Cleft Lip and Palate

What kind of cleft lip and palate is a disorder seen and how often?

 Babies in the womb face a combined experimental stages of cleft lip nasal base formed on his upper lip is formed. These abnormalities in the back, if it continues in the mouth of the slit in damakta occur. We call it the language of medicine cleft. On average one in every 750 babies is a congenital anomaly in. It may be associated with cleft lip and cleft palate as one or both sides can be. Sometimes just a cleft palate can occur without cleft lip
 
What is the cause of cleft lip and palate?
 
There is no single cause of congenital anomalies; It can be genetic factors involved, consanguinity, viral infections passed during pregnancy, some vitamin deficiencies, due to many reasons such as maternal smoking or alcohol use during pregnancy may also occur if these abnormalities.
 
The first children born with cleft lip and palate is the second child of healthy parents the chance to be seen how this anomaly?
 
The first child of healthy parents with cleft lip and palate children in the second incidence of cleft lip and palate is 4%. If one of the parents in the cleft lip and palate anomalies when the first baby was born, the risk of occurrence of abnormality in the second child 16%. So in other words, the second baby will normally be between 84% and 96%.
 
Is it understandable cleft lip and palate during pregnancy?
 
Not always. While many abnormal ultrasound examination can be understood with cleft lip and palate in babies, but up to 25% can be realized.
 
How to assess a baby born with a cleft lip and palate?
 
This disorder is not fatal itself, and a cure. There may be other concomitant disorders. Some heart diseases, deformities of the hands and feet, skull and brain disorders or genetic organ disorders may accompany these disorders. Babies born with cleft lip and palate should first be examined in detail by a pediatrician should be evaluated in terms of infant cleft lip and palate accompanied by other disorders. After plastic surgeons, ear, nose and throat specialist, orthodontist, children should be monitored by a team consisting of the cleft geneticist.
 
Cleft lip and palate What are the problems to be faced by a baby?
 
This baby feeding problems in the beginning, middle ear infections and hearing difficulties in the coming months and years, speech disorders, psychological problems may occur due to aesthetic issues.
 
What are the points to be considered in the diet?
 
Cleft lip and palate are frequently feed babies comfortable as normal babies. Cleft palate nutrition plaque by dentists in the first days after birth is made to facilitate the feeding of the baby by closing the cleft palate in babies. Babies should be fed to the head at an angle of 45 degrees and above so that the hole must be enlarged at the end of the bottle .. more frequent gas must be removed because they swallow more air than the other baby.
 
What are disorders related to speech?
 
Talk time is a feature found in the first two years. Due to the muscles of the soft palate in the baby for a short conversation during this time and the wrong place to be a child not remove some sounds right. The tooth development in the years ahead, these children are also affected. However, it is necessary for the removal of some of the sound on the teeth. talk to the child’s speech and muscle disorders are not due to the teeth with proper and understandable. This is the child’s relationship with the community, learn, adversely affects social and psychological development. Time that they were operated before learning to speak, and if they find enough speech therapy after surgery, this is a successful children in the community, there is no obstacle for them to be individuals.
 
Babies with cleft lip and palate surgery when it should be?
 
Cleft lip surgery as early as possible, preferably in first 3 months, cleft palate surgery, the baby’s weight and blood counts should be made taking into account the 6 to 12 months. According to the shape of the nose lip disorder, violence, or for additional surgery for the development of teeth and jaws should talk.

 
Prof Dr. Özhan Bekir ÇELEBİLER
Plastic – Reconstructive and Aesthetic Surgery