NUR 4445 GI from Study Guide
1. Cleft Lip & Palate
Answer
Fissure or elongated opening
2. Cleft Lip & Palate etiology
Answer
One of most common congenital anomalies Cleft lip more in males, cleft palate more in
females
Genetic & environmental factors
-May occur as only anomaly (most common)
-Can be part of a genetic disorder - Pierre Robin Syndrome (retromicrognathia too)
May occur together or separately
3. Cleft Palate Patho
Answer
Failure of palatine plates to fuse
Failure occurs in the 2nd month gestation (5-12 weeks)
4. Cleft Lip patho
Answer
Failure of nasal & maxillary processes to fuse,
5. Cleft Lip
Answer
Unilateral or bilateral
Incomplete (does not extend to the nose) or complete (extends to the nose) Cleft Palate
Soft palate only or hard and soft palates
, V-shaped or U-shaped
6. Cleft Lip & Palate Clinical Manifestation & Complications
Answer
Feeding difficulty, milk coming from the nose
Failure to thrive Airway obstruction
Recurrent serous otitis media
Hearing and language delays Dental & orthodontic complications
7. Cleft Lip & Palate diagnosis
Answer
Usually obvious at birth Feel the palate
8. Cleft Lip & Palate treatment
Answer
Multidisciplinary
Plastics, neuro, ortho, otolaryngologist, speech, audiologist, etc.
9. Cleft Lip treatment
Answer
usually repaired at 3-6 months Earlier the repair ’ more constructive it is
Expanders to make lip line
Vermillion border is reconstructed overtime
Perineal skin used (same color as lip line)
10. Cleft Palate treatment
Answer
at 9-12 months
1. Cleft Lip & Palate
Answer
Fissure or elongated opening
2. Cleft Lip & Palate etiology
Answer
One of most common congenital anomalies Cleft lip more in males, cleft palate more in
females
Genetic & environmental factors
-May occur as only anomaly (most common)
-Can be part of a genetic disorder - Pierre Robin Syndrome (retromicrognathia too)
May occur together or separately
3. Cleft Palate Patho
Answer
Failure of palatine plates to fuse
Failure occurs in the 2nd month gestation (5-12 weeks)
4. Cleft Lip patho
Answer
Failure of nasal & maxillary processes to fuse,
5. Cleft Lip
Answer
Unilateral or bilateral
Incomplete (does not extend to the nose) or complete (extends to the nose) Cleft Palate
Soft palate only or hard and soft palates
, V-shaped or U-shaped
6. Cleft Lip & Palate Clinical Manifestation & Complications
Answer
Feeding difficulty, milk coming from the nose
Failure to thrive Airway obstruction
Recurrent serous otitis media
Hearing and language delays Dental & orthodontic complications
7. Cleft Lip & Palate diagnosis
Answer
Usually obvious at birth Feel the palate
8. Cleft Lip & Palate treatment
Answer
Multidisciplinary
Plastics, neuro, ortho, otolaryngologist, speech, audiologist, etc.
9. Cleft Lip treatment
Answer
usually repaired at 3-6 months Earlier the repair ’ more constructive it is
Expanders to make lip line
Vermillion border is reconstructed overtime
Perineal skin used (same color as lip line)
10. Cleft Palate treatment
Answer
at 9-12 months
