Cleft Lip and Palate

Clin Perinatol. 2018 Dec;45(4):661-678. doi: 10.1016/j.clp.2018.07.006. Epub 2018 Sep 18.

Abstract

Orofacial clefts are common congenital malformations with genetic and environmental risk factors. In the perinatal period, feeding and nutrition can be a challenge and the need for specialized feeders is common. Lip taping and nasoalveolar molding are early interventions that can be used to preoperatively modify cleft defects to enhance surgical outcomes. Multiple techniques are available for repair of orofacial clefts and choice of technique depends on cleft extent and surgeon preference. After definitive repair, children remain at increased risk for middle ear disease, velopharyngeal dysfunction, and malocclusion and require ongoing follow-up with a multidisciplinary team.

Keywords: Cleft lip; Cleft palate; Craniofacial malformations; Nasoalveolar molding.

Publication types

  • Review

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / surgery
  • Cleft Lip / diagnosis
  • Cleft Lip / epidemiology
  • Cleft Lip / psychology
  • Cleft Lip / surgery*
  • Cleft Palate / diagnosis
  • Cleft Palate / epidemiology
  • Cleft Palate / psychology
  • Cleft Palate / surgery*
  • Esthetics
  • Female
  • Humans
  • Incidence
  • Infant, Newborn
  • Male
  • Plastic Surgery Procedures / methods*
  • Quality of Life*
  • Risk Assessment
  • Treatment Outcome