61. CCDD: Cleft Lip And Palate cleft lip and palate. An Cleft Club, Cleft lip/palate support group. CleftLip and Palate, Information from the Kids Health web site. Cleft http://www.hopkinsmedicine.org/craniofacial/Gateway/CleftLip.cfm

Site Map About Us Family Physician ... Feedback Home About Us Family Physician Scientist ... Feedback Questions: CCDD Site Issues: Webmaster Cleft Lip and Palate An incomplete formation of the upper lip or roof of the mouth (palate), leaving a hole or notch in the affected area. Clefting is a common birth defect and may be surgically repaired. It may occur alone or as part of a genetic syndrome. Visit these Clefting links to learn more: About Us: Oral Clefting Brochure - The most common malformations of the head and neck region are clefts of the lip and palate which occur once in every 500 to 1,000 births. Clefts occur in infants of all races. A cleft is due to the failure of fusion of parts of the lip or roof of the mouth during the early months of development of the unborn child. Family: Cleft Lip with or without Cleft Palate Introductory Article Family: September 1998 Newsletter for FACES - Of the over 5,500 known inherited conditions in man, over 700 involve malformations of the craniofacial region, and over 300 have cleft lip with or without cleft palate. This highly diverse group of disorders is due to many different environmental and genetic causes and their interactions with one another..

62. Cleft Lip & Palate Regional Plastic Surgery Centre, Canniesburn Hospital. The Unit is part of theManaged 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

63. Cleftpals National headquarters for the Australian cleft lip and palate Society. Contains information, pictures, bottles and teats, contacting other parents, and book. http://www.cleftpals.org.au/

The Cleft Lip and Palate Society ABN: 95 089 138 705 Visitors since 3rd May 2000. Welcome These pages are best viewed using 256 colours and 800 by 600 resolution or above. Who we are Cleftpals is a volunteer non-profit organisation. What we do Cleftpals exists to help support people who are involved with cleft lips and/or palates. The Contents page contain a map of the site with links to the relevent pages. Purpose of these pages These pages are provided to help anyone seeking information about the cleft condition. It is more specifically aimed at parents and other immediate family members in which a child with a cleft of the palate and/or lip has either been born or has been detected before birth. What is in these pages You can find information pages, details on some specialist products that Cleftpals can supply, Contact parent details and Links to other Cleft related sites on the internet. Visits: from Cleftpals Contact Parents can help. They have been through a similar experience. They can not give professional medical advise. Visits from contact parents are

64. Diseases And Conditions -- Discovery Health -- Cleft Lip And Palate cleft lip and palate By Ronald J. Jorgenson, DDS, PhD, FACMG. Cleft Cleftlip and palate may be associated with other birth defects. Cleft http://health.discovery.com/diseasesandcond/encyclopedia/2663.html

cleft lip and palate By Ronald J. Jorgenson, DDS, PhD, FACMG Cleft lip is a birth defect that involves a split in the upper lip. Cleft palate involves a split down the palate. The palate is the center of the roof of the mouth. When these defects occur separately, they are known as isolated cleft lip or isolated cleft palate. They may also occur together. This is called cleft lip with cleft palate. What is going on in the body? Cleft lip and cleft palate both develop while a baby is in the womb. Cleft lip occurs when grooves that are normally present in the face of a developing fetus don't smooth out as it grows. The baby is then born with a split or opening where the grooves were, called a cleft lip. The roof of the mouth, on the other hand, develops from tissue on each side of the mouth. This tissue usually grows together and fuses at the middle of the roof of the mouth. If the tissue does not fuse normally, the baby is born with a split extending from front to back along the roof of the mouth. This is called a cleft palate. What are the signs and symptoms of the condition?

65. Kernan Kernan Hospital is the location for a comprehensive Earl and Frances Clem CleftLip and Palate program. Earl and Frances Clem cleft lip and palate Program. http://www.umm.edu/kernan/kern_cleft.shtml

Kernan Home Kernan Physical Therapy... Patient Conditions... Special Programs... ... Hotel, Restaurant, and Additional Info Kernan Hospital Earl and Frances Clem Cleft Lip and Palate Program Kernan Hospital is the location for the comprehensive Earl and Frances Clem Cleft Lip and Palate Program recognized by the American Cleft Palate-Craniofacial Association. The diagnostic and treatment team is multidisciplinary and consists of the following disciplines: Audiology Genetics Orthodontics Otolaryngology Pediatrics Pediatric Dentistry Plastic Surgery Speech-Language Pathology A child born with cleft lip, cleft palate, or other craniofacial anomalies may be faced with multiple and complex problems. These problems include such issues as: Middle ear problems Hearing loss Early feeding and other nutritional problems Dental or orthodontic abnormalities Difficulty with speech or resonance Deficits in growth and development and psychosocial concerns While the treatment process for children with these deformities can involve a lengthy treatment process, most children affected will become functioning and contributing members of society if a multidisciplinary team effectively treats them. The team at Kernan is recognized as a Cleft Palate Team (CPT) by the American Cleft Palate-Craniofacial Association (ACPA). The goal of the team is to insure that care is provided in a coordinated, consistent manner. All team evaluations and treatments should be sequenced according to the patient’s overall development, medical and psychosocial needs. Interdisciplinary care is optimal if it continues shortly after birth and continues until the individual is physically full grown (usually by around 21 years of age).

66. Cleft Lip/Cleft Palate infants nose instead of being swallowed. Often times, a baby will haveboth a cleft lip and palate. Both of these conditions do occur http://www.dbpeds.org/conditions/conditions.cfm?Abbrev=cleftlip

67. Cleft Palate Unit Outlines work undertaken at the unit, advice for parents and relevant links.Category Health Support Groups cleft lip and palate......Cleft Palate Unit. Please Enter. Guy's HospitalGuy's St Thomas' Hospital Trust London UK. http://www.umds.ac.uk/cleft/

Cleft Palate Unit Guy's Hospital London UK

68. Cleft Lip And Palate The following is a list of expectations for a child born with a cleftlip and palate. Although each child is unique, this is intended http://dentistry.ucsf.edu/cranio/lipandpalate.htm

The following is a list of expectations for a child born with a cleft lip and palate. Although each child is unique, this is intended to give a general idea of what to expect: An infant with cleft lip and palate usually must be bottle-fed (with breast milk or formula) using special nipples. Soon after birth and in preparation for surgery, the lip may need to be taped to help reduce the width of the cleft. A hearing test is recommended , and ventilating tubes are usually placed in the ears at the time of lip surgery to reduce the risk of ear infections. Ear infections are more common for a child with a cleft palate. An eye examination is usually recommended because associated eye anomalies are not unusual. Lip surgery will take place around 10 weeks of age (or 10 lbs). Lip surgery takes about 2-3 hours and the infant usually remains in the hospital one night.

69. Wide Smiles: Cleft Lip And Cleft Palate Support DNA markers may help geneticists in the future give families more accurate estimatesof their risk for recurrence of cleft lip and palate by performing DNA http://www.adopting.org/wshappen.html

What Happened?! A Look at the Causes of Clefting Clefts commonly have a genetic basis, although occasionally drugs taken during pregnancy can be involved. Clefts of the lip and palate can run in families and be due to a single gene. If the gene is transmitted from one affected parent to their offspring, then it is generally considered to be dominant. If neither parent is affected, then the gene could be recessive, and would require that both parents contribute the same recessive gene to their affected child. In the latter case, a clear inheritance pattern may not exist. This is indistinguishable from a "susceptibility" or "multifactorial" model which is the basis of the assessment of recurrence risk used by geneticists for parents who already have a child with a cleft. This is based upon surveys of large numbers of cleft lip/cleft palate families. Unaffected parents with an affected child, according to this model, have an approximately 5% chance of having another similarly affected child. This risk increases if the couple have more than one affected child. In dominant inheritance, the risk of recurrence is 50%, and in recessive inheritance it is 25%. These are both higher than the multifactorial model, but the risk does not change with each pregnancy, regardless of the outcome. In some cases. cleft lip and/or palate may be associated with a syndrome. A syndrome is a collection of physical findings which run together in the same person, and for the most part are seen in all individuals who have that syndrome. Syndromes are more common in cleft palate alone than in cleft lip with or without cleft palate, but can occur in any of these. Syndromic clefts are commonly inherited as single gene defects. but can be due to abnormalities in the baby's chromosomes, to something used during pregnancy or of a sporadic nature. Single genes have already been discussed, but of importance is to note that those characteristics of a syndrome that run in a given family may be a good indicator of a risk for a cleft, but a cleft may not always occur. Some syndromes may only have a 30% risk for an associated clefs for example, which means that 70% of the time many other characteristics of the syndrome may appear, but without a cleft.

70. OMS Business And Clinical Staff Cleft Lip And Palate Surgery Coding for cleft lip and palate Surgery I. INTRODUCTION This is one in a seriesof AAOMS papers. OMS BUSINESS CLINICAL STAFF, cleft lip and palate Surgery. http://www.aaoms.org/allied/allied_template.asp?content_type_id=83&entity_id=124

71. Cleft Lip And Palate Repair Previous Next cleft lip and palate Repair. This information wasprovided by the Chicago Shriners Hospital 2211 N. Oak Park Ave. http://www.shrinershq.org/patientedu/cleftrepair.html

Home Shrine Shriners Hospitals Hospital Directory ... Next Cleft Lip and Palate Repair This information was provided by the Chicago Shriners Hospital 2211 N. Oak Park Ave. Chicago, IL 60707 Phone 773-622-5400 Fax 773-385-5453 About Facial Clefts Facial clefts effect nearly one out of 1,000 births in the United States. It is one of the most common birth defects in the United States and is one of the most common birth defects cared for by some of our Shriners Hospitals for Children. Clefts of the lip and palate are complex conditions which affect not only the child's appearance and self-esteem, but also functionally including the child's ability to speak, hear and eat properly. Because of this, the treatment involves the close cooperation of medical and dental specialists. A Team Approach Specialists at the Shriners Hospitals provide a comprehensive approach to meeting each child's individual needs through evaluation and treatment. Our goal as a team working with the parents is to restore the child physically, psychologically and socially. Specialists Specialists at the Shriners Hospitals provide a comprehensive approach to meeting each child's individual needs through evaluation and treatment. Our goal as a team working with the parents is to restore the child physically, psychologically and socially.

72. The Craniofacial Deformity Of all orofacial clefts, 21 percent present as cleft lip only (unilateral and bilateral),46 percent present as cleft lip and palate, while the remaining 33 http://www.erlanger.org/craniofacial/book/clefts/Cleft_1.htm

Chapter 1 Clefts of the Lip and Palate Clefts of the Lip and Palate Feeding an Infant Surgery Unilateral Cleft Lip Repair Bilateral Cleft Lip ... Pierre Robin Syndrome CHAPTERS Introduction Clefts of the Lip and Palate Ear Reconstruction Craniosynostosis Orbital Reconstruction Treacher Collins Syndrome ... Summary Each year approximately 227,500 or 7 percent of births in the United States are affected by birth defects of the head and face. The most common of these are clefts of the lip and palate which occur once in every 700 births. Clefts occur in infants of all races with a 2:1 male to female ratio. The incidence of clefts is highest in the Asian population and lowest in African Americans. Of all orofacial clefts, 21 percent present as cleft lip only (unilateral and bilateral), 46 percent present as cleft lip and palate, while the remaining 33 percent have cleft palate alone. What is a cleft? A cleft is a division or separation of parts of the lip or roof of the mouth that is formed during the early months of development of the unborn child. All of the parts of the lip or roof of the mouth are present; they simply failed to fuse in a normal way. Surgical intervention is necessary to align the parts and join them. Often the bones of upper jaw (maxilla) and/or the upper gum are affected. A cleft lip can be incomplete with a variable degree of notching of the lip, or complete, extending through the lip and into the nose.

73. Cleft Lip And Palate In Children - Keep Kids Healthy Main Diseases and Conditions cleft lip and palate. Cleft Lip andPalate. Cleft deformities involving a cleft lip (opening in the http://www.keepkidshealthy.com/welcome/conditions/cleft_lip_and_palate.html

Bookstore Site Map Contact Us Help ... Free Web Pages! Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend cleft lip Main Diseases and Conditions Cleft Lip and Palate Cleft deformities involving a cleft lip (opening in the lip) and/or cleft palate (opening in the roof of the mouth) occur in about 1 in 700 births throughout the world and are the most common craniofacial birth defect. Although it isn't usually know what causes a child to have a cleft deformity, about one third of cases are in children with a positive family history and other children in the family with a cleft deformity. It is also known to be more common for children with cleft deformities to have a mother who smokes. Cleft deformities are also associated with a number of syndromes, including Pierre Robin and Stickler syndromes and many others. Related Topics Speech Delays The most common cleft deformity is a bifid uvula . Although children can have an isolated cleft lip or an isolated cleft palate , in 50% of cases children have both a cleft lip and a cleft palate, which is usually left sided.

74. Cleft Lip And Palate cleft lip and palate. Definition. A The incidence of cleft lip and palatenot associated with a syndrome is one in 700 newborns. Native http://www.healthatoz.com/healthatoz/Atoz/ency/cleft_lip_and_palate.html

Encyclopedia Index C Home Encyclopedia Encyclopedia Index C Cleft lip and palate Definition A cleft is a birth defect that occurs when the tissues of the lip and/or palate of the fetus do not fuse very early in pregnancy . A cleft lip, sometimes referred to as a harelip, is an opening in the upper lip that can extend into the base of the nostril. A cleft palate is an opening in the roof of the mouth. Description Babies born with cleft lips will have an opening involving the upper lip. The length of the opening ranges from a small notch, to a cleft that extends into the base of the nostril. Cleft lips may involve one or both sides of the lip. Babies born with cleft palates have openings in the palate, which is the roof of the mouth. The size and position of the opening varies. The cleft may be only in the hard palate, the bony portion of the roof of the mouth, opening into the floor of the nose. It may be only in the soft palate, the soft portion of the roof of the mouth. The cleft palate may involve both the hard and soft palate and may occur on both sides of the center of the palate. Babies may have cleft lips with or without cleft palates. Cleft palates may also occur without cleft lips.

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

var cimsCid = ''; var cimsUid = '107070'; main COMMUNITY Message Boards Chats ... Community Challenges find on iVillage on astrology on babies on beauty on books on food on health on lamaze.com on money on parenting on pets on relationships on women.com on work MAGAZINES on Cosmopolitan on Country Living on Good Housekeeping on House Beautiful on Marie Claire on Redbook on Victoria you are here: iVillage parentsplace babies breastfeeding ... Talent Test more centers iMaternity Shop Amazon RECOMMENDED Baby-Making Basics Are You Pregnant? Chinese Gender Chart Top Baby Names by State ... Postpartum Depression: Are You at Risk? WHAT'S NEW Best Advice for Life after Baby Twin Pregnancy Symptoms Week-by-Week Pregnancy Guide TOPICS Activities and fun Ages and stages Behavior problems Child health ... Parenting A-Z FEATURES Boards Chats Experts Quizzes ... Tools FREE NEWSLETTERS ParentsPlace more newsletters Cleft lip and palate: What are the causes? My sister's son was born with a cleft lip. What causes cleft lip and cleft palate? Can they expect feeding problems? Kim Loos Dr. Kimberly A. Loos practices general dentistry and is also a clincial instructor in San Jose, California. Cleft lip, with or without cleft palate, is a congenital malformation that affects about 1 in every 700 live human births in the United States each year. Clefts occur more frequently among Asians (about 1:400) and certain American Indians than Europeans. Clefts are relatively less common among Africans and African Americans (about 1:1500).

76. ADA News: Scientists Identify Key Cleft Lip And Palate Gene 2, 2002 Scientists have pinpointed the gene responsible for a syndromic form ofcleft lip and palate and speculate the discovery could shed new light on the http://www.ada.org/prof/pubs/daily/0210/1002pal.html

Publications ADA News Today Past News Departments ... Contact ADA Publishing ADA News Posted Oct. 2, 2002 Scientists identify key cleft lip and palate gene Scientists have pinpointed the gene responsible for a syndromic form of cleft lip and palate and speculate the discovery could shed new light on the more common non-syndromic form of the defect, according to a report in the October issue of Nature Genetics. The gene, called IRF6, seems to play a key role in the normal formation of the lips, palate, skin and genitalia and was determined to be the cause of Van der Woude syndrome, the most common syndromic form of cleft lip and palate, the scientists report. Today's stories War on terrorism Dental readiness Dr. Austin

77. Cleft Lip And Cleft Palate Cleft Lip and Cleft Palate. While the causes of cleft lip and palate arenot 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.

78. Clinical Leaflet: Cleft Lip And Palate Clinical Leaflet cleft lip and palate. Definition CLAPA (Cleft Lip andPalate 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

79. Cleft Palate Foundation - About Cleft Lip & Palate CPF About cleft lip palate. cleft lip and cleft palate comprise the fourth most common birth defect in the United http://www.cleftline.org/aboutclp

Cleft Palate Foundation CPF Cleft lip and cleft palate comprise the fourth most common birth defect in the United States. One of every 700 newborns is affected by cleft lip and/or cleft palate. A cleft lip is a separation of the two sides of the lip. The separation often includes the bones of the upper jaw and/or upper gum. A cleft palate is an opening in the roof of the mouth in which the two sides of the palate did not fuse, or join together, as the unborn baby was developing. Cleft lip and cleft palate can occur on one side (unilateral cleft lip and/or palate), or on both sides (bilateral cleft lip and/or palate). Because the lip and the palate develop separately, it is possible for the child to have a cleft lip, a cleft palate, or both cleft lip and cleft palate. Cleft lip and cleft palate are congenital defects, or birth defects, which occur very early in pregnancy. The majority of clefts appear to be due to a combination of genetics and environmental factors. The risks of recurrence of a cleft condition are dependent upon many factors, including the number of affected persons in the family, the closeness of affected relatives, the race and sex of all affected persons, and the severity of the clefts. A child born with a cleft frequently requires several different types of services, e.g., surgery, dental/orthodontic care, and speech therapy, all of which need to be provided in a coordinated manner over a period of years. This coordinated care is provided by interdisciplinary cleft palate/craniofacial teams comprised of professionals from a variety of health care disciplines who work together on the child's total rehabilitation.

80. Internet Resources For Special Children (IRSC) - Worldwide Resource For Disabili cleft Club cleft lip and cleft palate support group online - http//www.cleftclub.com http://www.irsc.org/cleft.htm

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