Frequently Asked Questions about Cleft Lip and Cleft Palate:
What causes clefting?
The exact cause is unknown. Cleft lips and cleft palates are congenital defects that occur early in embryonic development. Scientists believe a combination of genetic and environmental factors, such as folic acid deficiency, maternal illness, drugs or malnutrition, may lead to a cleft lip or cleft palate. If one child in a family is born with a cleft, the risk increases by 2 to 4 percent that future children in the family will suffer from the same defect.
How frequently do cleft lips and cleft palates occur?
Cleft lip and/or palate occurs in approximately 1 per 500 births, the ratio varying considerably across geographic areas or ethnic groupings. In Pakistan daily 18,000 children are born, it means daily 32 children with cleft are born in Pakistan.
Does a cleft lip or cleft palate cause problems for a child?
Cleft lip causes Psychological problems whereas cleft Palate causes Ear, dental and speech problems. Children who suffer from a cleft lip and/or cleft palate may have difficulty eating. To address these issues, a child and family may work with a team of specialists – a pediatrician, a plastic surgeon, dental specialists, an otolaryngologist (ear, nose and throat specialist), a speech-language pathologist and audiologist, a geneticist and a psychologist/social worker.
Can clefting be prevented?
Scientists are researching methods to prevent cleft lips and cleft palates. One finding, according to research studies, is that mothers who take multivitamins containing folic acid before conception and during the first two months of pregnancy may reduce their risk of giving birth to a baby with a cleft.
Can cleft lips and cleft palates be repaired?
Yes. Surgery provides excellent results. A pediatrician and a plastic surgeon work with a child’s parents to choose the best timing for surgery. Most surgeons agree that a cleft lip should be repaired by the time a baby is 3 months old. To repair the partition of mouth and nose as early as possible, a cleft palate generally is repaired between the
ages of 12 and 18 months. Any surgical procedure is dependent upon a child’s general health and the nature of the cleft lip or cleft palate.