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Cream of the Crop 1
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A63
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1992-06-21
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Cleft Lip/Palate
SYMPTOMS. There is a definite sign of malformation. It may be only the outer
flesh of the upper lip that extends to the nostril. It may extend through
the midline of the upper jaw and the roof of the mouth. It may be that only
the soft palate at the rear of the mouth is involved. This has a slang name
of "harelip" because it suggests the lip of a rabbit. The opening between
the nose and mouth prevents suction. The infant may have difficulty nursing.
CAUSES. At an early stage of prenatal development, the two sides of the face
fail to properly unite. This occurs in about 1 out of 700 births.
TREATMENT. A dropper, spoon or cup may be used for immediate feeding.
.An appliance called an abdurator that closes the cleft while the baby is
nursing may be used.
.Not long after birth, surgery may be carried out to close the cleft lip.
.Reconstruction of cleft palate can usually be done at 1 year to 18 months.
.In most cases the child will have normal speech, manner and appearance.