New treatment options in cleft lip and palate disease

In addition to genetic reasons, many factors such as radiation, psychological trauma, drug use, vitamin deficiency, and excess in the first 3 months of pregnancy cause the baby to be born with the cleft lip-palate problem.

Causes of cleft lip and palate

During the formation of the organs and face in the mother’s womb, all babies have cleft lips. The baby face is formed by the combination of three main parts in the mother’s womb; With the merger of the middle part and the parts on the two sides, first the lower and upper lips, then the palate is formed respectively. Sometimes this fusion is incomplete and clefts occur in various ways. If the pieces are not united at all around the mouth, a full lip-palate cleft occurs, if it is not combined on one side or partially, a partial cleft of the lip or just a cleft of the palate occurs.

Although the cleft palate is common in girls, bilateral or unilateral cleft lip is more common in male babies. There may be individuals with cleft lip and palate in the families of babies who usually encounter such a problem. In addition to genetic reasons, many factors such as the radiation the mother is exposed to in the first 3 months of pregnancy, psychological trauma, drug use, vitamin deficiency, and excess can cause problems.

The problem was discussed at the congress held by the Lip and Palate Cleft Association in Cappadocia. The chairmen of the association, Professor of the Department of Plastic, Reconstructive and Aesthetic Surgery at Hacettepe University. Dr. Figen Özgür from Ege University Faculty of Dentistry, Department of Orthodontics. Dr. The information provided by Servet Doğan on cleft lip and palate is as follows: “Cleft lip and palate is the most common congenital anomaly of the head and neck region. These constitute 90 percent of congenital deformities. One of the 700-1000 babies coming to the world has a cleft lip and palate. According to Turkey’s statistical agency data was 1,283,062 live births in Turkey in 2013. If 1,283,062 births occur in a year, it means that approximately 1500 babies are born with cleft lip and palate according to skin specialist.

Treatment of cleft lip and palate

It is possible to be successful in the treatment of cleft lip and palate with the harmonious work of different disciplines specialized for this job. As soon as these babies are noticed in the womb, the team’s work begins and continues until adulthood, sometimes even lifelong. During this long-term treatment, different disciplines continue the treatment by paying more attention to the patient at the same or different times. Plastic Reconstructive and Aesthetic Surgery, Orthodontics, Speech Therapy, Audiology are the units that play the most roles in these disciplines. It is only possible to eliminate all the problems of children with cleft lip and palate thanks to teamwork in this way and it is possible for them to take their place in society as healthy adults.

NO NEED TO END THE PREGNANCY
Imaging methods, which are increasingly perfected by technology, now allow this disease to be recognized before the child is born. However, the realization of cleft lip and palate during pregnancy is not a situation that will cause the pregnancy to be terminated and the baby to be taken. Because children become close to normal with surgery. The success of the surgery depends very much on teamwork, the timing of the surgical treatment, and the patients’ families patiently bringing their babies to check-ups, playing with them, and following them well. In fact, facial clefts may not be limited to the lip and palate area. Although it is rare, many clefts may occur in certain lines from the middle of the face to the side, that is, the face may not join in these lines and take a deformed shape. These can also be surgically repaired.

IT ALSO LEADS TO SCHOOL FAILURE
If children start school, it is necessary to improve their facial appearance and speech-hearing. Remembering that school-age children are cruel, surgical procedures should be done if any. On the other hand, orthodontic treatment is ongoing, and in this process, it will be appropriate to put a bone in the area with bone deficiency while the canine tooth is riding. Afterward, orthodontic treatments will continue, and some interventions may be required depending on the condition of the upper jaw. After reaching adulthood and bone development is completed, the follow-up of these children can be reduced after surgeries such as lifting the upper jaw bone or nose surgeries are performed. However, aesthetic or orthodontic treatments will continue as long as the patient needs it. “

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