Professional Documents
Culture Documents
Presentor
Ms. Jeewan Jyoti.
OBJECTIVES
At the end of the teaching students will be
able to acquire the knowledeg regarding
the cleft lip and cleft palate and will be
able to provide care to the children
suffering from the cleft lip and cleft palate.
INTRODUCTION
Cleft is a fissure or opening a gap
It is the non-fusion of the bodys natural structures that
form before birth
DEFINITION
Cleft Lip (Cheiloschisis): It is defined as a congenital anomaly
in which there is presence of a fissure at upper lip
which occurs due to failure of fusion of the maxillary
and median nasal processes
Cleft Palate (Palatoschisis): It is defined as a congenital
anomaly in which there is a fissure at roof of the mouth
which occurs due to failure of fusion of the lateral
palatine processes, the nasal septum and the median
palatine processes.
INCIDENCE RATE
1 in 665 children
Cleft lip in
Cleft palate in
CAUSES
Genetic factor
Maternal factors
Environmental factors
Teratogenic drugs
Family history
Cont.
Partial or incomplete cleft
Complete cleft
*Unilateral complete cleft
* Bilateral complete cleft
PATHOPHYSIOLOGY
PATHOPHYSIOLOGY
INVESTIGATION
Prenatal diagnosis
Initial assessment
MANAGEMENT
MEDICAL MANAGEMENT
SURGICAL MANAGEMENT
Chieloplasty
Platatoplasty
NURSING
MANAGEMENT
Nursing Assessment
Carefully perform the head to toe assessment of
the child immediately after the birth
Assess the location and extent of the defect by
using gloved finger.
Assess the feeding pattern of the child.
Assess the need for the surgical correction.
Assess the parents understanding of the defect and
the need for the surgery.
NURSING DIAGNOSIS
PREOPERATIVE NURSING
MANAGEMENT
Airway clearance
Reassurance to parents.
Hygienic care
Encourage the child to lie on its back for practice regarding post-operative
positioning.
COMPLICATIONS
Feeding problems
Ear infections and hearing loss
Speech and language delay
Dental problems
SUMMARIZATION
Definition
Etiology
Classification
Pathophysiology
Clinical manifestation
Diagnostic evaluation
Management