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Definition of Cleft Lip

Is a facial malformation, physical separation of the two sides of the –
upper lip and appears as a gap in the skin of the upper lip. This
separation often extends beyond the base of the nose and includes
.the bones of the upper jaw and/or upper gum

Is a split or opening in the roof of the mouth. A cleft palate can –
involve the hard palate (the bony front portion of the roof of the
mouth), and/or the soft palate (the soft back portion of the roof of
the mouth)

Manifestations

The defect appear at birth, unilateral or bilateral •

Nasal distortion •

Deformed or absent teeth •

Difficult in suckling and swallowing •

recurrent otitis media – Speech problems – Dental Problems ( malposition of teeth) – Upper respiratory infection – Nursing intervention in Cleft Lip and/or Palate :Preoperative care • Provide psychological support for the family – Modify feeding techniques – Hold child in upright position – Use special feeding equipments (large.The deformity involve soft and hard palate • Problems Associated with Cleft Lip and/or Palate Eating problems – Ear infections. hearing loss. soft nipples with large – holes) Bubble frequently – .

Explain the immediate and long term problems – :Postoperative care • Position on back or side lying – Maintain lip protective device – Restrain arms of the child – Prevent severe crying – Cleanse suture line gently after feeding – :Teach the parents about – Feeding equipments and technique – Restraining procedure – Mouth care – – .