Cleft Lip and Palate

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Birth Defect Series: Cleft Lip and Palate What: A cleft lip and/or palate is a split in the roof of the mouth or the lip. These conditions can occur when the mouth and lip develops. There are various levels of severity. Clefting can involve a small notch in the lip or Resources can involve the entire palate and nose. Clefts involving the upper lip and palate are the most common birth defects. for Illinois Families · · · Why: Development of the head and face occurs very early in the Adverse Pregnancy Outcomes Reporting pregnancy. The face develops in two halves and joins together to System form the lips and mouth. If the upper lip or palate do not join http://www.dph.illinois.gov/ data-statistics/epidemiology/ correctly a notch can remain at birth. While there is no known apors cause of clefts, there are several risk factors that can increase the Centers for Disease chance of babies having oral clefts. Women who smoke, have dia- Control and Prevention http://www.cdc.gov/ncbddd/ betes, or take certain medications are more likely to have babies birthdefects/cleftlip.html with oral clefts. Cleft Palate Foundation http://www.cleftline.org/ When: Some clefts can be detected by ultrasound before your baby is born. Other clefts may be found during your baby’s first March of Dimes http:// exam. www.marchofdimes.org/ complications/cleft-lip-and- cleft-palate.aspx How: Oral clefts can affect breathing, eating, speech development and hearing. Treatments for oral clefts usually involve surgery And visit your doctor for more during the first year. Other therapies may be needed to improve information. speech and correct dental problems. Image courtesy of the Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities. .

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2. Bilateral Cleft Anatomy 19
BILATERAL CLEFT ANATOMY IS ATTACHED TO THE SINGLE CLEFT THE PREMAXILLA NORMALLY ROTATED OUTWARD MAXILLA ON ONE SIDE AND THIS ENTIRE COMPONENT IS THE CLEFT SIDE MAXILLA IN AN VARYING DEGREES FROM ASYMMETRICAL DIFFERENT DISTORTION DOUBLE CLEFTS PRESENT AN ENTIRELY CONFIGURA TION IN THE COMPLETE BILATERAL CLEFT THE PREMAXILLA IS UNATTACHED THREE WHICH TO EITHER MAXILLA THUS THERE ARE SEPARATE COMPONENTS IN THEIR DISTORTION THE MAXILLAE ARE MORE OR LESS SYMMETRICAL TWO WHILE THE ARE USUALLY EQUAL TO EACH OTHER IN SIZE AND POSITION FORWARD ITS IN CENTRAL PREMAXILLARY ELEMENT PROCEEDS ON OWN WITHIN ITSELF FOR DIFFERENT DEGREES BUT WITH SYMMETRY EXCEPT IJI POSSIBLE DEVIATION FRONTONASAL THE COMPLETE SEPARATION OF THE CENTRAL COMPONENT OF PROLABIUM AND PREMAXILLA FROM THE LATERAL MAXILLARY SEGMENTS THE VASCULAR ABNORMALLY INFLUENCES NOSE PHILTRUM MUSCULATURE AND OF ALL THREE ELEMENTS ITY NERVE SUPPLY GROWTH DEVELOPMENT WHERE THE CLEFT IS INCOMPLETE ON BOTH SIDES THE DEFORMITY IS LESS AND IS STILL SYMMETRICAL IN SUCH CASE THERE IS USUALLY MORE OR LESS INTACT ALVEOLUS AND LITTLE OR NO PROTRUSION OF THE PRE THE MAXILLA THE COLUMELLA IS LIKELY TO BE LONGER THAN IN COMPLETE CLEFT BUT NOT OF NORMAL LENGTH SOMETIMES SOMETIMES THE DEGREE OF CLEFT VARIES ON EACH SIDE SIDE THE INCOMPLETENESS SHOWS AS ONLY THE SLIGHTEST NOTCH ON ONE SIDE OR THERE CLEFT ON THE OPPOSITE AND HALFWAY OR THREEQUARTER ON THE CLEFT ONE SIDE AND AN INCOMPLETE ONE CAN BE COMPLETE ON OF THE EXASPERATING ASPECT OTHER WHICH CONDITION EXAGGERATES THE ROTATION OF THE IN THE AND NOSE
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