NUR 4445 GI from Study Guide
- Cleft Lip & Palate
Answer Fissure or elongated opening
- 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
- Cleft Palate Patho
Answer Failure of palatine plates to fuse
Failure occurs in the 2nd month gestation (5-12 weeks)
- Cleft Lip patho
Answer Failure of nasal & maxillary processes to fuse,
- 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 1 / 2
V-shaped or U-shaped
- 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
- Cleft Lip & Palate diagnosis
Answer Usually obvious at birth Feel the palate
- Cleft Lip & Palate treatment
Answer Multidisciplinary
Plastics, neuro, ortho, otolaryngologist, speech, audiologist, etc.
- 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)
- Cleft Palate treatment
- / 2
Answer at 9-12 months