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    Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook127 pages1 hour

    Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

    4.5/5

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    About this ebook

    Cleft lip and palate (CLP) are frequent birth defects that involve the upper lip and the roof of the mouth.
    In spite of the fact that it is an isolated birth defect on its own, it is also linked with other syndromes or genetic conditions that are inherited.
    Cleft lip and cleft palate (CLP) or orofacial clefts are cracks or openings on the mouth's roof or the upper lip or both mouths' roof and upper lip.
    Failure of the facial structures to fully form totally in unborn babies gives rise to cleft lip and cleft palate (CLP) or orofacial clefts.
    An opening or a break on the mouth's roof is called a cleft palate.
    The mouths roof at the front which is hard (the hard palate) or the soft portion at the mouth's roof (the soft palate) may be affected with the cleft palate.
    Cleft lip and palate (CLP) is a comparatively frequent, non-life-threatening abnormality which can have substantial effect on maternal bonding
    Causes:
    In the course of formation in the womb, the structures producing the upper palate or lip do not succeed to come together properly and it provides rise to a cleft palate or lip.
    The cause is not known in most cases, but it is seen to be the combination of environmental (external) and genetic (internal) factors.
    The lip has normally formed by 5-6 weeks of intrauterine life.
    The palate has formed by 10 weeks.
    The cleft may be seen by high-resolution ultrasound at 20 weeks of gestation.
    Diagnosis is normally made after delivery.
    There are many reasons causing cleft lip and palate.
    The disorders with genes passed down from 1 or both parents, drugs, viruses, or other toxins can all produce these birth defects.
    Cleft lip and palate may happen along with other syndromes or birth defects.
    A cleft lip and palate can:
    1. Affect the appearance of the face
    2. Result in problems with feeding and speech
    3. Result in ear infections
    Genetic factors
    Babies tend more likely to be born with a cleft lip and palate if they have a family history of these disorders or other birth defects.
    If both parents are not affected, but have one child with a cleft, the chance of the second child being similarly affected is 2-8%.
    If one or other parent has a cleft, the danger of a cleft in a child is 4-6% with each pregnancy.
    Environmental factors
    There is an identified risk in taking certain forms of drugs during pregnancy (e.g., phenytoin, isotretinoin, sodium valproate, benzodiazepines and corticosteroids).
    Maternal smoking and alcohol drinking has a higher risk
    Symptoms
    Cleft lip alone
    If the cleft involves the lip only and does not involve the palate is called the cleft lip.
    There may be a small gap in the lip (entire cleft) with the split going from the lip to the nostril.
    Cleft lip may be unilateral or bilateral.
    Cleft palate (with or without cleft lip)
    Cleft palate disorder happens when the two plates in the base of the skull which form the hard palate do not succeed to fuse
    A total cleft palate affects both hard and soft palates.
    Diagnosis
    A physical examination of the mouth, nose, and palate diagnoses a cleft lip or cleft palate.
    Cleft lip and cleft palate (CLCP) or orofacial clefts are more often seen on ultrasound while the baby has not been born
    Treatment
    Surgical treatment
    This consists of the major part of the treatment.
    A number of surgeries will be needed as the child grows.
    Primary lip closure is done at three months after birth
    Palate closure is done at 6-12 months
    If there is a hole in the gums, a bone graft may be needed.
    Recent advances in fetal surgery using a fetal endoscopic method, provide the prospect of scar-less wound healing, and bone healing without callus formation.
    This permits for better or even normal maxillary growth

    TABLE OF CONTENT
    Introduction
    Chapter 1 Cleft Lip and Palate
    Chapter 2 Causes
    Chapter 3 Symptoms

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 12, 2017
    ISBN9781370922024
    Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Cleft Lip And Palate, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Cleft Lip

      And Palate,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Cleft Lip and Palate, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Cleft Lip and Palate)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Cleft Lip and Palate (CLP)

      I have probably seen many cases of cleft lip and palate during my childhood but I never bother about these abnormalities as they are just birth defects.

      I was only at the medical school that I came across another medical student (the son of my Anatomy Professor) who had a repaired upper cleft lip.

      It was obvious but it did not affect his studies in any way although he had a bit of speech fluency.

      Later as a family doctor I came across a famous local television actress who also had a repaired upper cleft lip which was not as obvious as she properly knew about cosmetic camouflaging.

      She was fluent in her Mandarin (Chinese) speech.

      So the presence of cleft lips and palates are not so rare and disadvantageous as some people tend to believe.

      What is a Cleft Lip and Palate?

      Cleft lip and palate (CLP) are frequent birth defects that involve the upper lip and the roof of the mouth.

      In spite of the fact that it is an isolated birth defect on its own, it is also linked with other syndromes or genetic conditions that are inherited.

      Cleft lip and cleft palate (CLP) or orofacial clefts are cracks or openings on the mouth's roof or the upper lip or both mouths' roof and upper lip.

      Failure of the facial structures to fully form totally in unborn babies gives rise to cleft lip and cleft palate (CLP) or orofacial clefts.

      An opening or a break on the mouth's roof is called a cleft palate.

      The mouths roof at the front which is hard (the hard palate) or the soft portion at the mouth's roof (the soft palate) may be affected with the cleft palate.

      Cleft lip and palate (CLP) is a comparatively frequent, non-life-threatening abnormality which can have substantial effect on maternal bonding.

      Its cause is complicated.

      It can happen in isolation but may be linked with a chromosomal or teratogenic syndrome - a linked syndrome is thought to be present in around 30% of all patients with CLP.

      While not a major cause of death in the developed world, it can result in poor feeding, failure to thrive and damaged survival in places where healthcare resources are poor.

      CLP is a major cause of disease in places where corrective surgery is not present.

      Children may feel social stigmatization, besides disorders with speaking and hearing.

      The defects in CLP occur very early in embryonic development, and are believed to have a complicated cause, with genetic and environmental factors playing a part.

      Isolated CLP does not pursue a simple Mendelian inheritance pattern, even though there is a small repeat occurrence risk.

      It can be distressing to have a baby with a cleft but correction of cleft lip and cleft palate (CLP) or orofacial clefts is possible.

      Normal function can be recovered in most children through surgeries and normal appearance obtained with minimal scarring.

      Incidence

      The most frequent forms of CLP result in interference of the tissue planes above the lip spreading to nostrils and palate (hard and

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