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Cleft lip and palate program Amaal Alkhozami

Basic Definition

Types of Cleft Lip

Types of Cleft Palate

Cleft Palate SOFT / UVULA Cleft Palate HARD/SOFT

Problems Associated With Cleft Lip and Palate

Feeding Problems

• Aspiration. • Regurgitations.• Feeding technique difficulties.• Time.• Frustration of the mother & embarrassment. • FTT ( Failure To Thrive ).

Breast Feeding

Heberman Bottle

Pierre Robin SequenceThis occurs where the baby has a very small lower jaw (micrognathia) as well as a wide cleft palate. There are feeding and breathing problems due to the position of the tongue. The baby may need hospital car initially.

• Other Associated Syndromes:e.g Treacher collins syndrome , dandy walker syndrome , van der woudes syndrome, etc …

Nursing side

Our Team Consist Of :

• Plastic Surgeon • General Pediatrician• Geneticist • Speech Therapist• Dietitian • ENT

• Social Worker • Psychologists • Orthodontist • Pedodontist • Prosthodonist • Oral Maxillofacial

Time Frame For Cleft Lip and Palate Treatment Plan

Between 3-6 month cleft lip repair

A.I.K

Through the first year the child will be seen at (CLCP) combined clinic in .

It is consist of : ( General Pediatrician ,Orthodontist , Speech Therapist , Psychologist, Social Worker , Dietitian and Photographer )

Between 12-18 month Cleft palate will be repaired and patient will be admitted to a pediatric ward.

Complication :Fistula

2 years till preschooler age the child will follow up with our speech therapists

At the age of 4 years will be referred to orthodontist , pedodontist and

(prosthodontist ) if needed

Between 7-18 years he/she will undergo through alveolar bone graft ,

rhinoplasty and dental implant if needed .

Amaal Nurse Coordinator

PAGER 1980

Multidisciplinary approach for CLCP child is

our target CLCP TEAM

Thank You & Have A Great Day