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Flashcards in PS Deck (3):
1

Cleft lip/palate
IT

Total
- Asian (1:500) > White > African
- Average 1 per 1000 live births
- M:F = 2:1
- Left:Right:Bilateral = 6:3:1
- (Lip + Palate) : Lip = 2:1
- 3% syndromic

Lip
- M > F
- Repair at 3m

Palate
- F > M
- 0.5 per 1000 live births
- Repair at 9m

2

Cleft care plan
IT

Before birth
- Genetic counseling, AN screening

Birth to 6wk
- Hearing test and feeding assessment

3m
- Surgery to repair the lip

9m
- Surgery to repair the palate

1y
- Post-operation hearing test.

18m
- Speech and language assessment

3y
- Further assessment of speech and language

Young child and adolescent
- Dental and orthodontic care
- Plastic refinement of lip / nose / facial profile

3

VACTERL association

Vertebral
Anal
Cardiac
Tracheo-esophageal
Renal
Limbs