A cleft palate is the most common form of a congenital deformity. It develops when embryonic parts do not reach each other in time and a space between them persists. Cleft palates can be diagnosed at the seventeenth week of gestation. The palate begins forming at the fifth week of gestation. There are more than 400 syndromes that are associated with a cleft palate. 30% of clefts are associated with other syndromes. Along with obvious problems of eating a cleft can cause problems with breathing because the tongue can enter the nasal cavity as well as the posterior oropharynx. Otitis media occurs in more then 50% of cleft children. It can also cause conductive hearing loss. A person who has a cleft will have hyper nasal speech. 20% of people with a cleft that undergo repairs have complex speech disorders. Clefts occur in 1 out of 1,000 births. 3.6 cases out of 1,000 occur in American Indians. 0.3 out of 1,000 occur in African Americans. Cardiac, limb, or other system defects can be associated with a cleft. There is no agreed upon management algorithm.
In 500 AD the first recorded operation was performed for inflammation of the uvula. 1552 it was proposed that cleft edges be sutured together. The use of obturators began in 1564. The first successful repair of a cleft velum was performed in 1764. In 1839 the first closure of the hard and soft palates was performed. In 1861 a clefts started being closed with the use of mucopenosteal flaps. Doctors began closing clefts in young children in 1944. In the 1950s clefts started being repaired in a staged fashion. Doctors also started lengthening the velum and creating a functioning levator muscle sling in 1986.
In 500 AD the first recorded operation was performed for inflammation of the uvula. 1552 it was proposed that cleft edges be sutured together. The use of obturators began in 1564. The first successful repair of a cleft velum was performed in 1764. In 1839 the first closure of the hard and soft palates was performed. In 1861 a clefts started being closed with the use of mucopenosteal flaps. Doctors began closing clefts in young children in 1944. In the 1950s clefts started being repaired in a staged fashion. Doctors also started lengthening the velum and creating a functioning levator muscle sling in 1986.
This website was not very useful. I liked how they presented information about the developments of the treatment for clefts, but other than that it did not provide much information. The website was somewhat helpful, but not as much as I would have liked it to be. It did have a lot of links which was helpful. I also liked that it provided information on places for where you can find more information about clefts. Overall it was not one of my favorite cites about clefts. It did provide some information, but I felt like it should have provided more. I also felt like it should have presented it in a different way. I would not recommend this website to anyone that wanted to learn more about clefts.
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