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بسم الله الرحمن الرحيم
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cleft palate BY
What is Cleft-palate ? ,[object Object],[object Object],[object Object],[object Object]
Embryology
primary palate:- ,[object Object],[object Object]
secondary palate:-   ,[object Object],[object Object]
[object Object],[object Object]
secondary palate primary palate
[object Object],[object Object],[object Object],[object Object]
Normal palate  Cleft palate
Classification
Classification veau:- ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
Spina classification  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What aboute comlication?
( 1)Feeding difficulties   ,[object Object],[object Object],[object Object]
(2)Ear infections and hearing loss   ,[object Object],[object Object],[object Object],[object Object]
(3)Dental problems  :- ,[object Object],[object Object]
(4)Speech difficulties:-   ,[object Object]
(5)Psychological challenges :- ,[object Object]
How to manage that disease?
Diagnosis:- ,[object Object],[object Object],[object Object]
Treatments for Children With Cleft Palate:- ,[object Object],[object Object]
Assess  ears and hearing   Assess  speech and language   Check development  16-24 months Check feeding and growth  Repair cleft lip   Check ears and hearing 1-15 months Referred to cleft lip and palate team  Diagnosis and genetic counseling  Address  psychosocial issues   Provide  feeding instructions   Make feeding plan Prenatal Birth-1 month Intervention Age
Jaw surgery, rhinoplasty   as needed  Orthodontic bridges  implants as needed   12-21 years Orthodontic interventions   Alveolar bone graft  6-11 years Assess , manage  velopharyngeal insufficency Assess development and psychosocial adjustment 2-5 years
Aim of repair:- ,[object Object],[object Object]
Time of operation :- ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Langenbeck’s operation:-   ,[object Object],[object Object],[object Object],[object Object],[object Object]
  Before  After
What should be expected post-operatively? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal regimen for follow up care:- ,[object Object],[object Object],[object Object]
Complication of sugery:- ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
New Treatments for Cleft Palate:- ,[object Object],[object Object],[object Object],[object Object]
In conclusion: ,[object Object],[object Object]
Thank you

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