Cleft lip and palate are congenital defects in which tissues of the mouth or lips during fetal development are not well formed. Of course, congenital defects of cleft lip and palate repair component have a significant. Cleft lip or cleft width to form a hole in the skin on the upper lip, which can extend up to the estimated valuation. Cleft palate is a hole in the roof of the nasal cavity and the mouth is.
Some of the guys also have a cleft lip cleft palate and and some others are one of the shkafaha alone . More boys than girls are suffering from cleft lip whereas more girls are suffering from cleft palate .
A variety of three different types of gap there is gap :
1) Cleft lip without cleft palate
2) Cleft palate without cleft lip
3) Cleft lip and palate together
The cause of the :
The cause of this is unknown, but doctors believe the gap that both genetics and environment in this special are shkafaha, such as the consumption of drugs or alcohol use in pregnancy . Problems related to the cleft palate children with cleft lip and prone to hearing loss has decreased, the problem is not a remark like dental, dental students dental bdshkl or high or misplaced..
These children are also prone to ear infections are due to incomplete Eustachian tube trumpet performance reach. . This trumpet is able to discharge water from the middle ear to the throat is not . Fluid, causing the pressure in the ears and sometimes also be infectious to children in this special pipes in primary reconstructive surgery inside the ear is placed to prevent the above complications .
Relieving for a child who has a cleft lip is a problem whereas the children with cleft palate with problems in the nasal cavity when feeding. . For the feeding of infants sarpstank special preparation is to help to the child nutrition.
The treatment of :
For treatment of children with cleft, the therapeutic team includes the following members of the cooperation
1- Pediatric surgeon
2- Ear, nose and throat specialist
3- Hearing the gauge
4- Artodentist
5- Dentistry
6- Speech therapy if
7- Psychiatrist
8- Nurse
9- Genetic specialist
The child must be in terms of hearing, speech, emotions, and the study of teeth and necessary measures for he performs . The main treatment for clefts is surgery, which is usually done in old age 12-18 It is done monthly . Cleft lip is often a need of reconstructive surgery, especially if it is one sided . During this operation, a surgeon cut the gap in the creation of the dotarf of the lips, nose hole and then up along the sides of each suture. . Bilateral cleft lip surgery may be required for two . Surgery, cleft palate due to the need to build a new palate is more difficult .
Create a new palate of otitis media decreased the chances of infection, the improvement in the growth of teeth and the bones of the face and the child nutrition and the ability to speak. . For the repair of cleft palate surgery is done, several of which are dependent on the depth of the hole. . The surgery usually is done once the six months that the surgeon of the children during visits to the child's surgery took repeated prediction is .
Oral care and orthodontics cleft lip and palate children should be under doctor teeth dental care and orthodontic conduct if necessary; . To help to row of teeth and any gap that exists because of the distance created improved . The treatment of permanent teeth usually atodensi with first starts growing and the necessary action should be done for the child under artodentist, until the permanent teeth while taking care of the teeth and brush the tooth to form handling that will be doing the training physician .
Problems related to speaking speaking children with these disorders with considerable difficulties . The gap can be created that sound todmaghi non-understandable . For this reason at the age of six months and then 18 -2 The age of the child should be visited by a speech therapist. Some speech problems are completely resolved with surgery, but some require additional measures, repeated exercises with a speech therapist, and even subsequent surgeries. .