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CLEFT LIP AND CLEFT
PALATE
Presented by,
Ms.L.SOUNDARYA
M.SC.NURSING
(PEADIATRICS)
• “It is defined as a congenital anomaly in which
there is a presence of a fissure at upper lip
which occurs due to failure of the maxillary and
medial nasal processes”.
• It results from failure of the maxillary process
to fuse with nasal elevations on frontal
prominence.
• It may be unilateral or bilateral.
CLEFT LIP (HARE LIP)
• It results from failure of masses of lateral
palatine processes to meet and fuse together.
• It may be unilateral or bilateral
• (or) it is defined as a congenital anamoly in
which there is fissure at the roof of the mouth
which occurs due to failure of fusion of the
lateral palatine processes, the nasal septum
and the median palatine processes.
CLEFT PALATE
CAUSES
• Genetic factor or due to unfavorable maternal
factors
• Family history
• Environmental factors
• (viral infections during 5th to 12th weeks of
gestation or ingestion of drugs, exposure to x-
ray, anemia and hypo-proteinemia.
TYPES OF CLEFT AND CLEFT PALATE
GROUP-I (PREALVROLAR)
• It includes only cleft lip in right or left side or
bilateral and rarely in midline
• Group-I A: indicates cleft lip and alveolus
• Group II B : sub surface cleft visible with smiling.
GROUP-II (POSTALVEOLAR)
• It includes only cleft palate.
• Submucous cleft may found as fistula or bifid
uvula.
GROUP-III (COMBINED)
• It includes both cleft lip and cleft palate in
midline or may be unilateral or bilateral.
COMPLICATIONS
Immediate problems
• Feeding problem due to ineffective
sucking resulting in under nutrition
• Aspiration of feeds resulting respiratory
infections.
• Parental anxiety due to defective
appearance of the infant.
Long term problems
• Recurrent infections especially otitis media.
• Disturbed parent relationship and
maladjustment with non acceptance for the
infant.
• Impairment of speech
• Mal-occlusion and mal-placement of teeth
• Hearing problems
• Impaired body image
SURGICAL MANAGEMENT
• CLEFT LIP- surgical repair of the defect of the
lip is done,(2-3 mths of age)
• Good health (at 10weeks age, 10lb weight
and 10gm Hb%)
• This operation is termed as CHEILOPLASTY
CLEFT PALATE
• PALATOPLASTY, the surgical reconstruction of the
palate is done with repair of the cleft, at about
age of 1-2 years .
Nursing management
Thank you

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Cleft lip and cleft palate

  • 1. CLEFT LIP AND CLEFT PALATE Presented by, Ms.L.SOUNDARYA M.SC.NURSING (PEADIATRICS)
  • 2.
  • 3. • “It is defined as a congenital anomaly in which there is a presence of a fissure at upper lip which occurs due to failure of the maxillary and medial nasal processes”. • It results from failure of the maxillary process to fuse with nasal elevations on frontal prominence. • It may be unilateral or bilateral. CLEFT LIP (HARE LIP)
  • 4.
  • 5.
  • 6. • It results from failure of masses of lateral palatine processes to meet and fuse together. • It may be unilateral or bilateral • (or) it is defined as a congenital anamoly in which there is fissure at the roof of the mouth which occurs due to failure of fusion of the lateral palatine processes, the nasal septum and the median palatine processes. CLEFT PALATE
  • 7.
  • 8.
  • 10. • Genetic factor or due to unfavorable maternal factors • Family history • Environmental factors • (viral infections during 5th to 12th weeks of gestation or ingestion of drugs, exposure to x- ray, anemia and hypo-proteinemia.
  • 11. TYPES OF CLEFT AND CLEFT PALATE
  • 12. GROUP-I (PREALVROLAR) • It includes only cleft lip in right or left side or bilateral and rarely in midline • Group-I A: indicates cleft lip and alveolus • Group II B : sub surface cleft visible with smiling.
  • 13. GROUP-II (POSTALVEOLAR) • It includes only cleft palate. • Submucous cleft may found as fistula or bifid uvula.
  • 14. GROUP-III (COMBINED) • It includes both cleft lip and cleft palate in midline or may be unilateral or bilateral.
  • 16. Immediate problems • Feeding problem due to ineffective sucking resulting in under nutrition • Aspiration of feeds resulting respiratory infections. • Parental anxiety due to defective appearance of the infant.
  • 17. Long term problems • Recurrent infections especially otitis media. • Disturbed parent relationship and maladjustment with non acceptance for the infant. • Impairment of speech • Mal-occlusion and mal-placement of teeth • Hearing problems • Impaired body image
  • 19. • CLEFT LIP- surgical repair of the defect of the lip is done,(2-3 mths of age) • Good health (at 10weeks age, 10lb weight and 10gm Hb%) • This operation is termed as CHEILOPLASTY
  • 20. CLEFT PALATE • PALATOPLASTY, the surgical reconstruction of the palate is done with repair of the cleft, at about age of 1-2 years .
  • 21.