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Cleft lip and palate
Definition
Cleft lip and palate are birth defects that affect the upper lip and the roof of the mouth.
Causes
There are many causes for of cleft lip and palate. Problems with genes passed down from one or both parents, drugs, viruses, or other toxins can all cause such birth defects. Cleft lip and palate may occur along with other syndromes or birth defects.
A cleft lip and palate can affect the appearance of one's face, and may lead to problems with feeding and speech, as well as ear infections. Problems may range from a small notch in the lip to a complete groove that runs into the roof of the mouth and nose. These features may occur separately or together.
Risk factors include a family history of cleft lip or palate and other birth defect. About 1 out of 2,500 people have a cleft palate.
Symptoms
- Change in nose shape (amount of distortion varies)
- Failure to gain weight
- Feeding problems
- Flow of milk through nasal passages during feeding
- Misaligned teeth
- Poor growth
- Recurrent ear infections
- Separation of the lip alone
- Separation of the palate
- Separation of the lip and palate
- Speech difficulties
Exams and Tests
A physical examination of the mouth, nose, and palate confirms a cleft lip or cleft palate. Medical tests may be done to rule out other possible health conditions.
Treatment
Surgery to close the cleft lip is usually done at 3 - 9 months of age. Surgery may be needed later in life the problem severely affects the nose area.
A cleft palate is usually closed within the first year of life so that the child's speech normally develops. Sometimes a prosthetic device is temporarily used to close the palate so the baby can feed and grow until surgery can be done.
Continued follow-up may be needed with speech therapists and orthodontists.
Support Groups
For additional resources and information, see cleft palate support group.
Outlook (Prognosis)
Although treatment may continue for several years and require several surgeries, most children with a cleft lip and palate can achieve normal appearance, speech, and eating. However, some people may have continued speech problems.
Possible Complications
- Dental cavities
- Displaced teeth
- Hearing loss
- Lip deformities
- Nasal deformities
- Recurrent ear infections
- Speech difficulties
When to Contact a Medical Professional
Cleft lip and palate is usually diagnosed at birth. Follow the health care provider's recommendations for follow-up visits. Call if problems develop between visits.
Reviewed By: Deirdre O’Reilly, MD, MPH, Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts. Review Provided by VeriMed Healthcare Network.
