1
Q
Cleft lip/palate
IT
A
Total
- Asian (1:500) > White > African
- Average 1 per 1000 live births
- M:F = 2:1
- Left:Right:Bilateral = 6:3:1
- (Lip + Palate) : Lip = 2:1
- 3% syndromic
Lip
- M > F
- Repair at 3m
Palate
- F > M
- 0.5 per 1000 live births
- Repair at 9m
2
Q
Cleft care plan
IT
A
Before birth
- Genetic counseling, AN screening
Birth to 6wk
- Hearing test and feeding assessment
3m
- Surgery to repair the lip
9m
- Surgery to repair the palate
1y
- Post-operation hearing test.
18m
- Speech and language assessment
3y
- Further assessment of speech and language
Young child and adolescent
- Dental and orthodontic care
- Plastic refinement of lip / nose / facial profile
3
Q
VACTERL association
A
Vertebral Anal Cardiac Tracheo-esophageal Renal Limbs
