Cleft Lip/Palate

Most common cause of cleft lip/palate

low folate

Cleft lip bottles

Ross nipple (squeeze) and Haberman/special needs (nipple hole)

Cleft lip surgery

done at 2-3 months z plasty/cheiloplasty

Cleft lip

Cleft lip effects

feeding difficulties, nasal, deformity, dental abnormalities, speech issues

Cleft lip post-op

Medicate for pain, No pacier , Arm elbow restraints all the time , Use Haberman's/ Ross feeder, Clean the suture line after eating

Cleft palate

Cleft palate effects

Feeding difficulties, decreased hearing (most prone), speech, possible dental

What do you want infant to be able to do before palatoplasty

be able to drink out of a cup

Cleft palate treatment

1st nutrition then possible Palatoplasty (@6-12 mo)

Latham device

screws in mouth that tighten to bring palate together before surgery

Post op Cleft Palate repair

Nothing in mouth (no pacifier), Arm elbow restains all of the time , Use cup for fluids, Water chaser after feeding, -DON’T CLEANSE SUTURE LINE