Associated disorders

Question 1

What are possible treatments for middle ear disease in those with cleft palate?

Answer 1

Ventilation tubes (best option, often done at first surgery), antibiotics (don’t need if have tubes), amplification, preferential seating in class (if have hearing loss)

Question 2

Why is the ear so sensitive to pressure changes?

Answer 2

That is literally it’s job (detect small pressure changes in the ear to hear sound)

Question 3

What feeding problems are present in children with cleft lip and palate?

Answer 3

Difficulty with lip seal (if cleft lip), difficulty with nipple compression, difficulty developing negative pressure (sucking), nasal regurgitation

Question 4

What issues are present for children with cleft lip only?

Answer 4

Usually don’t have significant problems, breast feeding is possible

Question 5

What feeding issues are typically present with a velar cleft?

Answer 5

Incomplete clefts usually have no problem, more extensive the cleft=more likely problems will occur

Question 6

What feeding issues are typically present with a cleft of the hard and soft palate?

Answer 6

Breast feeding pretty much impossible. Difficulty with nipple compression and negative pressure. can use special bottles