61. Encyclopaedia Topic : Cleft Lip And Palate, Section : Introduction cleft lip and palate is a developmental problem in babies where the upper There are a number of other situations where cleft lip and palate occurs in http://www.nhsdirect.nhs.uk/en.asp?TopicID=123

62. Cleft Lip And Palate CHC Wausau Hospital s Medical Library and Patient Education Center providesresearch services and healthcare information to physicians, http://www.chclibrary.org/micromed/00042950.html

Main Search Index Definition Description Causes ... Resources Cleft lip and palate Definition A cleft is a birth defect that occurs when the tissues of the lip and/or palate of a fetus do not properly fuse very early in the pregnancy . A cleft lip, sometimes referred to as a harelip, is an elongated opening between the upper lip and the nose. It may involve one or both sides of the lip and may occur with or without a cleft palate. A cleft palate, in which the roof of the mouth abnormally opens into the floor of the nose, may also occur without a cleft lip. Description One of every 30 babies is born with some type of birth defect. Approximately one in 700 has a cleft, the fourth most common birth defect in the United States (congenital heart defect is the most prevalent). Twice as many boys as girls are afflicted with a cleft lip, both with and without a cleft palate. However, twice as many girls as boys are afflicted with a cleft palate without a cleft lip. Clefting occurs most often in Asians, Latinos, and Native Americans (one of 500 births) and least often in people of African descent (one of 1000 births). Babies born with cleft lips or cleft palates may have trouble breathing, as well as swallowing. They cannot adequately suck, so they cannot nurse and must be fed with a special bottle or a bulbar syringe. Later, when their teeth erupt, the upper and lower teeth and jaws are often misaligned, resulting in difficulty chewing. Thus, clefting leaves children vulnerable to

63. Cleft Lip And Palate | Craniofacial Center | Children's Hospital And Regional Me Information about cleft lip and palate incomplete formations of the upper lipand palate that leave a gap in the affected area. http://craniofacial.seattlechildrens.org/conditions/cleft_lip.asp

@import url(/assets/styles/main.css); Skip Navigation Search: Craniofacial Home About Us Our Services Conditions Treated ... Other Rare Conditions Shortcuts E-mail This Page Cleft Lip and Palate Related Items Nasoalveolar Molding (NAM) Glossary Contact Information What is cleft lip and palate? ... Who should I call if I have questions about cleft lip and palate? What is cleft lip and palate? Cleft lip and palate are incomplete formations of the upper lip and palate (roof of the mouth) leaving a cleft (gap) in the affected area. Clefts occur when parts of the lip or roof of the mouth don't fuse together during pregnancy. Cleft lip affects how the lip works and distorts nearby structures like the nose. Cleft lip can occur alone or with cleft palate. Cleft lip can be unilateral (on one side of the lip) or bilateral (on both sides). Unilateral cleft lip is the mildest cleft form. This form does not affect speech or the development of teeth. In cleft palate, the inside of the nose and mouth are not separated. This leaves an opening in the roof of the mouth. A cleft palate affects speech because the muscles at the back of the palate, which are needed for normal speech, are not formed properly. A submucous cleft palate is a cleft that is covered by the mucous membrane lining the roof of the mouth. This makes the cleft hard to see when looking in the mouth.

64. Virtual Children's Hospital : Cleft Lip And Palate Cleft Palate Frequently Asked Questions Management and Surgical Treatment ofthe cleft lip and palate Frequently Asked Questions http://www.vh.org/navigation/vch/topics/pediatric_patient_cleft_lip_and_palate.h

Health Topics A-Z Cleft Lip and Palate All Topics Pediatric Patient Topics Pediatric Provider Topics For Pediatric Patients Cleft Palate: Frequently Asked Questions Management and Surgical Treatment of the Cleft Lip and Palate: Frequently Asked Questions Pediatrics Common Questions, Quick Answers: Cleft Lip Van der Woude Syndrome (VWS) For Pediatric Providers Anatomy of the Unilateral and Bilateral Cleft Lip and Nose All Topics Pediatric Patient Topics Pediatric Provider Topics ... University of Iowa http://www.vh.org/navigation/vch/topics/pediatric_patient_cleft_lip_and_palate.html

65. The Children's Hospital At Westmead - Parents - Cleft Lip And Palate Cleft lips and palates form because the normal face and mouth structures do notclose when they should. Surgery, hearing and speech problems, http://www.chw.edu.au/parents/factsheets/cleftlpj.htm

feedback sitemap kids health fact sheets ... PDF Version Available Cleft lip and palate Cleft lip and palate affects one baby in about 700 - it is a condition that children are born with. Cleft lips are more common in boys while cleft palates are more common in girls. We do not know what causes cleft lip and palate - in some cases there is a family history, but in most cases the cause is unknown. Your baby's lips began to form at about the 6th week of pregnancy. The palate forms during the seventh to twelfth week. Clefts form because the normal face and mouth structures do not close when they should. Breastfeeding your cleft lip and palate baby Babies with clefts usually take a little longer to feed than babies without clefts. If your baby's cleft is not too severe, you may be able to breastfeed. Some parents choose to express breast milk and give it with a bottle. A squeeze bottle and special teat designed for babies with cleft palates are available. It is really up to you to choose which method suits your needs (see Feeding your baby with a cleft lip and/or palate fact sheet).

66. Cleft Lip And Palate cleft lip and palate After birth, cleft lip and palate are diagnosed byphysical exam. Treatment. If cleft lip and/or palate are diagnosed by ultrasound http://www.healthatoz.com/healthatoz/Atoz/ency/cleft_lip_and_palate.jsp

67. Cleft Lip And Palate Cleft Lip Palate Kaufman, Felix. Managing the cleft lip and palate Patient. Pediatric Clinics of North America, Vol. 38, No. 5, October 1991, pp. http://pedclerk.bsd.uchicago.edu/cleftLip.html

Back to table of contents Cleft Lip Palate Case: You are the pediatrics resident covering the birth rooms at night. A full term baby is delivered and is noted to have cleft lip and palate. What do you do? What do you say to the parents? Epidemiology 1/700 overall incidence for facial clefting (not rare) Cleft lip +/- cleft palate (CL/P) clusters in families distinct from isolated cleft palate (CP) (different embryology see below) Clefting more common in Asians (1/400) and less common in African American (1/2000) Clefts can be unilateral or bilateral; Left side more common for unilateral Syndromic clefting (pattern of multiple anomalies) accounts for 50-60% pts Of these, half are known patterns; others simply show multiple anomalies High incidence of congenital heart disease and renal disease screen carefully for these Other associated midline abnomalities hypopituitarism possible Embryology Failure here >> cleft lip +/- primary (anterior) palate Etiologies Teratogens: ethanol (FAS), anti-convulsants, steroids, chemo, excess Vita A Maternal / intra-uterine conditions: infant of diabetic mom, amniotic bands

68. Advance In Genetics Of Cleft Lip And Palate ? Cleft lip and/or palate remains one of the most common birth defects in theworld. It occurs when the sides of the face fuse abnormally in a developing http://www.news-medical.net/?id=9200

69. FamilyFun: Cleft Lip And Palate An excerpt on cleft lip and palate from the Disney Encyclopedia of Baby and Child Care. http://familyfun.go.com/parenting/child/health/childhealth/dony79enc_cllip/

Browse site by Classic Themes Barnyard Pals Cars and Trucks Fairy-Tale Princesses Pirates Under the Sea Search FamilyFun Tools My Great Idea Parent Problem Solver Field Guide to Parenting ... Solutions A to Z Cleft Lip and Palate These common facial malformations appear in about 5,000 infants born in the United States each year. Approximately half of these infants have both types of cleft, with the remaining cases divided evenly between cleft lip and cleft palate. Cleft lip and palate can be quite disfiguring, in addition to creating a number of potentially serious difficulties with feeding, hearing and speech. Fortunately, however, cleft lip and palate can be surgically repaired with excellent results, although the process is sometimes lengthy and complicated. Sophisticated therapeutic techniques also can help an affected child learn to eat and speak normally. HOW DO CLEFT LIP AND PALATE DEVELOP? About the fourth week of gestation, the tissues of the face begin to form. During this time, the primary palate, which eventually forms the upper lip and gums, and the secondary palate, which eventually forms the roof and back of the mouth, start to grow. During the fifth and sixth weeks of gestation, clefts are present in the primary palate on each side of the upper lip; these clefts run into the openings that will become the nostrils. The clefts normally fuse by the seventh week, creating the facial area between the nostrils and mouth. A cleft lip results when these clefts in the primary palate fail to fuse.

70. Cleft Lip And Palate cleft lip and palate. Picture provided by Farhad Saleem, Azadi Hospital, Dubok, Primary management of cleft lip and palate. Antenatal diagnosis of cleft http://www.surgical-tutor.org.uk/system/hnep/cleft.htm

Up Tracheostomy Foreign bodies ENT disorders ... Neck lumps in children Cleft lip and palate Commonest congenital abnormalities of the orofacial structure Cleft lip / palate occurs in 1:600 live births Isolated cleft palate occurs in 1:1000 live births Often occur as isolated deformities Can be associated with other anomalies (e.g. congenital heart disease) Cleft lips and palates are a diverse and variable congenital abnormality Cleft lip / palate predominates in males Isolated cleft palate is more common in female Aetiology Cleft lip and palate is believed to have both a genetic and environmental component Cleft palate may be inherited as an autosomal dominant condition with variable penetrance Family history in a first-degree relative increases the risk by a factor of 20 Environmental factors include: Maternal epilepsy Drugs - steroids, diazepam, phenytoin ? Folic acid deficiency Cleft lip and palate also occurs as part of over 100 syndromes Pierre Robin Syndrome - cleft palate, retrognathia, posteriorly displaced tongue Stickler Syndrome Down's Syndrome Treacher Collins' Syndrome Embryology Cleft lip deformity is established in first 6 weeks of life Possibly due to failure of fusion of maxillary and medial nasal processes May be due to incomplete mesodermal ingrowth into the processes Extent of deficiency determines the extent of the cleft Palatal clefts result from failure of fusion of the palatal shelves of the maxillary processes Clinical features Typical distribution of cleft types is : Cleft lip alone (15%)

71. Cleft Lip And Palate cleft lip and palate Updated April 25, 2005 Cleft Lip and Cleft Palate Marchof Dimes (NOAH PROVIDER) (also in Spanish); cleft lip and palate http://www.noah-health.org/en/healthy/children/illnesses/cleft.html

Skip navigation About NOAH Help English Spanish Both Advanced NOAH Healthy Living Change text size: Cleft Lip and Palate Updated: April 25, 2005 Bone and Muscle Defects Merck Manual, 2nd Home Edition Caring for a Newborn with Oral Clefting KidsHealth Cleft Lip and Cleft Palate American Academy of Family Physicians (also in Spanish Cleft Lip and Cleft Palate March of Dimes (NOAH PROVIDER) (also in Spanish Cleft Lip and Palate KidsHealth Cleft Lip and Palate KidsHealth Crouzon Syndrome (Craniofacial Dysostosis) Cleft Palate Foundation Dental Care of a Child with Cleft Lip and Palate Cleft Palate Foundation (also in Spanish For Parents of Newborns with Cleft Lip/Cleft Palate Cleft Palate Foundation (also in Spanish Information about Pierre Robin Sequence/Complex Cleft Palate Foundation Preparing Your Child for Social Situations Cleft Palate Foundation Missing Tooth Fact Sheet Cleft Palate Foundation New Isolated Cleft Lip and Palate Gene Test National Institutes of Health Speech Development Cleft Palate Foundation (also in Spanish Submucous Cleft Palate Cleft Palate Foundation Treacher Collins Syndrome Cleft Palate Foundation What Happened? A Look at the Causes of Clefting

72. Cleft Lip And Palate Program - Children's Hospital Boston A cleft lip and palate requires immediate intervention at birth and often The cleft lip and palate Program cares for more than 575 total patients each http://www.childrenshospital.org/clinicalservices/Site1858/mainpageS1858P0.html

or find by letter: A-F G-L M-R S-Z Cleft Lip and Palate Program Cleft Lip and Palate Program Helpful Links Meet the Team Contact Us Return to Dentistry Plastic Surgery Home Clinical Services Cleft Lip and Palate Program The Cleft Lip and Palate Program at Children's Hospital Boston is designed to meet all of the needs of children and adolescents with cleft lip and/or cleft palate. A cleft lip and palate requires immediate intervention at birth and often involves care throughout adolescence. To effectively treat this condition, the Program has assembled an experienced, interdisciplinary team of specialists whose primary focus is the management of these complex disorders. The Cleft Lip and Palate Program cares for more than 575 total patients each year, making it one of the largest programs of its type in the country. The specialized, interdisciplinary care offered by the Program results in superior results in terms of appearance, fewer surgical revisions of the lip/nose or palate, low incidence of "cleft palate speech", and better dentition. These superior outcomes are the result of high case volume, a communicative team, established protocols, and ongoing clinical research on what techniques are most effective. The Cleft Lip and Palate Program provides a wide range of diagnostic, treatment, and follow-up services. After a thorough evaluation of the child's visual characteristics, studies, films and genetic testing, the multi-disciplinary staff of the program work together to provide the most appropriate care.

73. Cleft Lip And Palate In Children - Keep Kids Healthy Cleft lip and cleft palate treatment and repair can help with feeding difficultiesand problems with speech development. http://www.keepkidshealthy.com/welcome/conditions/cleft_lip_and_palate.html

Bookstore Site Map Contact Us Help ... What's New? Search this site: Advanced Search Main Menu Useful Tools Index of Topics Pediatric Problems Parenting Tips ... Web Links Online Resources What's New Reviews Growth Charts Online Forums ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend cleft lip Main Diseases and Conditions Cleft Lip and Palate Cleft deformities involving a cleft lip (opening in the lip) and/or cleft palate (opening in the roof of the mouth) occur in about 1 in 700 births throughout the world and are the most common craniofacial birth defect. Although it isn't usually know what causes a child to have a cleft deformity, about one third of cases are in children with a positive family history and other children in the family with a cleft deformity. It is also known to be more common for children with cleft deformities to have a mother who smokes. Cleft deformities are also associated with a number of syndromes, including Pierre Robin and Stickler syndromes and many others. Related Topics Speech Delays The most common cleft deformity is a bifid uvula . Although children can have an isolated cleft lip or an isolated cleft palate , in 50% of cases children have both a cleft lip and a cleft palate, which is usually left sided.

74. Cleft Lip And Palate - Cleft And Craniofacial Center - Golisano Children's Hospi Cleft lip and/or cleft palate are anomalies that occur when a baby s lip and/or Cleft lip and cleft palate can occur on one side (unilateral cleft lip http://www.stronghealth.com/services/surgical/plastic/craniofacial/cleftlip.cfm

@import "/css/Strongw3c.css"; Search: Search Help Plastic Surgery About Us Home Our Locations Our Team Meet Our Surgeons Craniofacial Team Cosmetic Surgery Home Facial Surgery Body Contouring Breast Surgery Reconstructive Surgery Breast Reconstruction Pediatric Surgery Free Seminar Register For A Free Seminar Resources Helpful Web Sites Contact Us Ask a Plastic Surgeon Ask the Craniofacial Team More Information Plastic Surgery News Department of Surgery Strong Health's Specialists in Plastic Surgery Pediatric Cleft and Craniofacial Center What is a Cleft Lip and/or a Cleft Palate? Before Cleft lip and/or cleft palate are anomalies that occur when a baby's lip and/or palate do not fully form prior to birth. A cleft lip is a separation of the two sides of the upper lip. The separation often includes the gum line and/or bones of the upper jaw, as well as the nose. eats Cleft lip and cleft palate can occur on one side (unilateral cleft lip and/or palate), or on both sides (bilateral cleft lip and/or palate). Because the lip and the palate develop separately, it is possible for the child to have a cleft lip or a cleft palate alone, or both together. These clefts, or separartions, normally are present in early fetal development. The lip usually closes by 5 to 6 weeks after conception, and the palate by 10 weeks. The lip or the lip and palate together fail to close in approximately 1 in every 1,000 babies born. Some ethnic groups (such as eskimos or asians) have a higher number of babies with cleft lip. Males are affected more frequently than females.

75. EMedicine - Cleft Lip And Palate : Article By Marie M Tolarova, MD, PhD, DSc cleft lip and palate Orofacial clefts (ie, cleft lip CL, cleft lip andpalate CLP, cleft palate CP alone, as well as median, lateral transversal, http://www.emedicine.com/ped/topic2679.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Pediatrics Otolaryngology Cleft Lip and Palate Last Updated: July 12, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: orofacial cleft, orofacial clefts, facial cleft, facial clefts, cleft lip, CL, cleft lip and palate, CLP, cleft lip with or without cleft palate, CL/P, cleft palate, CP, oral cleft , infant with a cleft, neural tube defect, NTD, folic acid supplementation, CLP anomaly, orofacial anomaly, congenital anomaly, unilateral anomaly, bilateral anomaly, unilateral cleft, bilateral cleft, neural crest cells, palate cleft, Robin sequence AUTHOR INFORMATION Section 1 of 7 Author Information Introduction Indications Treatment ... Bibliography Author: Marie M Tolarova, MD, PhD, DSc , Professor and Executive Director, UOP Craniofacial Team, Professor, Cleft Prevention Program, Department of Orthodontics, University of the Pacific School of Dentistry Marie M Tolarova, MD, PhD, DSc, is a member of the following medical societies:

76. Plastic And Reconstructive Surgery | Clefts | Cleft Lip And Palate A cleft lip and palate is noted at birth by the presence of a gap or cleft in An infant with cleft lip and palate usually needs to be bottlefed (either http://www.ucsfhealth.org/childrens/medical_services/plassur/clefts/conditions/c

University of California, San Francisco About UCSF Search Welcome Hospitals and Clinics Appointments Billing ... Other Resources Clefts Cleft Lip and Palate Signs and Symptoms Diagnosis Treatment Signs and Symptoms A cleft lip and palate is noted at birth by the presence of a gap or cleft in the upper lip either on one or both sides of the lip together with a cleft in the palate (the roof of the mouth). A cleft palate can either be open and obvious or be covered over by the lining or mucous membrane of the roof of the mouth, called a submucous cleft, which is not visible to the naked eye. An infant with cleft lip and palate usually needs to be bottle-fed (either breast milk or formula) using special nipples. Last reviewed in June 2003 by health care specialists at UCSF Children's Hospital. Home About the Medical Center Contact Us Jobs Compliance / Hotline University of California ... Site Map

77. Ontario Ministry Of Health And Long-Term Care -Publications - Children Health Fa 1, 1986;; diagnosed as having a cleft lip and/or palate or other severe congenitalor acquired dental What will the cleft lip and palate Program cover? http://www.health.gov.on.ca/english/public/pub/child/cleft.html

Public Information Health Care Providers News Media Text Only Version Health Facts : Children's Health Cleft Lip and Palate Program One in every 600 to 700 children in Ontario is born with a cleft of the lip and/or palate. This notch or separation in the lip or palate can mar appearance and affect both tooth and bone structure. Because of its effect on physical appearance, it can be stressful for both the child and his or her family. Clefts may be caused by heredity, nutritional deficiencies, infection or various drugs. The problem occurs about the seventh to ninth week of pregnancy, when the unborn baby's face is developing. Through surgery, specialized dental treatment and speech therapy, the problem can be corrected eventually. However, these treatments can be very expensive. To help families of children and young adults who must cope with this expense, the Ministry of Health and Long-Term Care has established the Cleft Lip and Palate Program. Through this program, the ministry will provide 75 per cent of the cost of dental treatment by a certified specialist who is associated with correcting the cleft lip and/or palate. The Program also covers 75 per cent of treatment costs of severe acquired (non-genetic) dental dysfunction for patients up to 22 years of age.

78. Cleft Lip And Palate Clinic Comprehensive Care for Cleft Lip, Cleft Palate and Facial Anomalies In thecleft lip and palate Center, children benefit from a multidisciplinary http://www.cdh.org/ClinicalServices.aspx?id=9089

79. CLEFT LIP AND CLEFT PALATE cleft lip and palate (PALhut) are common birth defects (problems). What causescleft lip and palate? In many cases, caregivers do not know why cleft http://www.healthtouch.com/bin/EContent_HT/cnoteShowLfts.asp?fname=00337&title=C

80. CCDD: Cleft Lip And Palate The Center for Craniofacial Development and Disorders (CCDD), at Johns HopkinsUniversity, has a comprehensive list of Cleft Lip and Cleft Palate links and http://www.hopkinsmedicine.org/craniofacial/Gateway/CleftLip.cfm

Site Map About Us Family Physician ... Feedback Home About Us Family Physician Scientist ... Feedback Questions: CCDD Site Issues: Webmaster Cleft Lip and Palate An incomplete formation of the upper lip or roof of the mouth (palate), leaving a hole or notch in the affected area. Clefting is a common birth defect and may be surgically repaired. It may occur alone or as part of a genetic syndrome. Visit these Clefting links to learn more: About Us: Oral Clefting Brochure - The most common malformations of the head and neck region are clefts of the lip and palate which occur once in every 500 to 1,000 births. Clefts occur in infants of all races. A cleft is due to the failure of fusion of parts of the lip or roof of the mouth during the early months of development of the unborn child. Family: Cleft Lip with or without Cleft Palate Introductory Article Family: September 1998 Newsletter for FACES - Of the over 5,500 known inherited conditions in man, over 700 involve malformations of the craniofacial region, and over 300 have cleft lip with or without cleft palate. This highly diverse group of disorders is due to many different environmental and genetic causes and their interactions with one another..

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