Clefts Lip And Palate Question And Answers

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Clefts Lip And Palate Important Notes

1. Classification of cleft lip and palate

  • Veau’s classification:
    • Group 1- Cleft of soft palate only
    • Group 2 – cleft of hard and soft palate
    • Group 3 – Complete unilateral cleft
    • Group 4 – complete bilateral alveolar cleft

2. Management Of Protocol:

  • Immediately after birth
    • Pediatric consultation
  • First few weeks
    • Hearing testing
  • At 10–12 weeks
    • Surgical repair of lip
  • Before 1 year or 18 months
    • Surgical repair of the palate
  • 3 months after palate repair
    • Speech-language repair
  • 3-6 years
    • Soft palate lengthening
  • 5–6 years
    • Pharyngeal surgery
  • At 7 years
    • Orthodontic treatment phase 1
  • 9–11 years
    • Pre-alveolar bone grafting
  • 12 years or later
    • Full orthodontic treatment phase 2
  • 15–18 years:
    • Placement of implant
  • 18–21 years
    • Surgical advancement
  • Final nose & lip revision
    • Rhinoplasty

Cleft Lip And Palate Surgery

Clefts Lip And Palate Literature Search And Selection

Clefts Lip And Palate Short Essays

Question 1. Management protocol of cleft patients.
Answer:

Management protocol of cleft patients

  1. Immediately after birth:
    • Pediatric consultation
  2. First few weeks:
    • Hearing testing
  3. At 10–12 weeks:
    • Surgical repair of lip
  4. Before 1 year or 18 months:
    • Surgical repair of the palate
  5. 3 months after palate repair:
    • Speech& language repair
  6. 3–6 years:
    • Soft palate lengthening
  7. 5–6 years:
    • Pharyngeal surgery
  8. At 7 years:
    • Orthodontic treatment phase 1
  9. 9–11 years:
    • Pre-alveolar bone grafting
  10. 12 years or later:
    • Full orthodontic treatment phase 2
  11. 15–18 years:
    • Placement of implant
  12. 18–21 years:
    • Surgical advancement
  13. Final nose & lip revision:
    • Rhinoplasty

Read And Learn More: Oral and Maxillofacial Surgery Question and Answers

Cleft Lip And Palate Surgery

Question 2. Cleft palate.
Answer:

Cleft palate

  • It is a congenital disorder
  • It involves a breach in the continuity of the palate formed during the development of the face
  • Corrected entirely surgically

Etiology of Cleft palate:

  • Hereditary
  • Sex
  • Maternal age
  • Syndrome associated
  • Environmental factors

Clinical Features of Cleft Palate:

  • Facial deformity
  • Inability to feed
  • Defective speech
  • Nasal regurgitation of fluids
  • Otological problems
  • Dental problems
  • Malformed teeth
  • Malocclusion
  • Congenital anomalies

Timing of Repair: 12–24 months

Clefts Lip And Palate Short Question And Answers

Question 1. Millard’s rule / Timing of repair.
Answer:

Millard’s rule / Timing of repair

It is a rule for the management of cleft patients stating the timing for operating

Rule of 10:

  • 10 gm% of Hb
  • 10 weeks of age
  • 10 pounds of weight

Reasons for Millard’s rule:

  • The lip is large & thick enough for easy repair
  • Baby is sufficient to bear operation assault & accept GA
  • Feeding with a dropper post-operatively is not difficult
  • Facilitate sucking
  • Helps in developing alveolus
  • Defective speech is avoided
  • Reduction of the gap in the palate

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