Cleft Palate Explanation

CLEFT PALATE/ CLEFT LIP: events.
Yung shape ng embryo's head is formed, and

mayroong Five Primative Tissue lobes na nag ggrow and
these are called as:
SLIDE 2:
(Introduction before basahin yung nasa slide 1)
1. Frontonasal Prominence: primitive tissue lobe siya
that grows from the top of the head down towards the
Cleft Palate and Cleft Lip are one of the most common
future upper lip.
facial malformations.
2. Maxillary Prominence: Two lobes naman siya na nag-
(Babasahin 1st Slide)
ggrow from the cheeks, and they eventually meet the
frontonasal prominence to form the upper lip.
 Cleft palate is a condition where the roof of the
mouth doesn't fully close during development. 3. Mandibular Prominence: Below the maxillary
This can range from a small notch in the upper prominence, Mayroon pang two additional lobes that
lip to a complete separation of the lip and facial grow from each side and these lobes contribute to the
structures, extending into the nose. And yung sa formation of the chin and lower lip.
mga severe cases, naapektuhan na yung teeth
and gums. It can affect speech, eating, and SLIDE 5: CLINICAL MANIFESTATIONS OF
overall facial structure. CLEFT PALATE/LIP
There are 3 Types of Cleft Lip/Palate 1. Difficulty of swallowing: Mahihirapan yung baby na
mag swallow ng food or liquid kasi nga yung roof ng
1. Unilateral Incomplete mouth is hindi closed.
2. Unilateral complete
3. Bilateral Complete 2. Difficulty in sucking: Yung mga baby, they can't
create a tight seal around sa nipple ng mother kaya they
SLIDE 3: struggle to suck properly.
Mayroon din tayong tinatawag na Microform Cleft and
this a less severe form of a cleft lip, which is a 3. Formula/milk escapes through nose: Since mayroon
congenital anomaly where the lip and palate tissues do ngang gap sa palate. Yung milk or formula can come out
not fuse completely during fetal development. through the nose during feeding.
Sa case ng microform cleft, the lip may appear to have a 4. Abdominal distention: Possible na yung mga ma
small dent in the red part, or it could look like a scar sswallowed nilang air can get trapped in their stomach
extending from the lip to the nostril. Sometimes, the and it can expand and make the belly look swollen.
underlying muscle tissue in the lip may also be affected,
which might necessitate reconstructive surgery to 5. Predisposition to infection: Since mayroong gap sa
improve the lip's structure and function. palate, Mas easier for germs mag enter sa body ng bata,
kaya there's a risk for infections in the mouth and throat.
Sa mga newborn infants with a microform cleft, it is
important here to consult as soon as possible. Yung mga
may specialize in treating patients with cleft lip and
palate conditions. SLIDE 6:
(BABASAHIN ULIT YUNG NASA SLIDE)
During the routine renatal check-ups, Yung mga Doctors,

they can detect na jan if the baby has a cleft lip through
ultrasound imaging.
SLIDE 4: (CAUSES OF CLEFT PALATE)
(babasahin muna yung slide) However, Yung cleft palate, it may not always be as
easily detected through ultrasound kaya this may also
During the first six to eight weeks of pregnancy, the require further examination after birth.
embryo's head undergoes complex morphogenetic
- Doctors might use things like steri-strips or a Logan
SLIDE 7: COMPLICATIONS bar to help the stitches stay in place without pulling too
much.
1. Structural disorders such as dental malformation:
Yung gap sa palate, it can affect the way the teeth grow 3. Cleft palate repair: This surgery fixes the gap in the
which can lead to dental problems like misalignment or roof of the mouth (palate). It's usually done when the
missing teeth. baby is around 16 months old, to help with speech
development.
2. Frequent Otitis media: Yung mga children with cleft
palate are more prone sa ear infections kasi nga yung - Between lip and palate repair: The child needs to be
opening ng palate, nakaka allow siya ning bacteria to healthy and breathing well. Because the Doctors want to
travel from the mouth to the middle ear na nag l-lead sa make sure there are no respiratory infections.
fluid buildup and infections.
- Before palate repair: the child should be weaned off
3. Speech problem: The gap in the palate can make it breast or bottle feeding and be able to drink from a cup.
difficult for children to properly pronounce certain This prepares them for the changes in feeding that will
sounds, leading to speech difficulties. come after the surgery.
Always remember that, yung Cleft Palate and Cleft Lip SLIDE 10 (CONT OF MEDICAL MANAGEMENT)
halos same lang sila ng manifestations pero ang Cleft
Palate sila lang yung may speech problem, yung mga Sometimes, even if the cleft lip is not fully open, same
mga cleft lip tuwid pa rin sila mag salita. Maliban nalang pa rin sa complete cleft lip yung surgery na kailangan.
kung ang Cleft Lip nila is may cleft palate din.
And here's there are two reason why:
4. Predispose to aspiration & infection: Yung Food or 1. The muscles needed to purse the lips run through the
liquids intake ng baby, it may enter the nasal cavity upper lip. And to fix them completely, the surgeon has to
instead of going down the throat which can lead to the make a full incision.
risk of choking (aspiration). And also yung sinabi ko
nga kanina, yung gap ng palate, sa part ng clinical 2. The surgeon tries to make the scar less noticeable by
manifestations, it can make it easier for germs to enter lining it up with natural lines in the upper lip, like the
the body, increasing the risk of infections in the mouth edges of the philtrum (the groove in the middle of the
and throat. upper lip), and hiding stitches as high up in the nose as
possible.
SLIDE 11: NURSING

MANAGEMENT/TREATMENT
MEDICAL MANAGEMENT (SLIDES 8 AND 9)
1. As a Nurse, the first thing that we gonna do is to
1. Surgical Correction: Early surgery siya, ginagawa ito, ASSESS: Check for problems with feeding, breathing,
to prevent speech problems. bonding between the baby and parents, and speech.
2. Cheiloplasty: Itong surgery na to, it fixes the cleft lip 2. As a Nurse, it is important to make sure that the baby
when the baby is around 2 months old. Ang ginagawa gets enough food and prevent them from choking, by
dito is, it joins the edges of the lip so that the lips can feeding them in an upright position and burping them
work normally. And ginagawa naman tong surgery na frequently.
when the baby is healthy and free from any nose or
throat infections. 3. As a Nurse, we need to help both the baby and parents
to adjust emotionally and socially to the challenges of
cleft palate.
SLIDE 15: NURSING MANAGEMEN/
4. Pre-op Cleft Lip Repair: TREATMENT FOR Post-op Cleft Palate:
- Feeding: Before surgery to fix the cleft lip, nurses feed 1. This helps prevent blood or mucus from collecting in
the baby in an upright position para ma reduce yung risk the mouth and causing discomfort or infection.
ng baby for choking and also to reduce the amount of
swallowed air. 2. Avoiding pressure or trauma on the surgical site helps
the stitches heal properly.
- Burping: They also burp the baby frequently ang
purpose nito is to help the baby to release any trapped air 3. Drinking from a cup reduces the risk of sucking too
from their stomach. hard, which could harm the surgical site.
SLIDE 13: Nursing Management/Treatment: 4. Soft toys are gentle on the mouth and won't cause
harm to the surgical site.
Ang purpose nito is to help the baby suck and strengthen
muscles that is needed for speech. 5.. These restraints prevent the child from accidentally
touching or scratching the surgical site, which could
If the baby naman is unable to suck or if they cant suck, cause injury or infection.
use a rubber-tipped syringe to drip formula into their
mouth. 6. Starting with liquids helps ease the child back into
eating after surgery, gradually progressing to soft foods
After feeding, give the baby some water to rinse away and then normal foods as the palate heals.
formula from the palate area.
7. Water helps keep the surgical area clean and free from
Offer the baby small amounts of food more often. food particles.
Show before and after pictures of successful surgeries to 8. Comforting the child with cuddles and attention can
reassure parents and provide emotional support. help distract them from any discomfort and promote
healing.
The baby should be fed in an upright position to help
them swallow easier, with gravity assisting.
SLIDE 14: Nursing Management/Treatment: Post-op

Cleft Lip Repair
Maintain patent airway: Of course we need to make sure

the baby can breathe well.
Avoid pressure on suture line: Don't put any pressure on

the stitches, and avoid putting the baby face down.
Resume feedings: Start feeding the baby again as

instructed by the doctor.
Keep suture line clean Keep the area where the stitches
are clean.
Prevent straining: Try to anticipate the baby's needs to

prevent crying, which can strain the stitches. Keep the
baby comfortable and content.

Cleft Palate Explanation

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CLEFT PALATE/ CLEFT LIP: events.

Yung shape ng embryo's head is formed, and

During the routine renatal check-ups, Yung mga Doctors,

SLIDE 11: NURSING

SLIDE 14: Nursing Management/Treatment: Post-op

Maintain patent airway: Of course we need to make sure

Avoid pressure on suture line: Don't put any pressure on

Resume feedings: Start feeding the baby again as

Prevent straining: Try to anticipate the baby's needs to

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