congenital health problem in newborn,it occur during intra uterine development ,it can prevented by the proper life style of the mothers . and the proper education ,and care of mother during pregnancy

1. CLEFT LIP AND
CLEFT PALATE
BY: JAYA SHARMA FATIMA COLLEGE OF NURSING

2. INTRODUCTION
 Cleft lip and cleft palate are congenital
malformations of face resulting from the failure
of fusion of first branchial arch during
intrauterine development .
 The complete formation of lip often occurs by
5 to 12 weeks ,whereas the formation of palate
may occur only by 12 to 14 weeks of
gestational age.
 These conditions are usually detected at birth
and may be associated with other congenital
anomalies in about 20% of cases .

3.  Cleft lip and cleft palate may occur as single or
in combination .it may be unilateral or bilateral.

4. CLEFT LIP
 It results from failure of the maxillary process
to fuse with nasal elevations on frontal
prominence .

5.  The extent of cleft lip is varying from a notch
in the vermilion border to a large cleft reaching
the floor of the nose .
 It is apparent at birth as incomplete formation
of lips.
 It may be associated with cleft palate and
supernumerary, deformed or absent teeth .

7. CLEFT PALATE
 It results from failure of masses of lateral
palatine processes to meet and fuse together .
 It is unilateral or bilateral and in isolation and
found in the midline involving only uvula or
reaches the incisive foramen through soft
palate .
 CP is found as an opening or elongated
opening or fissure in the roof of the mouth .

9. CAUSES
GENETICS
MATERNAL
FACTOR
INFECTION
ANEMIA
HYPOPROTEINEMIA

10. TYPES OF CLEFT LIP AND
PALATE

11. COMPLICATION
 IMMIDIATE PROBLEM :-
1. Feeding problem
2. Aspiration
3. Parental anxiety

12.  LONG TERM PROBLEM
 Recurrent infection
 Disturbed parent child relationship
 Impairment of speech
 Hearing problem
 Impaired body image

13. SURGICAL MANGEMENT
 Cheiloplasty
 Palatoplasty