Treatment of this deformity presents a serious problem all over the world. Difficulty in sucking is one of the most common complaint related with cleft lip and palate infants.9 For normal sucking mechanism, coordination of the intraoral and extraoral muscles is important, but such coordination is difficult in infants with cleft lip and palate. So, breast feeding in such infants is a challenging task.10 The opening in the palate makes it impossible for the child to create suction and causes difficulty in feeding. Similar problem was observed in present case. Based on the severity of the cleft, the amount of difficulty in feeding may vary.
Cleft palate affects as many as 2,600 babies each year, while around 4,400 babies are born with a cleft lip (with or without a cleft palate). There is a higher occurrence of orofacial clefts in Asian, Latino and Native American children. Boys are two times more prone to having a cleft lip (with or without a cleft palate), while girls are two times more likely to have a cleft palate without a cleft lip. Orofacial Cleft Causes Exactly what causes orofacial clefts remain unknown, although many doctors and scientists are of the belief that genetics and environmental factors play a part in the occurrence of cleft lip and cleft palate. CDC studies report that the following can increase the risk of cleft occurrence in babies: 1.
On the other hand, some other authors prefer combined 4th ray amputation and 5th ray radial translocation achieving better functional results in the form of 83% pinch strength, 80% grip strength in comparison to the healthy side. In addition the ROM of the MPJ was 78? . In another study, patients with single ray amputation with translation of the adjacent digit showed 28% grip, 13% key pinch, and 26% oppositional pinch strength loss compared with the non-injured hand. Furthermore, gross hand function as measured by the MRM test and fine finger dexterity as measured by the TGP test showed 12% and 24% loss, respectively (6).
Partial patency of naso lacrimal duct was observed in 22 cases and failure of patency was seen in 11 cases (Table 6). CONCLUSION Disease of conjunctival sac, nose and para-nasal sinuses also contribute in the obstruction of naso-lacrimal passage. The mobility of patients was observed earlier where D.C.R. implant method was adopted than the conventional D.C.R. method.
Tool III: infant with cleft lips and or palate oral feeding readiness assessment scale: Infant oral feeding readiness assessment scale (POFRAS) is comprised of five main categories with items that consist of: 1) Oral posture (lips and tongue posture); 2) Oral reflexes (rooting, sucking, biting and gag reflexes) 3) Non-nutritive sucking (tongue movement, tongue cupping, jaw movement, sucking strain, sucking and pause, maintenance of sucking/pause, maintenance of alert state and stress signs). Infant’s performance in each item is assessed from zero to 2 (Suzanne M, et al, 2005). Tool IV: Infant Breastfeeding Behaviors Scale (IBFBS). The PIBBS can be used to describe the development of breast feeding behavior of infants (Hed berg. 1999).
INTRODUCTION There are several types of congenital craniofacial anomalies, most frequent of which are orofacial clefts that encompass the cleft lip and palate (CLP), which occurs when embryonic facial processes fail to unite (1). The complications associated with CLP are maxillary growth aberrations and high occurrence of Class III malocclusions. In children with CLP, aberrations in number, size, shape, and period of tooth formation are more common than in the non-cleft population. Orthodontic abnormalities such as crowding, rotation, and malposition of teeth are also frequent in patients with CLP (2). ‘In the orthodontic context, an index is used to designate a rating or as a categorising system that assigns a numerical score or alphanumeric
Sometimes there may be a high arched palate resulting in speech disorders.  Tall stature along with long thin digits and alteration in body proportions are seen. Wrists maybe thin and weak. The arm span measured from the extended fingers often exceeds the height of the patient. Along with that patient may show flat feet, hammer toes or stooped
As the number of children’s with cleft lip and palate increasingly day by day that's why there is a critical need of effective and appropriate diagnosis and treatment of person's suffering from cleft lip and palate. 1. Hard palate: In simple words we can say that hard palate is a bony part of the roof of the mouth. We cannot see the bones because it is covered by the mucosa ( moist , pink tissue covering the body parts ). When you open your mouth you can see the hard palate which is present in front of your mouth.
Aim of the study was to: Determine effect of using feeding protocol on feeding performance for post-operative infants with cleft lip or cleft palate Research hypothesis: Implementation protocol of feeding on feeding performance for post-operative infants with cleft lips or cleft palate will give positive effect on infant that reduce the transition time from the tube to oral feeding and improve rate of infants. Operational definition: Feeding protocol: Oral feeding protocol intervention for the transition from gavages feeding to oral feeding had to vary from and be a change in practice from the traditional feeding method. The feeding protocol had to include criteria for the initiation of oral feeding and the systematic progression of