Cleft Lip/Cleft Palate

6.3.1 Discuss the incidence, causes and genetic aspects of cleft lips and palates (CL and CP).

6.3.2 Review the normal embryologic development of the lip and palate.

6.3.3 Describe the abnormal development leading to CL and CP.

6.3.4 Review the classification of CL and CP.

6.3.5 What speech sounds to CL and CP kids have difficulty with? What is the treatment? Is it successful?

6.3.6 When should you do a lip adhesion? How do you do it?

Vander Woude DL, Mulliken JB. Effect of lip adhesion on labial height in two-stage repair of unilateral complete cleft lip. Plast Reconstr Surg. 1997 Sep;100(3):567-72; discussion 573-4. PMID:9283551

6.3.7 Discuss the role of orthodontics in the management of CL and CP.

6.3.8 You are called to the NICU to counsel parents of a newborn with a unilateral CL and CP. What do you tell them about the timing of repair of each. Also, the baby is having problems with feeding. Any suggestions?

6.3.9 Draw: 2 unilateral cleft lip repairs, 1 bilateral cleft lip repair and 2 cleft palate repairs. Don’t put names on them. Pass them out and have everyone label.

6.3.10 Analyze the nasal deformity associated with CL. How do you fix it?

6.3.11 Why do cleft kids have eustachian tube dysfunction? How do you manage their ear disease?