1) Clef lip / Clef Palette

a) Incomplete fusion of Lip or Palate

b) Occurs during First Trimester 1in 2000
c) Cause Unknown
d) Increased incidence in families
e) Can occur alone or together
f) May be simple or bilateral with other deformities
2) Collaborative care
a) Nursing
b) Plastic surgery
c) Oral surgery
d) Orthodontist
e) Audiology
f) Speech
3) Clef Lip/NAM
Naso alveolar Molding device

a)

b)
4) Clef lip repair / 2-3 Mos
5) Post Op care
a) Position Child on side or back
i) Maintain stabilizing Dressing
ii) Prevent Hand to Mouth movement
iii) Clear liquids -Half strength formula Use adaptive nipple or Brecht feeder
iv) Clean suture line with NS as ordered Give water after feeding
6) Clef palate Repair/ 9-18 Months
a) General Post op considerations (V/S LOC Pain )
b) Distraction
c) Keep hard objects out of Mouth
d) Take fluids with Cup

e) Soft diet
i) Follow each meal with water
7) Pyloric Stenosis

a)
8) Manifestations of pyloric Stenosis (2-4 weeks after birth)
a) Projectile Vomiting
b) Visible Peristaltic waves
c) Olive size Mass in RUQ
d) Irritable
e) Dehydration
f) Weight loss
g) Small stools
9) Post Op care
a) VS weight
b) Strict I and O
c) Pain Management (Avoid pressure on incision)
d) NPO Progressive diet when Awake
e) Assess reaction to feeding
f) Maintain Clean Abdominal dressing