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A cleft lip contains an opening in the upper lip that may extend into the nose. [1] The opening may be on one side, both sides, or in the middle. [1] A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. [1] The term orofacial cleft refers to either condition or to both occurring together.
Pharyngeal flap surgery may be able to improve speech performance in children or adults with a cleft palate who have velopharyngeal insufficiency. In fact, there is a high success rate for improvement of speech following pharyngeal flap surgery. However, surgery does not guarantee perfect or 100% intelligible speech.
Velopharyngeal insufficiency is a disorder of structure that causes a failure of the velum (soft palate) to close against the posterior pharyngeal wall (back wall of the throat) during speech in order to close off the nasal cavity during oral speech production. This is important because speech requires sound from the vocal folds and airflow ...
Orthognathic surgery is also available as a very successful treatment (90–100%) for obstructive sleep apnea. [13] Cleft lip and palate. Orthognathic surgery is a well established and widely used treatment option for insufficient growth of the maxilla in patients with an orofacial cleft. [14]
Smile Train. Smile Train is a nonprofit organization and charity providing corrective surgery for children with cleft lips and palates. [1] Headquartered in New York City and founded in 1999, Smile Train provides free corrective cleft surgery in 87 countries, [2] training local doctors and providing hospital funding for the procedures. [2]
Cleft lip and/or palate is a congenital abnormality that is seen frequently around the world. On average, about 1 in every 500-750 live births result in a cleft (Hardin-Jones, Karnell, & Peterson-Falzone, 2001). Furthermore, in the U.S., the prevalence for cleft lip with or without cleft palate (CL +/- P) is 2.2 to 11.7 per 10,000 births.
Palatoplasty. ICD-9-CM. 27.6. [edit on Wikidata] Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate. The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal ...
Maxillary hypoplasia is the most common secondary deformity that results from cleft lip and cleft palate. Because of the subjective nature of the diagnosis, the incidence of maxillary hypoplasia in people with cleft lip and palate varies between 15-50%. It is estimated that 25-50% of these patients require surgical intervention. [7]
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