One of the major problems for infants born with cleft lip and palate is related to:
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Cleft Lip and Cleft Palate CausesThe exact cause(s) of cleft lip and cleft palate are not completely understood. Some evidence suggests the conditions may be genetic. Additional research suggests a combination of genetic and environmental factors affecting the mother during pregnancy — including smoking, diabetes or the use of certain medications — could be connected. Genetic consultation may be suggested. However, some cleft lip and palate cases may not be related to genetic or environmental factors. The cause of those cases is still unknown and often, the conditions cannot be prevented. Cleft Lip and Palate SymptomsBeyond the cosmetic abnormality, other possible complications that may be associated with cleft lip and cleft palate include:
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Cleft Lip and Palate Diagnosis and TreatmentFor most infants with cleft lip alone, your child’s surgeon can repair the abnormality within the first several months of life. To repair a cleft lip, the plastic surgeon uses a special technique to suture the two sides of the lip together, leaving a scar that blends into the lip. The goal of this surgery is to fix the separation of the lip. Sometimes, a second operation is needed. Cleft palate repairs are usually done between the ages of 6 to 18 months. This is a more complicated surgery, and it is done when the baby is bigger and better able to tolerate the surgery. Your child’s doctor will advise about the exact timing of the surgery. To repair a cleft palate, the plastic surgeon uses tissue from either side of the mouth to fill in the gap. A second operation may be required. At your first visit with the plastic surgeon, he or she will explain the details of the surgery, risks, complications, costs, recovery time and outcomes.
The Johns Hopkins Cleft and Craniofacial CenterEach year, the Johns Hopkins Cleft and Craniofacial Center treats approximately 650 babies and children with cleft lip and palate or other craniofacial conditions. Our goal is to help our patients achieve their full potential, without being defined or limited by facial differences. Diet After SurgeryYour child’s doctor may allow breast-feeding, bottle feedings or cup feedings after surgery. Your child should be placed on a soft diet for seven to 10 days after surgery. For older infants and children, age-appropriate soft foods may include strained baby foods, popsicles, yogurt, mashed potatoes and gelatin. Your child should not use a straw or pacifier, as both could damage the surgical repair. Activity After SurgeryYour child can walk or play calmly after surgery. He or she should not run or engage in rough play (i.e., wrestling or climbing) or play with “mouth toys” for one to two weeks after surgery. Your child’s doctor will advise you when your child can safely return to regular play. Following up with your child’s surgeon and the cleft team is very important. Your child’s doctor will also be an important part of your child’s overall health management after the surgery. Cleft Lip and Palate Treatment at Johns Hopkins
What are some problems associated with cleft palate in a newborn baby?Children with a cleft lip with or without a cleft palate or a cleft palate alone often have problems with feeding and speaking clearly and can have ear infections. They also might have hearing problems and problems with their teeth.
What syndrome is associated with cleft lip and palate?Van der Woude syndrome is the most common genetic syndrome associated with cleft lip and palate, and is diagnosed in about 1 to 2 percent of children born with cleft lip and/or cleft palate. No differences in the incidence among races or gender have been described.
Which factors are linked to the development of cleft lip with cleft palate?Conclusions: The main risk factors associated with the development of cleft lip and cleft palate in a Mexican population at the Women's hospital in Culiacan, Sinaloa, Mexico were smoking, alcohol abuse, and patients not taking folic acid and multivitamins during pregnancy.
What is the problems that may be present because of a cleft or palate?Babies born with a cleft lip or cleft palate may have difficulties eating (both from the breast and a bottle). They may also have trouble speaking, and they often have fluid behind their eardrum that can affect hearing. Depending on the case, some also have issues with their teeth.
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