1. Wide Smiles: The Cleft Lip, Cleft Palate And Craniofacial Deformities Resources Cleft Lip and Cleft Palate Resource.Category Health Support Groups cleft lip and palate...... Parent support of children born with cleft lip and palate, Your online Resource Cleftlip and Palate Information, Hundreds of documents on cleft lip and cleft http://www.widesmiles.org/

Click here if you are trapped in someone's frames Sitemap WIDE SMILES Cleft Lip and Palate Resource Since 1991 Got a question? Search Cleft Links for an answer! Topics include: New Parent Information Feeding Issues Inspirational Thoughts Surgery ... Help with the Internet WELCOME! This site has lots to offer. Please explore and use it! This website and other internet activities are maintained on a volunteer basis. Your financial support will help keep online and offline activities available for others. Thank you. Brothers, Jacob and Joey, both shown at age 2. Jacob was born with a unilateral cleft lip and palate, and Joey was born with a bilateral cleft lip and palate. Both have had lip and palate repair PLEASE NOTE: Information provided is not to be construed as medical advice, it is made available to you for informational purposes only. Check with your personal physician before embarking on any change in routine or in making decisions regarding your healthcare or that of your family. One child in 700 is born with a cleft. It is the fourth most common birth defect, and the first most common facial birth defect. And yet so many parents feel so alone.

2. Plastic Surgery Redirect Overviews the procedures for the corrective surgery of this birth abnormality. View diagrams and FAQs. For that reason, parents should seek the help of a cleft lip and palate Team as early as possible. http://www.plasticsurgery.org/surgery/cleftlp.htm

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3. Page Not Found Cleft Palate. What causes cleft lip and palate? Most of the time, the cause is unknown. http://www.plasticsurgery.org/faq/cleft.htm

About ASPS Contact Us Home About Plastic Surgery: About ASPS/PSEF FAQs History Reaching Out ... Links The page you requested was not found. www.plasticsurgery.org has been redesigned to offer its users more quality information on plastic surgery and better navigation through its pages. While we have made every effort to make this vast resource easy to use, a few features and pages might not be where you are used to finding them. Please take a minute to look through the four main sections of the site: Learn About Procedures Medical Professionals Find a Plastic Surgeon and News Room . Each section has a complete index of the information contained within it. If you still can't find the information you need, try the SEARCH feature or the site map Don't forget to update your favorites list! Thanks for your interest in plastic surgery. Contact Us Site Map Privacy Surgeon Referral Service 1.888.4 PLASTIC All Materials 2003 ASPS/PSEF

4. From The Grand Rounds Archive At Baylor INTRODUCTION TO cleft lip and palate. June 1, 1991 http://www.bcm.tmc.edu/oto/grand/6191.html

Grand Rounds Archives The information contained within the Grand Rounds Archive is intended for use by doctors and other health care professionals. These documents were prepared by resident physicians for presentation and discussion at a conference held at The Baylor College of Medicine in Houston, Texas. No guarantees are made with respect to accuracy or timeliness of this material. This material should not be used as a basis for treatment decisions, and is not a substitute for professional consultation and/or peer-reviewed medical literature. INTRODUCTION TO CLEFT LIP AND PALATE June 1, 1991 Michael G. Stewart, M.D. History Hippocrates (400 BC) and Galen (150 AD) mention cleft lip, but not cleft palate in their writings. For centuries, perforations of the palate were considered to be secondary to syphilis, and cleft palate was not recognized as a congenital disorder until 1556, by Fanco. The first successful closure of a soft palate defect was reported in 1764 by LeMonnier, a French dentist. The first closure of the hard palate was performed in 1834 by Dieffenbach. In the 1930's, Kilner and Wardill independently developed the "pushback" procedure. Embryology The lip and primary palate begin to develop at four to five weeks gestational age. The two medial nasal swellings and the maxillary swellings fuse to form the upper lip. The nasal swellings merge at deeper levels also and form the intermaxillary segment, which becomes the triangular primary palate, so embryologically, clefts of the lip are almost invariably associated with clefts of the primary palate.

5. Cleft Lip And Palate Association Of Ireland An Irish voluntary group providing support and information for parents of children with cleft lip Category Health Support Groups cleft lip and palate......A voluntary group providing support and information for parents of childrenaffected by cleft lip and palate and those directly affected. http://www.cleft.ie/

Search this site Tips Advanced Search Sponsored by: Access cleft.ie on your WAP phone! www.cleft.ie/wap/index.wml Bookmark this page! var site="sm5clapai" More about the Association... A cleft lip is an opening in the upper lip. A cleft palate is an opening in the roof of the mouth. Clefts result from incomplete development of the lip and/or palate in the early weeks of pregnancy. More about cleft lip and palate... We address the concerns of new parents while providing answers to their most pressing questions More for new parents... Also... Back to School by Dr. Kathy Kapp-Simon A research team from the Health Research Bord and Trinity College, Dublin is conducting research into the causes and prevention of clefts. Also... Speech research carried out at The Children's Hospital, Temple Street, Dublin. And more on research...

6. What Is Cleft Lip And Cleft Palate? (from CLAPA Ireland) You are here Home Page What is cleft lip and palate? What is cleft lip and palate?A cleft lip (CL) is a separation in the upper lip. cleft lip and palate. http://www.cleft.ie/whatis.htm

You are here: Home Page What is Cleft Lip and Palate? What is cleft lip and palate? A cleft lip (CL) is a separation in the upper lip. A cleft palate (CP) is an opening in the roof of the mouth. Clefts result from incomplete development of the lip and/or palate in the early weeks of pregnancy . During this time the face is being formed - the top and the two sides develop at the same time and grow towards each other, finally fusing in the middle. The lip and primary palate develop at 4 to 6 weeks of gestation, while the secondary palate develops at approximately nine weeks. Clefts affect approximately 1 in every 700 babies in Ireland. [ SEE Incidence of clefts In the instance of a cleft forming, the final closing does not fuse properly and an opening remains. The cause or causes for this failure to close are as yet not clearly understood, although research has been and continues to be undertaken. Genetics and environmental factors are both considered instrumental in causing clefts. A submucous cleft palate is where, although the surface layers of the soft palate (mucous membrane) are complete, the underlying muscle is incomplete. A submucous cleft of the hard palate is where the bony element is incomplete. In its most minor form only the uvula is cleft, but even this leads to an abnormality in the muscles in the palate and, if the speech is affected, a repair will be required. Normal speech production is the primary goal of any surgical repair of a submucous cleft. A submucous cleft palate can prove difficult to identify, the palate appearing normal in some children. Special tests may be necessary to properly identify it. For more on submucous cleft palate, see the

7. Cleft Lip And Palate Tutorial Multimedia guide for parents includes movies, animations and images. Learn about the causes and treatment of cleft lip and palate. cleft lip and palate. Development of the lip and palate http://www.med.virginia.edu/cmc/tutorials/cleft

CLEFT LIP AND PALATE Development of the lip and palate Causes and risk factors Treatment FEEDBACK FORM please fill out this feedback form or send us e-mail about this tutorial A cleft lip and palate occur when a baby is born with an opening in the roof of their mouth (palate) and the upper lip does not fully form. These conditions can occur separately so that some children are born with a cleft lip but a normal palate, and some have a cleft palate but normal upper lip. A completely formed lip is important not only for a normal facial appearance but also for sucking and to form certain sounds made during speech. The palate is the roof of your mouth. You can feel your own palate by running your tongue over the top of your mouth. If you open your mouth and look into a mirror you will see that the palate extends from your teeth all the way back to the little dangling extension, called the uvula , in the middle of the back of your mouth. The palate is made of bone and muscle and is covered by a thin, wet skin that forms the red covering inside the mouth. It's purpose is to separate your nose from your mouth much like a floor separating the basement from the ground floor. The palate has an extremely important role during speech because when you talk, it prevents air from blowing out of your nose instead of your mouth. The palate is also very important when eating. It prevents food and liquids from going up into the nose. During swallowing, the tongue presses up against the palate and pushes the chewed food to the back of the throat where it then goes down into the stomach.

8. Cleft Lip And Palate Association Information on services and advice offered by this UK associationCategory Health Support Groups cleft lip and palate......cleft lip and palate Association. http://www.clapa.com/

Cleft Lip and Palate Association Cleft Lip and Palate Association

9. MEDLINEplus: Cleft Lip And Palate Topics. cleft lip and palate. Contents of Children. Search MEDLINEfor recent research articles on • cleft lip and palate. You may http://www.nlm.nih.gov/medlineplus/cleftlipandpalate.html

Skip navigation Other health topics: A B C D ... List of All Topics Cleft Lip and Palate Contents of this page: General/Overviews Coping Pictures/Diagrams Treatment ... Children Search MEDLINE for recent research articles on Cleft Lip and Palate You may also be interested in these MEDLINEplus related pages: Genetics/Birth Defects Mouth and Teeth General/Overviews Cleft Lip and Cleft Palate (March of Dimes Birth Defects Foundation) Also available in: Spanish Cleft Lip and Palate (Nemours Foundation) Clinical Trials ClinicalTrials.gov: Cleft Lip (National Institutes of Health) ClinicalTrials.gov: Cleft Palate (National Institutes of Health) Coping Caring for a Newborn With Oral Clefting (Nemours Foundation) Pictures/Diagrams Cleft Lip (Cleft Palate Foundation) Cleft Palate (Cleft Palate Foundation) Specific Conditions/Aspects Answers to Common Questions About Scars (Cleft Palate Foundation) Choosing a Cleft Palate or Craniofacial Team (Cleft Palate Foundation) Dental Care of a Child with Cleft Lip and Palate (Cleft Palate Foundation) Letter to a Teacher (Cleft Palate Foundation) Missing Tooth (Cleft Palate Foundation) Oral Health and Quality of Life (Centers for Disease Control and Prevention) Speech Development (Cleft Palate Foundation) Also available in: Spanish Submucous Cleft Palate (Cleft Palate Foundation) Velocardiofacial Syndrome (National Institute on Deafness and Other Communication Disorders) Also available in: Spanish Treatment Bone Grafting the Cleft Maxilla (Cleft Palate Foundation) Cleft Lip and Palate Surgery (American Society of Plastic Surgeons)

10. MEDLINEplus Medical Encyclopedia: Cleft Lip And Palate cleft lip and palate. cleft lip and palate are facial and oral malformationsthat may occur separately or together. They may also http://www.nlm.nih.gov/medlineplus/ency/article/001051.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Cleft lip and palate Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Prevention Illustrations Throat anatomy Infant hard and soft palates Cleft lip repair - series Definition Return to top Congenital abnormalities that affect the upper lip and the hard and soft palate. Features range from a small notch in the lip to a complete fissure (groove) extending into the roof of the mouth and nose. These features may occur separately or together. Causes, incidence, and risk factors Return to top Cleft lip and palate are facial and oral malformations that may occur separately or together. They may also occur in association with other syndromes or birth defects. The cause of these malformations may be mutant genes or teratogens (an agent that causes abnormalities in a developing fetus, such as certain viruses or chemicals). As well as being disfiguring, these abnormalities can cause feeding difficulties, problems with speech development, and ear infections. Risk factors include a family history of cleft lip or palate and presence of another birth defect. The incidence of cleft lip and palate varies with different races; approximately 1 out of 1,000 Caucasians are affected. The incidence of cleft palate alone is 1 out of 2,500 people. Symptoms Return to top Separation of the lip alone Separation of the palate Separation of the lip and palate Varying amounts of nasal distortion Recurrent ear infections

11. Cleft Lip And Palate Tutorial cleft lip and palate. Development of the lip and palate. Causes and risk factors.Treatment. cleft lip and palate occurs in one of every 500 to 1000 babies. http://hsc.virginia.edu/cmc/tutorials/cleft/

CLEFT LIP AND PALATE Development of the lip and palate Causes and risk factors Treatment FEEDBACK FORM please fill out this feedback form or send us e-mail about this tutorial A cleft lip and palate occur when a baby is born with an opening in the roof of their mouth (palate) and the upper lip does not fully form. These conditions can occur separately so that some children are born with a cleft lip but a normal palate, and some have a cleft palate but normal upper lip. A completely formed lip is important not only for a normal facial appearance but also for sucking and to form certain sounds made during speech. The palate is the roof of your mouth. You can feel your own palate by running your tongue over the top of your mouth. If you open your mouth and look into a mirror you will see that the palate extends from your teeth all the way back to the little dangling extension, called the uvula , in the middle of the back of your mouth. The palate is made of bone and muscle and is covered by a thin, wet skin that forms the red covering inside the mouth. It's purpose is to separate your nose from your mouth much like a floor separating the basement from the ground floor. The palate has an extremely important role during speech because when you talk, it prevents air from blowing out of your nose instead of your mouth. The palate is also very important when eating. It prevents food and liquids from going up into the nose. During swallowing, the tongue presses up against the palate and pushes the chewed food to the back of the throat where it then goes down into the stomach.

12. Maryland Society For Cleft Lip & Palate Children For children with cleft lip/cleft palate and their families and friends.Category Health Support Groups cleft lip and palate...... Maryland Society for Cleft Lip Palate Children The Maryland Society forcleft lip and palate Children was established in March of 1975. http://www.msclpc.org/

Voice Mail: 410-244-7171 GOALS WHY? TEAM APPROACH INTERDISCIPLINARY CARE ... Helpful Links Welcome to the MSCLPC website! Today is ANNUAL SUMMER PICNIC DATE SET The Maryland Society for Cleft Lip and Palate Children (MSCLPC) is a non-profit, non-sectarian charitable association of individuals interested in supporting the needs of children with cleft lip/cleft palate and their families and friends, and informing the general public of these needs and the nature of this congenital anomaly. The Maryland Society for Cleft Lip and Palate Children was established in March of 1975. Members range in age from newborns to adults. Parents and families of children with cleft lip/cleft palate, and individuals interested in supporting the needs of these children and their families, are welcome to become members by calling (410) 244-7171 or by attending a MSCLPC meeting or program. Members are sent by mail information relating to the care of cleft lip/cleft palate and notifications of meetings. Nominal annual dues are requested to defray the cost of postage and materials. MSCLPC - Voice Mail This site has had visitors since June 30, 2001

13. Maryland Society For Cleft Lip And Palate Children - Interdisciplinary Care Voice Mail 410244-7171. Maryland Society for Cleft Lip Palate Children The plasticsurgeon is responsible for surgical repair of the cleft lip/cleft palate. http://www.msclpc.org/interdisciplinary_care.htm

Voice Mail: 410-244-7171 GOALS WHY? TEAM APPROACH INTERDISCIPLINARY CARE ... Psycho-Social Support Pediatrics The pediatrician provides primary care to the child, with special attention to the individual feeding needs in the infancy period. The child is followed for treatment of colds and ear infections and his/her overall emotional, growth and development. The pediatrician also provides parent counseling pertaining to the coordination of the care by other professional consultants. Back to Top Back to Top Children born with cleft lip/cleft palate are at higher risk for hearing, language and speech problems. However, many may develop normal speech and language skills with little or no special help. Some children may have speech/language problems unrelated to the cleft palate. Children born with cleft lip/cleft palate should be evaluated periodically by a speech-language pathologist, beginning before one year of age, to be certain that speech and language skills are developing satisfactorily, and to assess how well the palate functions for speech production. Normal hearing is essential for the development of age appropriate speech and language skills. Periodic hearing testing should be provided by an audiologist, starting before the child is 6 months of age.

14. Smiles - Welcome cleft lip and palate support group providing help on craniofacial issues and an overview of cleft Category Health Support Groups cleft lip and palate......Welcome to SMILES, a cleft lip and palate Support Group. Our Group stories.Overview Overview of cleft lip and palate management. Craniofacial http://www.cleft.org/

Welcome to SMILES, a Cleft Lip and Palate Support Group Visit each individual family and read their stories Overview of cleft lip and palate management The Otolaryngologist's advice on craniofacial related issues The effects on speech and language development Selection of the craniofacial team brochure Care for your child after cleft palate repair Search Smiles' entire web-site for various topics Complete our information survey Visit our discussion list Our Mission "SMILES" is a group of dedicated families who have developed a first-hand understanding of the needs of children with cleft lip, cleft palate and craniofacial deformities. Through our personal sensitivity, energy, knowledge, and love we are dedicated to improve the lives of these children in our country and around the world. What Makes Us Different We take care of children with cleft lips or palate in the first few days of life. All of us have been through this experience. Allow us to share the benefits of early repairs with you. Learn about our team approach in the following pages. Statement Any child with a correctable facial deformity which goes uncorrected - for any reason - is always and forever a tragedy, for if it is not then life itself has become one.

15. The Cleft Lip And Palate Institute - Serving Patients With Craniofacial Deformit Information about Chicago's Northwestern University team of medical, dental, and speech professionals, Category Health Support Groups cleft lip and palate...... craniosynostosis and other maxillofacial deformities. Copyright © 2002cleft lip and palate Institute. Site designed by Virtuocities. http://www.craniofacialinstitute.com/

Dedicated to treating children with craniosynostosis and other maxillofacial deformities. Virtuocities

16. The Cleft Lip And Palate Institute - Serving Patients With Craniofacial Deformit Genetics, Ira Salafsky, MD. Orthodontics, Stephen Grud, DDS, MS Dr. Grud has beenthe consultant in orthodontics for the cleft lip and palate Institute since '97. http://www.craniofacialinstitute.com/team.htm

Family Services Noreen Reynolds, B.A. Noreen is the Care Coordination Assistant at Shriners Hospital for Children, Chicago. She received her BA degree from Northeastern Illinois University, with a minor in Human Resource Development. She serves as a liaison between the hospital and Shrine Temples as well as a resource for others within and outside the hospital. She coordinates transportation and lodging and assists with discharge planning. She also processes documentation for re-entry and extension of medical visas. Dentistry, Prosthodontics James Parkhill, DMD, MS Dr. Parkhill dental specialty consists of creating fixed, removable and implant restoration for patients with clefts, neurologic compromise, and those having undergone cancer resection of the mouth. Specifically, he provides feeding/holding appliances, obturators, palatal lifts and pharyngeal extension speech bulb appliances. Soon after he completed his Masters degree in prosthodontics dentistry at Northwestern University Dental School, he joined the Institute team as prosthodontist and general dentist. He holds faculty appointments at Northwestern University and the University of Illinois at Chicago, Graduate Prosthetic Department. His private practice is located in Libertyville, IL.

17. Cleft Palate Foundation - Homepage Information and support from this newly combined organization.Category Health Support Groups cleft lip and palate......Information for patients families about cleft lip, cleft palateand other craniofacial differences. Click here for information http://www.cleftline.org/

Click here for information about CPF's exciting conference, "Enhancing the Parent Connection." Health Care Professionals American Cleft Palate-Craniofacial Association/Cleft Palate Foundation 104 South Estes Drive, Suite 204, Chapel Hill, NC 27514 USA info@cleftline.org graphic design by ruby@lotusmedia.org

18. Cleft Lip And Palate - Causes, Treatment And Surgery Concise factsheet on causes, symptoms and treatment of cleft lip and palate.Category Health Support Groups cleft lip and palate...... cleft lip and palate. What is a cleft lip and palate? What causes a cleft lip andpalate and who is at risk? The causes of cleft lip and palate remain unclear. http://hcd2.bupa.co.uk/fact_sheets/Mosby_factsheets/cleft_lip.html

search A-Z of health health news healthy living medicines ... A-Z of health Cleft lip and palate What is a cleft lip and palate? Cleft lip with or without cleft palate is one of the most common physical abnormalities present at birth. Cleft lip affects the upper lip and cleft palate the roof of the mouth. Cleft palate occurs when the tissues that form the palate do not join in the middle of the roof of the mouth, which leaves a connection between the mouth and the nose. What causes a cleft lip and palate and who is at risk? The causes of cleft lip and palate remain unclear. When the face and skull of a foetus form, the upper lip and palate develop from tissues that lie on either side of the tongue. In normal development, these tissues grow towards each other to meet in the middle and so form a complete palate and upper lip. In cleft lip, it seems that the tissues that form the upper lip grow normally but simply fail to join up in the middle of the face. In cleft palate it appears that some obstruction may prevent the tissues that form the palate from joining. Cleft lip and cleft palate usually occur together, and affect about one in 700 babies. Cleft lip occurs on its own in about one in 1000 babies, and cleft palate occurs on its own in about one in 2000 babies.

19. Cleft Lip/Cleft Palate, Resources On The Internet cleft lip and palate Association of Ireland www.cleft.ie/ comprehensive source ofinformation about cleft, useful regardless of whether you happen to live in http://www.samizdat.com/pp3.html

CLEFT LIP/CLEFT PALATE INTERNET RESOURCES Other Internet Resources Related to Cleft Lip/Cleft Palate Adoption Quest Home Page http://www.inet.net/adopt/adoptqst.html American Cleft Palate-Craniofacial Association www.cleftline.org Cleft Lip and Palate Association of Ireland www.cleft.ie/ comprehensive source of information about cleft, useful regardless of whether you happen to live in Ireland Frequently Asked Questions regarding cleft palate http://www.plasticsurgery.org/faq/cleft.htm Genetics Education Center, U. of Kansas Medical Center http://www.kumc.edu/GEC Good Health Web http://www.social.com/health/index.html International Institute for Birth Defects http://www.cleft.net In particular, check the article "1999's Top Ways To Reduce Your Risk for Cleft Lip and Cleft Palate (and all birth defects) by Andrea Newmark-Simon andrea@cleft.NET at http://www.cleft.net/reduce Iowa Health Book/Pediatric Guides http://vh.radiology.uiowa.edu/Patients/IowaHealthBook/PediatricGuides/PediatricGuides.html Johns Hopkins Center for Craniofacial Development and Disorders http://www.hopkinsmedicine.org/craniofacial

20. Final Operations (Clef Lip/Palate) -- John B. Mulliken John B. Mulliken, MD discusses final operations related to teeth, lip scars and nose, for teenagers Category Health Support Groups cleft lip and palate......FINAL OPERATIONS FOR THE OLDER CHILD BORN WITH CLEFT LIP/PALATE. For thechild born with cleft lip/palate, however, orthodontia is the rule. http://www.samizdat.com/pp7.html

FINAL OPERATIONS FOR THE OLDER CHILD BORN WITH CLEFT LIP/PALATE John B. Mulliken, M.D. Director, Cleft Lip/Palate Program, Children's Hospital, Associate Professor of Surgery, Harvard Medical School Written for Prescription Parents . Dr. Mulliken can be reached at Department of Plastic Surgery, Children's Hospital, 300 Longwood Ave., Boston, MA 02115 Other Internet Resources Related to Cleft Lip/Cleft Palate All too soon, children grow to adolescence and become young adults. This period of rapid change is difficult for all teenagers (and their parents). There are the usual concerns about acceptance by peers and anxiety about appearance. This can be a particularly stressful time for the young person with a repaired cleft lip. Recollections of the many years of treatment for the cleft will affect reactions to the pressures of young adulthood. Hopefully the child will communicate any anxiety to sensitive, understanding parents so that appropriate steps can be taken to correct any residual problems. Studies of older children born with cleft lip/palate reveal that, in general, they are pleased with the soft tissue correction, speech, and hearing. They may be unhappy with their teeth. The young adult should have normal hearing and should no longer be bothered by episodes of otitis media. Children born with cleft lip/palate have a 5-20% chance of abnormally nasal speech, depending on the severity of the cleft. Secondary surgical procedures to correct nasal escape are usually done in childhood. Thus, the youngster's speech should be normal so that when he/she enters a room of students or attends a party with new friends, no one will know of the repaired cleft palate.

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