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Outlines:: 1-Definition. 2 - Types. 3 - Causes. 4 - Signs & Symptoms. 5 - 6

A cleft lip or palate is an abnormal separation in the oral-facial region that occurs due to improper formation of tissues in the mouth or lip during fetal development. There are several types of clefts including unilateral or bilateral cleft lip and complete or incomplete cleft palate. Clefts can be caused by medication, substance use, radiation exposure, or family history during pregnancy. Signs include separation of the lip or palate, nasal distortion, ear infections, and speech or feeding problems. Complications include ear infections, hearing loss, dental issues, and speech or facial deformities. Treatment involves surgery in infancy, speech therapy, and sometimes orthodontics. Nursing care focuses on nutrition, airway monitoring

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Hazem Adel
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86 views6 pages

Outlines:: 1-Definition. 2 - Types. 3 - Causes. 4 - Signs & Symptoms. 5 - 6

A cleft lip or palate is an abnormal separation in the oral-facial region that occurs due to improper formation of tissues in the mouth or lip during fetal development. There are several types of clefts including unilateral or bilateral cleft lip and complete or incomplete cleft palate. Clefts can be caused by medication, substance use, radiation exposure, or family history during pregnancy. Signs include separation of the lip or palate, nasal distortion, ear infections, and speech or feeding problems. Complications include ear infections, hearing loss, dental issues, and speech or facial deformities. Treatment involves surgery in infancy, speech therapy, and sometimes orthodontics. Nursing care focuses on nutrition, airway monitoring

Uploaded by

Hazem Adel
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Outlines:

1- Definition. 2- Types. 3- Causes. 4- Signs & Symptoms. 5- Complication. 6 Treatment 7- Nursing Intervention

1.

Definition:-

A cleft lip or palate is an abnormal separation in the oral-facial region that happens because tissue of the mouth or lip does not form correctly in fetal development.

2.

Types:a) Lip cleft can occur as a one sided (unilateral).

*Clift lip:-

b)

Lip cleft can occur as two sided (bilateral).

c) Cleft lip is formed in the top of the lip as either a small gap.

*Clift palate:a)

complete Bilateral (soft and hard palate,

possibly including a gap in the jaw) in two side.

b)

complete unilateral (soft and hard palate,

possibly including a gap in the jaw) in one side.

c)

incomplete (a 'hole' in the roof of the mouth,

usually as a cleft soft palate).

3- Causes: Use certain medicines while you're pregnant. Use alcohol or illegal drugs while you're pregnant. Smoke while you're pregnant. Are exposed to radiation or infections while you're pregnant. Have a family history of cleft palate.

Signs & Symptoms


Separation of the lip . Separation of the palate (roof of the mouth) Nasal distortion. Recurring ear infections . Failure to gain weight. Nasal regurgitation when bottle feeding. Poor speech . Misaligned teeth . Growth retardation .

5- Complication

Ear infections. Hearing loss. Dental cavities. Displaced teeth. Poor speech. Lip deformities. Nasal deformities.

6- Treatment
a)

First Stage:-

The first part of the process is surgery. Surgery is done when a child is at 3 to 9 months of age. b) Second Stage:-

The next stage is therapy. Because of surgery being done so early hopefully speech will form correctly

but because the child has to adapt, therapy is advised.


c)

Final Stage (orthodontics) :-

The final stage of treatment is orthodontics. If as the child gets older teeth are not straight you should see an orthodontist for treatment.

7- Nursing Intervention
1. Assess for problems with feeding, breathing parental bonding, and
speech.

2. Ensure adequate nutrition and prevent aspiration: Provide special nipples or feeding devices. Hold the child in a semi-upright position to prevent aspiration. Feed the infant slowly and burp frequently to prevent excessive swallowing of air and regurgitation.

3.

Support the infants and parents emotional and social

adjustment: Help facilitate the familys acceptance of the infant by encouraging the parents to express their feelings. Improve the infants positive aspects and express optimism about surgical correction.

4.

Post-operative :airway patency and vital signs; observe for edema and respiratory distress.

Clean the suture line and apply an antibacterial ointment as prescribed


Use elbow restraints to maintain suture line

integrity. try to keep the child from putting tongue up to palate sutures.

Manage pain by administering analgesic as prescribed.

5.

Provide child and family teaching about: surgical wound care. Show proper feeding techniques and positions. Stress the importance of long-term follow up, including speech therapy, and preventing or correcting dental abnormalities. Teach infection control measures. Explain that temperature of feeding formulas should be monitored closely because new palate has no nerve endings

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