Cleft Palate
| A | Surgery should be done at 1 year | |
| B |
50% recover speech after operation |
|
| C |
A/w hearing loss |
|
| D |
A/w cleft lip in 45% |
All of the following are TRUE about cleft palate, EXCEPT:
| A |
Surgery should be done at 1 year |
|
| B |
50% recover speech after operation |
|
| C |
A/w hearing loss |
|
| D |
A/w cleft lip in 45% |
Option 1
Cleft lip is repaired at 3 months, cleft palate by 12 months and alveolar bone grafting at 9 years which coincides with partial eruption of the canine teeth.
Option 2
Satisfactory speech following surgical repair of cleft palate is achieved in 70-90% of cases.
Significant speech defects usually require secondary operations when the child is older.
The most widely used technique is the pharyngeal flap operation, in which the palatopharyngeal space is reduced by attaching a flap of posterior pharyngeal muscle and mucosa to the soft plate.
This permits voluntary closure of the velopharyngeal complex and thus avoids hypernasal speech.
- Cleft lip alone 15%
- Cleft lip and palate 45%
- Isolated cleft palate 40%
| A |
Maxilla |
|
| B |
Soft palate |
|
| C |
Vomer |
|
| D |
All |
When the nasal septum and vomer are completely separated from the palatine processes then the cleft is known as complete cleft palate.
There is a cleft in the hard palate but remains attached to the nasal septum and the vomer is known as incomplete cleft palate.
Which of the following finding is seen on examining a child with 3rd degree cleft palate?
| A |
Presence of ununited palatal process |
|
| B |
Presence of united palatal process and a cleft on one side of pre maxilla |
|
| C |
Presence of united palatal process cleft on both sides of palatal process |
|
| D |
Bilateral cleft lip and jaw |
- First: Cleft or bifid uvula
- Second: Presence of ununited palatal process
- Third: Presence of united palatal process and a cleft on one side of pre maxilla
- Fourth: Presence of united palatal process cleft on both sides of palatal process
- Fifth: Presence of bilateral cleft lip and jaw due to failure of fusion of premaxilla with palatal process.
Surgical correction in cleft palate primarily aims at all of the following except:
March 2010
| A |
Control of regurgitation |
|
| B |
To promote normal dentition and facial growth |
|
| C |
To get a normal speech |
|
| D |
Normal appearance of lips, nose and face |
Ans. A: Control of regurgitation
False statement about cleft palate repair is:
March 2011
| A | Hemoglobin should be 10 gram% | |
| B |
Weight should be 10 pounds |
|
| C |
Repaired immediately after birth |
|
| D |
2 stage procedure if associated with cleft lip |
Ans. C: Repaired immediately after birth
Soft palate alone: One operation at 6 months
Soft and hard palate: 2 operations; Soft palate at 6 months and hard palate at 15-18 months
| A | 9-12 months | |
| B |
18-24 months |
|
| C |
2-3 years |
|
| D |
5-6 years |
Ans. a. 9-12 months
- Ideal time for the repair of cleft palate is 6-18 months of age.
- Best choice among the given options is 9-12 months.
- ‘Cleft lip repair is commonly performed between 3 and 6 months of age whereas cleft palate repair is frequently performed between 6 and 18 months.
