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Cleft lip and palate program
Amaal Alkhozami
Basic Definition
Types of Cleft Lip
Types of Cleft Palate
Cleft Palate SOFT / UVULA Cleft Palate HARD/SOFT
Problems Associated With Cleft Lip and Palate
Feeding Problems
• Aspiration.
• Regurgitations.
• Feeding technique difficulties.
• Time.
• Frustration of the mother & embarrassment.
• FTT ( Failure To Thrive ).
Breast Feeding
Heberman Bottle
Pierre Robin Sequence
This occurs where the baby has a very small lower
jaw (micrognathia) as well as a wide cleft palate.
There are feeding and breathing problems due to
the position of the tongue. The baby may need
hospital car initially.
• Other Associated Syndromes:
e.g Treacher collins syndrome , dandy walker
syndrome , van der woudes syndrome, etc …
Nursing side
Our Team Consist Of :
• Plastic Surgeon
• General Pediatrician
• Geneticist
• Speech Therapist
• Dietitian
• ENT
• Social Worker
• Psychologists
• Orthodontist
• Pedodontist
• Prosthodonist
• Oral Maxillofacial
Time Frame For Cleft Lip and
Palate Treatment Plan
Between 3-6 month
cleft lip repair
A.I.K
Through the first year the child will be seen at (CLCP)
combined clinic in .
It is consist of :
( General Pediatrician ,Orthodontist , Speech Therapist ,
Psychologist, Social Worker , Dietitian and Photographer )
Between 12-18 month
Cleft palate will be
repaired and patient
will be admitted to
a pediatric ward.
Complication :
Fistula
2 years till
preschooler age
the child will
follow up with our
speech therapists
At the age of 4 years will be referred
to orthodontist , pedodontist and
(prosthodontist ) if needed
Between 7-18 years he/she
will undergo through
alveolar bone graft ,
rhinoplasty and dental
implant if needed .
Thank You & Have A Great Day

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