61. Cleft.net Information for patients families about cleft lip and palate and other craniofacial differences http://cleft.net

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62. Familydoctor.org/handouts/034.html cleft lip and palatecleft lip and palate. Commonest Picture provided by Farhad Saleem, Azadi Hospital, Dubok, Iraq. Primary management of cleft lip and palate. Antenatal http://familydoctor.org/handouts/034.html

Advanced Search familydoctor.org Home For Parents Special Conditions in Children Cleft Lip and Palate How do cleft lip and cleft palate occur? Why does fusion of the palate fail to happen? Did we do anything wrong? What happens now? ... Will it happen again to my next child? Cleft Lip and Cleft Palate Printer-friendly version Email this article How do cleft lip and cleft palate occur? Each of us had a cleft lip and cleft palate during the early weeks of development in our mother's womb. Normally, the tissues that form the palate and the upper lip come together in the middle and join (fuse). You can see the lines of fusion in the "Cupid's bow" under your own nose, and the ridge and pale line in the middle of your palate (the roof of your mouth). If your baby has a cleft, this fusion failed to happen when he or she was developing. Return to top Why does fusion of the palate fail to happen? In most cases, we simply don't know why lip and palate development go wrong. About 1 in 600 babies has a cleft lip or cleft palate. Race and gender play a small role. Clefts are most common in Asians. They are less common in whites and least common in blacks. Girls are more often affected than boys.

63. Cleft Lip And Palate: What Are The Causes? cleft lip and palate can be detected by ultrasound, amniocentesis and molecular genetic techniques. cleft lip and palate What are the causes? http://www.parentsplace.com/babies/bfeed/qas/0,,166600_107070,00.html

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64. Cleft Palate / Cleft Lip / Family Village Library Cleft Kids This list is for parents of children with cleft lip or palate. Web Sites. Wide Smiles Web Site cleft lip and palate Resource. http://www.familyvillage.wisc.edu/lib_clft.htm

Cleft Palate / Cleft Lip Who to Contact Where to Go to Chat with Others Learn More About It Web Sites Search Google for " Cleft Palate " or " Cleft Lip Who to Contact Wide Smiles P.O. Box 5153 Stockton, California, USA, 955205-0153 209-464-1497 (fax) E-mail: josmiles@yahoo.com Web: http://www.widesmiles.org/ Wide Smiles provides information, inspiration, and support for persons affected by cleft lip and/or cleft palate. They have pamplets for new parents "How different is Anthony", and "Anthony Visits his Cleft Palate Team" , and are planing a parent-to-parent matching program in the near future. Where to Go to Chat with Others Cleft-Talk Cleft-Talk is an online discussion list that will link you to other families around the world who are dealing/have dealt/will deal with the very same challenges that you face today. Wide Smiles Conference Room Real Time Chats Cleft Kids This list is for parents of children with cleft lip or palate. Cleft Chat For parents of children born with cleft lip and/or cleft palate. Our list is open to all to freely express their feelings, get support and to learn in a positive environment. Learn More About It What Happened? - A Look at the Causes of Clefting

65. Plastic And Reconstructive Surgery | Clefts | Cleft Lip And Palate cleft lip and palate. An infant with cleft lip and palate usually needs to be bottlefed (either breast milk or formula) using special nipples. http://www.ucsfhealth.org/childrens/medical_services/plassur/clefts/conditions/c

University of California, San Francisco About UCSF Quick Links... Admissions Appointments Billing Calendar Clinical Trials Clinics Conditions and Treatments Contact a Patient Contact Us Directions and Maps For Health Professionals Jobs Make A Donation Medical Dictionary Medical Tests News Patient Profiles Specialized Services UCSF Medical Center Volunteer Services Search Medical Services Plastic and Reconstructive Surgery Topics Clefts To Visit Us ... Other Resources Clefts Print Format Cleft Lip and Palate Signs and Symptoms Diagnosis Treatment Signs and Symptoms A cleft lip and palate is noted at birth by the presence of a gap or cleft in the upper lip either on one or both sides of the lip together with a cleft in the palate (the roof of the mouth). A cleft palate can either be open and obvious or be covered over by the lining or mucous membrane of the roof of the mouth, called a submucous cleft, which is not visible to the naked eye. An infant with cleft lip and palate usually needs to be bottle-fed (either breast milk or formula) using special nipples. Last reviewed in June 2003 by experts at UCSF Children's Hospital.

66. Clinical Leaflet: Cleft Lip And Palate Clinical Leaflet cleft lip and palate. Definition CLAPA (cleft lip and palate Association); 134 Buckingham Palace Road, London SW1W 9SA; http://www.rcslt.org/leaflet-cleft.shtml

Welcome to the Royal College of Speech and Language Therapists website The College Members' Lounge Information Office Learning Zone ... Home Page Clinical Leaflet: Cleft Lip and Palate Definition: Approximately 700 babies are born each year in the UK with a cleft of the lip and/or palate Clefts are usually repaired surgically before the child is one year old. Children with a cleft lip and palate are looked after by teams which includes speech and language therapists, surgeons and dentists who will discuss each stage of management with the parents Many children develop speech and language well but some may experience difficulty and need speech and language therapy. This will be organised in a local health clinic Delayed language development often occurs but children catch up quickly Sounds that are more difficult include P, B, T, D, K, G, S and SH Some children may need a further operation after the age of four to help with their speech Speech and language therapy may be helpful to adolescents and adults with cleft palate who are unhappy with their speech How to Help: DO Keep appointments with the joint cleft palate clinic Keep local speech and language therapy appointments and practise at home with your child Make sure your child's hearing is assessed regularly Protect your child's teeth from decay. Teeth are essential to produce some speech sounds

67. Cleft Lip & Palate Regional Plastic Surgery Centre, Canniesburn Hospital. The Unit is part of the Managed Clinical Network for cleft lip and palate in Scotland CLEFTSiS MCN. http://www.gla.ac.uk/departments/surgicalpaediatrics/cleftlip.htm

Department of Surgical Paediatrics The Royal Hospital for Sick Children, Glasgow. West of Scotland Cleft Unit The West of Scotland Cleft Unit consists of a coordinated, multidisciplinary group of professionals working in the field of facial cleft anomalies and based at three centres in Glasgow: Royal Hospital for Sick Children, Yorkhill Glasgow Dental Hospital, Sauchiehall Street Regional Plastic Surgery Centre, Canniesburn Hospital The Unit is part of the Managed Clinical Network for Cleft Lip and Palate in Scotland - CLEFTSiS MCN. The Unit serves the population of the West of Scotland (including the Health Board area of Greater Glasgow, Ayrshire and Arran, Argyll and Clyde, Lanarkshire, Dumfries and Galloway) and also parts of the Highlands and Islands and Forth Valley. The population base is around 3 millions and the birth rate for cleft lip and/or palate (CLP) is about 1:600 lives births per annum. Each year 40 to 60 new cases of CLP present to the Cleft Unit. The members of the team are Cleft Surgeons Mr Peter Raine (Paediatric Surgery) Mr Arup Ray (Plastic Surgery) Orthodontist Mr Grant McLennan Miss Lisa Crampin Specialist Support Nurses Mrs Shirley Wallace Mrs Anne Crawford Otolaryngologist Mr Mohammed Sadiq Geneticist Dr Margo Whiteford Maxillofacial Surgeons Mr Graham Wood Mr David Koppel Cleft clinics Clinics are held every Thursday afternoon alternately at RHSC, Yorkhill

68. Cleft Lip And Cleft Palate Cleft Lip and Cleft Palate. While the causes of cleft lip and palate are not completely understood, there may be several factors involved. http://www.entcolumbia.org/cleft.htm

Cleft Lip and Cleft Palate The Development of Cleft Lip and Cleft Palate Cleft lip and cleft palate are birth abnormalities of the lip and mouth. The lip and palate begin forming during just the first few weeks of gestation, often before a woman even knows she is pregnant. During this time, the sides of the mouth begin developing and eventually unite evenly in most infants. In rare cases, however, the sides of the mouth do not fuse together properly, creating a notch or cleft. Cleft palate – cleft palate occurs when the roof of the mouth does not unite properly. Openings may involve either side of the palate and may extend into the nasal cavity. They may extend from the front of the mouth (hard palate) to the throat (soft palate), and they often include the lip. Cleft lip – cleft lip occurs when the two sides of the lip do not fuse completely. Cleft lip may vary greatly, from a mild notch in the lip to a severe opening up through the nose. A cleft may extend only partially from the lip towards the nose (incomplete) or go into the nasal cavity (complete). Lip clefts may occur on one side (unilateral) or both sides of the mouth (bilateral). Causes of Cleft Lip and Cleft Palate In the U.S., about 1 in 700 babies is born with cleft lip or cleft palate. While the causes of cleft lip and palate are not completely understood, there may be several factors involved.

69. Cleft Lip And Palate cleft lip and palate. palate. Around 30% have only a cleft palate and the remainder a cleft lip. How is a cleft lip or palate treated? http://www.irishhealth.com/?level=4&id=1835

70. Cleft Lip/Cleft Palate Center At Children's Hospital Of Wisconsin Home Programs and Clinics Programs and Clinics List of Programs and Clinics cleft lip and palate Center. cleft lip and palate Center. http://www.chw.org/display/PPF/DocID/897/router.asp

Cleft Lip/Palate Clinic Feeding a child with a cleft How to choose a Cleft Lip/Palate Center Surgery for Cleft Lip/Palate ... List of Programs and Clinics : Cleft Lip and Palate Center E-mail this page Print this page Cleft Lip and Palate Center The Cleft Lip and Palate Center brings together several different specialists to provide comprehensive inpatient and outpatient services at Children's Hospital of Wisconsin. We care for patients with cleft lip and palate disorders from birth into adulthood. Before Birth Prenatal screening by ultrasound may detect cleft lips with or without cleft palates. In these cases, our team is available for consultation. Often, becoming informed of the issues children with cleft lip and palate disorders face helps prepare parents to care for the special needs their child will have after birth, including breathing and feeding. This early meeting includes a nurse clinician and plastic surgeon. Parent's questions are answered and preparations, when necessary, are begun. Newborn period Most of the time cleft lips and/or palates are discovered at birth. Parents should remember that clefts do not hurt and their baby does not know he or she has a cleft. The two most important issues are to ensure the baby's airway is open and he or she can breathe and eat easily. Babies with cleft palates are not able to suck efficiently and may require the help of special bottles and feeding techniques. Our nurse clinician provides instruction on

71. FamilyFun: Cleft Lip And Palate An excerpt on cleft lip and palate from the Disney Encyclopedia of Baby and Child Care. Great ideas and advice at Family Fun. cleft lip and palate. http://familyfun.go.com/parenting/child/health/childhealth/dony79enc_cllip/

Search FamilyFun Tools Parent Problem Solver Field Guide to Parenting Pregnancy Calendar ... Solutions A to Z Cleft Lip and Palate These common facial malformations appear in about 5,000 infants born in the United States each year. Approximately half of these infants have both types of cleft, with the remaining cases divided evenly between cleft lip and cleft palate. Cleft lip and palate can be quite disfiguring, in addition to creating a number of potentially serious difficulties with feeding, hearing and speech. Fortunately, however, cleft lip and palate can be surgically repaired with excellent results, although the process is sometimes lengthy and complicated. Sophisticated therapeutic techniques also can help an affected child learn to eat and speak normally. HOW DO CLEFT LIP AND PALATE DEVELOP? About the fourth week of gestation, the tissues of the face begin to form. During this time, the primary palate, which eventually forms the upper lip and gums, and the secondary palate, which eventually forms the roof and back of the mouth, start to grow. During the fifth and sixth weeks of gestation, clefts are present in the primary palate on each side of the upper lip; these clefts run into the openings that will become the nostrils. The clefts normally fuse by the seventh week, creating the facial area between the nostrils and mouth. A cleft lip results when these clefts in the primary palate fail to fuse.

72. Babyworld - Your Baby - Special Needs - Cleft Lip And Palate cleft lip and palate. What is it? There is usually no identifiable cause for this happening, although cleft lip and palate do seem to run in families. http://www.babyworld.co.uk/information/baby/special_needs/cleft_lip.asp

// 29, 176, , document.write(""); // 30, 140, , document.write(""); Who is responsible for your child's weight? Vote now! Cleft lip and palate What is it? If a baby is born with a cleft lip, his upper lip has a split in it, which is usually slightly off-centre. This may just be a little notch or it may extend up to his nose. Sometimes there are two splits. If he has a cleft palate, he has a gap in the roof of his mouth, either in part of it or all the way from the back of his palate to behind his gums. The conditions often, but not always, occur together. What causes it? Very occasionally a cleft lip can be detected by ultrasound Looking after a child with cleft lip or cleft palate Cleft lip is usually operated on when the baby is 1-3 months old. The operation for cleft palate is usually done around 9-12 months. Further operations may be needed around the time the child starts school, and again in adolescence after the child has stopped growing. For more information about cleft lip and palate contact the Cleft Lip and Palate Association , or visit their website YOUR BABY Ask the doctor A-Z of child health ... Enter the kids' gallery // 25, 175, , document.write("");

73. Encyclopaedia Topic : Cleft Lip And Palate, Section : Introduction NHS Direct Online Health Encyclopaedia. cleft lip and palate. Search. Help. Introduction. Cleft lip and cleft palate are two separate but related conditions. http://www.nhsdirect.nhs.uk/en.asp?TopicID=123

74. Cleft Lip And Palate/Craniofacial Surgery children. The cleft lip and palate Child. Within the first three weeks of life the child has his/her first evaluation in the clinic for http://www.surgery.ecu.edu/plas_clc.htm

The Cleft Palate/Craniofacial Clinic Cleft lip, cleft palate and craniofacial surgery involves the comprehensive treatment of children with congenital defects (birth defects) affecting their mouth, face and sometimes skull. A cleft means a "split" or "separation" which can occur anywhere in the body, but in these children occurs at the lip, nose or along the roof of the mouth. Craniofacial birth defects can be varied but usually involve some aspect of an abnormally shaped skull. Clefts of the lip and palate are the most common congenital deformity of the face, affecting approximately one in every six hundred births. We do not know exactly why clefts occur but they do run in families to some extent. They are more common in Asian children and less common in African-American children. As the child grows, many different parts of the face may be influenced by a cleft or abnormally shaped skull. Therefore, care of a cleft or craniofacial child involves a coordinated group of professionals who follow these children from birth until the completion of growth. That team consists of: plastic surgeons, pediatricians, geneticists, dentists, orthodontists, otolaryngologists, oral surgeons, speech therapists, audiologists, social workers and sometimes neurosurgeons/ophthalmologists. At ECU/PCMH, the Cleft Palate/Craniofacial Clinic organizes this care, coordinating and tracking the treatment and progress of these children through the years.

75. Children's Hospital Boston - Cleft Lip And Palate Program The cleft lip and palate Program at Children s Hospital Boston is designed to meet all of the needs of children and adolescents with cleft lip and/or cleft http://web1.tch.harvard.edu/cfapps/CHprogDisplay.cfm?Dept=Plastic Surgery&Prog=C

76. Ask NOAH About: Child Health Vaccinations, Chronic Conditions Asthma Cancers Diabetes Kidney Urologic Diseases Congenital/Genetic Disorders cleft lip and palate Genetic Disorders, http://www.noah-health.org/english/wellness/healthyliving/childhealth.html

Ask NOAH About: Child Health Child Health Issues Basic Child Care Information Accidents, Injuries and Safety Circumcision Dental Care ... Vaccinations Chronic Conditions: Asthma Cancers Diabetes Congenital/Genetic Disorders: Cleft Lip and Palate Genetic Disorders Infectious Diseases: Adenoviruses AIDS Amebiasis Cat Scratch Disease ... Pinworms Mental Health Conditions: Attention Deficit Hyperactivity Disorder Autism Information Resources Children's Health Organizations Children's Hospitals Basic Information Basic Child Care Information Acquainting Your Baby With a Sitter - American Academy of Pediatrics Child Care - New Jersey Department of Human Services Choosing a Babysitter - New York City Fire Department Choosing Child Care - KidsHealth ... Day Care: Choosing a Good Center - American Academy of Family Physicians (also in Spanish Day Care Facilities Search - New York State Office of Children and Family Services Day Care Observational Checklist - American Academy of Pediatrics Hiring a Babysitter - American Academy of Pediatrics ... Making Day Care a Good Experience - American Academy of Child and Adolescent Psychiatry (also in Spanish Preparing Your Child for Child Care - American Academy of Pediatrics Information for the Care Provider Babysitting Basics - KidsHealth Babysitting Safety Tips - Phoenix Police Department, Phoenix AZ

77. Wide Smiles: Information For Cleft Lip And Palate Welcome to Wide Smiles! Wide Smiles has moved . http//www.widesmiles.org. Return to Adopt Main Index. http://www.adopting.org/ws.html

Welcome to Wide Smiles! Wide Smiles has moved.... http://www.widesmiles.org Return to Adopt Main Index

78. Cleft Lip And Palate most of the time a cleft lip is repaired at around 10 weeks of age, if the baby weighs at least 10 pounds at that time. The cleft in the palate is repaired at http://www.adopting.org/wsnew.html

When the Baby Has a Cleft! Your long-awaited baby is here. You planned this day for so long. And there is a problem. Nobody cheered when your baby was born. Everyone in the delivery room grew quiet. Somebody said something about a birth defect, and you didn't hear much after that. And then you saw your baby. And right in the middle of the face, where a beautiful little rosebud lip ought to be, there was a gaping hole. And now you have a hundred questions and a baby you are not sure you can take care of. The following are some of the questions you may be asking, along with some common-sense and straight-forward answers. If your question in not answered here, feel free to call Joanne Green, editor of WIDE SMILES Magazine and mother of three cleft-affected children. The most common questions a new parent has about cleft: Q. What caused my baby's cleft? A. A cleft is most commonly caused by a combination of several factors. In most cases, genetics plays a role, although sometimes not the only role. There may be a number of environmental factors as well. The most important thing to recognize is that most likely, you did NOT cause the cleft. A cleft happens in one in every 700 births. It happens all over the world. It is the fourth most common birth defect. You will want to see a geneticist who will try to gain a clearer understanding of just what factors contributed you your baby's cleft, but very often the final answer is "We don'r really know." A cleft is formed by the 4th - 8th weeks of pregnancy. Many woman do not even know they are pregnant before the cleft has been formed. A cleft happens when the tissues of the face fail to fuse during gestation. It is a repairable birth defect.

79. Ontario Ministry Of Health And Long-Term Care -Publications - Children Health Fa Health Facts Children s Health. cleft lip and palate Program. What will the cleft lip and palate Program cover? It will cover the following dental services http://www.health.gov.on.ca/english/public/pub/child/cleft.html

Public Information Health Care Providers News Media Text Only Version Health Facts : Children's Health Cleft Lip and Palate Program One in every 600 to 700 children in Ontario is born with a cleft of the lip and/or palate. This notch or separation in the lip or palate can mar appearance and affect both tooth and bone structure. Because of its effect on physical appearance, it can be stressful for both the child and his or her family. Clefts may be caused by heredity, nutritional deficiencies, infection or various drugs. The problem occurs about the seventh to ninth week of pregnancy, when the unborn baby's face is developing. Through surgery, specialized dental treatment and speech therapy, the problem can be corrected eventually. However, these treatments can be very expensive. To help families of children and young adults who must cope with this expense, the Ministry of Health and Long-Term Care has established the Cleft Lip and Palate Program. Through this program, the ministry will provide 75 per cent of the cost of dental treatment by a certified specialist who is associated with correcting the cleft lip and/or palate. The Program also covers 75 per cent of treatment costs of severe acquired (non-genetic) dental dysfunction for patients up to 22 years of age.

80. Cleft Lip, Cleft Palate, Cleft Lip Nose Patient Bulletin Board - Plastic Cosmeti cleft lip and palate patient bulletin board by Dr. Michael Bermant board certified plastic surgeon. A good cleft lip and palate team may be the place to start. http://www.plasticsurgery4u.com/pt_qna_folder/pt_qa_cleft_lip_palate.html

Bulletin Board for Patient's Questions and Answers Cleft Lip, Cleft Palate, Cleft Lip Nose Explore what others have to say about Cleft Lip, Cleft Palate, Cleft Lip Nose with answers by Dr. Michael Bermant, MD. Michael Bermant, MD Board Certified by the American Board of Plastic Surgery Reconstructive Hand Cosmetic Congenital Breast Skin Cancer Microsurgery This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting. Why did you choose to have the surgery? How did you choose your doctor? How much did it cost? Was the final cost the same as what you were told before the surgery? How was the recovery? Were there any complications? How were they resolved? How do you feel about the results? Did it have any effect on your life emotionally socially sexually professionally How did others react to your surgery?

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