 months of age. Treatment requires several surgeries to repair the defects and can take years to complete. Treatment aims to close the gap between the mouth and nose and restore the muscular function of the soft palate. Dental, orthodontic, and/or speech therapy may also be needed. […] Most children with clefts will need braces and orthodontic care. In some cases, the upper jaw and the lower jaw grow unevenly and the face develops a sunken appearance as the child grows into adolescence, and jaw surgery (orthognathic surgery) is needed.

• #103 Cleft Lip and Palate: Causes, Treatment, and Outlook

  https://patient.info/ears-nose-throat-mouth/cleft-lip-and-palate-leaflet

  If CLP is left uncorrected, psychological problems are likely to occur. These include problems with self-image, behaviour, anxiety and depression. There are many charities working in lower income countries to correct CLP in babies who might otherwise grow up to have these difficulties. […] Following the initial cleft repair, your doctor may recommend follow-up surgeries to improve speech or improve the appearance of the lip and nose. […] Your baby should achieve a normal appearance, and normal speech and eating habits very early in the process.

• #104 Cleft Lip and Palate: Signs and Treatment | Brown University Health

  https://www.brownhealth.org/be-well/cleft-lip-and-palate-signs-and-treatment

  Cleft lip and cleft palate are the most common birth defects involving the head and neck, and the second most common overall. In the United States, up to 20,000 babies are born with cleft lip or cleft palate each year. […] Babies born with these conditions can live normal and healthy lives. Treatment of these conditions is best when started at a young age. However, it is never too late to seek care. Even older adults can have their clefts repaired. […] Babies born with cleft palate in particular can initially have difficulty with breast feeding. Later, they may have difficulties with speech as well. Ear problems are also common. […] If not treated appropriately, these issues can turn into permanent problems with speech and hearing. […] The good news is that with appropriate care, children with cleft lip and/or palate can expect to have completely normal lives with a good facial appearance and speech.

• #105

  https://www.nhs.uk/conditions/cleft-lip-and-palate/

  A cleft lip and cleft palate can cause a number of issues, particularly in the first few months after birth, before surgery is done. […] Problems can include: difficulty feeding a baby with a cleft lip and palate may be unable to breastfeed or feed from a normal bottle because they cannot form a good seal with their mouth […] hearing problems some babies with a cleft palate are more vulnerable to ear infections and a build-up of fluid in their ears (glue ear), which may affect their hearing […] dental problems a cleft lip and palate can mean a child’s teeth do not develop correctly and they may be at a higher risk of tooth decay […] speech problems if a cleft palate is not repaired, it can lead to speech problems such as unclear or nasal-sounding speech when a child is older. […] Most of these problems will improve after surgery and with treatments such as speech and language therapy. […] The majority of children treated for cleft lip or palate grow up to have completely normal lives. […] Most affected children will not have any other serious medical problems and treatment can usually improve the appearance of the face and problems with feeding and speech.

• #106 Cleft lip and cleft palate: Causes, treatment, and speech

  https://www.medicalnewstoday.com/articles/164660

  It can lead to difficulties with speech, feeding, and hearing, as well as an altered facial appearance. These challenges can affect a child’s confidence, self-image, and social life. However, surgery is usually effective, and other therapies can help monitor and prevent issues with teeth, speech, hearing, and feeding.

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