Cleft Palate

SLP 210

Soft palate is responsible for…

Excess nasality or not enough nasality

Fusula or hole can occur in

Hard palate, soft palate, or both

Alveolar Ridge

-Place behind front teeth

-Place where palate is formed

Another name for soft palate

Velum

Velar movement

Elevation or depression of the velum

Palate/Lip Formation

-Lips develop first at 4-6 week

-Hard pallet develops at 7-8 weeks

-Illicit drug or alcohol use, not enough folic acid, lack of healthcare can cause cleft lip or palate

Incisive Foramen

-Bone on alveolar ridge

-Forward: lip development

-Posterior: palate development

-Palatable shelves should meet to close palate

Cleft Palate and Cleft Lip Types

-Incomplete cleft palate: does not extend to incisive foramen

-Complete cleft palate: goes all the way to incisive foramen

-Complete cleft lip: goes through nasal cavity

-Incomplete cleft lip: does not go through nasal cavity

Unilateral

-one side

-one side of lip

-one side of palate

Bilateral

-two sides

-both sides of lips

-both sides of palate

Submucous Cleft Palate

-Blue tint is seen using a flashlight

-Found beneath the mucosa of the palate

-Sometimes v-shaped

-Something bifid uvula

Etiologies

-Genetic: born with cleft palate or lip

-Congenital: present from birth

-Environment: medication, drugs, alcohol, lack of access to healthcare

-Multifactorial: could be caused from multiple factors

Assessment

-Case history

-Interview

-Feeding

-Speech/Language

Primary Surgery

-Close the cleft

-Cleft Lip surgery happens before cleft palate surgery

• 10 weeks old

• 10 pounds

Secondary Surgery

-Done for aesthetics

-Asymmetrical

Reasons for Lip Repair

-Labial seal

-Oral play

-Nutrition

Cleft Palate Surgery

-10-12 months

Treatment

-Feeding/swallowing

-Articulation

-Hypernasality

-Language