Clinical features: cosmetically looks ugly: Cleft lip may vary from a small notch in the
vermillion border to a complete separation extending in to the floor of the nose. Clefts may be
unilateral or bilateral and may involve the alveolar ridge. Cleft palate may result to difficulty in
feeding, regurgitation ,lung infections, middle ear infections, dental decay and speech
delay/hyper nasal speech, inability to whistle, gargle, blow out a candle, of inflate a balloon .
MANAGEMENT :
COSMETIC SURGERY : the correction of cleft lip is undertaken earlier because Of the
obvious cosmetic problems.(three months of age)
SURGICAL CLOSURE OF THE DEFECT: restoring the normal anatomy of the cleft
palate undertaken later, but before the development of speech(around ten months of age)
Treatment of lung infection like pneumonia and atelectasis
orthodontic correction,
Speech therapy :If surgery is delayed beyond three years of age, a contoured speech bulb
can be attached to the posterior of a maxillary denture to accomplish occlusion of the
naso pharynx and help the child develop intelligible speech.
Treatment of middle ear infection e.g., otitis media and conductive hearing loss.
Healthy diet:-feeding can be continued with a Mead Johnson bottle or a cup.
Use a crosscut nipple to prevent choking. Any nipple can be crosscut manually using a
single-edged razor blade. The crosscut is on the tongue side.
CONCLUSION
Cleft lip or palate is a congenital developmental deformity probably caused by maternal
exposure of drugs during pregnancy Because of this deformity the neonate gets difficulty in
feeding along with lung and middle ear infections. The only management remedy is surgical
correction of the defect.