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What is a cleft Lip and Palate?

Lips and palates develop form separate parts during the first 3 months of pregnancy. Normally, the left and right parts of the lip come together or "Fuse" creating a normal lip. The two vertical lines on the normal upper lip are created when the left and right parts fuse. In a similar way, the left and right parts of the palate come together to create a normal palate. A front-to-back line along the roof of the mouth can usually be seen where the joining has occurred.

A cleft lip is a defect in the lip where the two parts from which the lip develops have failed to fuse. A cleft palate is a similar defect in the roof of the mouth where the two parts from which the palate develops have failed to fuse.

Feeding Cleft Babies

Breast feeding is best for the child but most babies may not be able to suck enough milk esp. cleft palate babies if so, then milk should be extracted and given by bottle or spoon.
Many times the milk comes out from the nose during feeding but not to be worried about it, just wipe and continue feeding.

Bottle feeding is also good provided proper cleanliness of the bottle and nipple is maintained, or even spoon feeding can be done, always ensuring that the baby is in upright posture resting on mothers arms, thereby reducing the amount of milk passing up into the nose.
Other problem encountered is swallowing a lot of air while feeding, this is because babies have difficulty in sealing their mouth; to avoid or reduce this hold the baby as upright as possible while feeding and always burp your baby regularly during feed.

Feeding should be done at regular intervals every 3-4 hours for 20-30 minutes, if the baby takes more time then slowly enlarge the hole. Average child requires 2-3 ounce/pound/day

What Age to treat?

Treatment Plan
Age of Child  
At birth First consultation with the Cleft Care Team. Assessment of the problem and
parents counseling
3 - 5 Months Cleft lip repair with nose correction
12-18 Months Cleft palate repair
1 - 2 Years Hearing check-up to rule out middle ear collection to prevent infection
2 - 4 Years Close watch on the development of speech therapy. Regular dental check-up with the pediatric dentist.
4 - 6 Years Surgery for speech improvement which is necessary in 10-15% of children after palate operation
6 - 12 Years Dental check-up and orthodontic treatment, if necessary, bone graft for the defect in the alveolus at 9 years.
Teenage years Surgery of the jaws if there a gross mal-alignment and Rhinoplasty to improve shape of nose if patient demands
Adult Genetic counseling.

Will the child be normal after treatment?

The aim of treating children with cleft lip and/or palate is to achieve normal looking and normal sounding well adjusted individuals. The cleft child is likely to have the best possible result in achieving this aim if treated by an organized, well trained multidisciplinary team. When treated at the proper age, normally they have good results. They will be like normal children except small scar on lip and will need supervision till adolescence. In addition they might need appropriate intervention by the Maxillofacial Surgeon, the Dentist, the ENT surgeon and the Speech Therapist at appropriate intervals according to individual needs during childhood and adolescence.


50 childrens were expected 123 needed our help
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100% of your donation is used for program cost

HOW CAN YOU HELP

You sponsor surgery for one child of cleft lip and palate (Rs.18,000) or for complexcraniofacial anomalies (Rs.30,000)

You can provide medicine, disposable materials and travel expenditure for patients and parents.

You can sponsor printing the brochure, booklets and posters for the public awareness.
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