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What percentage of children with clefts have both cleft lip and palate?
- 50% cleft lip and palate
- 30% palate only
- 20% lip only
A cleft on which side is more common? Which side is more often associated with syndromes?
- Left is more common (about twice as common)
- Right is more often associated with syndromes
- 10% bilateral
What is the primary and secondary palate?
- Primary: Lip and premaxilla
- Secondary: begins at the incisive foramen and extends posteriorly
The lip and alveolus are formed by the fusion of these three processes
- Paired lateral maxillary
In cleft palate, these two muscles are abnormally oriented compromising function of the soft palate and eustachian tube
- levator palatini normally forms a sling to elevate the soft palate
- tensor palatini opens eustachian tube
A complete cleft lip extends through what structure?
What is an incomplete cleft palate?
Cleft of the secondary palate only (posterior to the incisive foramen)
What is Pierre Robin sequence?
- Cleft (characteristically of the secondary palate)
- Retrodisplacement of the tongue
In a child with cleft lip and palate, when do you perform the first surgery? Second stage?
- Lip repair, tip rhino, closure of nasal floor when child is 10 weeks, weights 10 lbs, and has a Hg of 10
- Palate repair at about 1 year
- 5 years: columellar lengthening
- 8-16 years: orthodonic
- 10 years: alveolar cancellous bone grafts
- 14 years: definitive rhinoplasty
What speech sounds to CL and CP kids have difficulty with?
Affricate or affricative: sound requiring occlusion, plosion or stop (consonant made by closing off oral cavity and then releasing with burst of air), and frication, as either the ch or j sounds.
Fricative: sound produced by forcing air through constricted passage such as f, s, z, or th