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Part 2. Physical assessment of the infant with cleft lip and/or palate

Linda Merritt1

  • 1Neonatal Intensive Care Unit, Medical City Children's Hospital, Dallas, TX 75220, USA.

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|July 22, 2005
PubMed

Insights

Cleft lip and palate (CL/CP) are common birth defects. This guide helps clinicians assess infants, identify risk factors, and manage CL/CP, emphasizing family support and resources.

Area of Science:

  • Craniofacial anomalies
  • Pediatric congenital defects

Background:

  • Cleft lip and palate (CL/CP) are the most frequent craniofacial birth defects.
  • While prenatal diagnosis is possible, many cases are identified at birth.

Purpose of the Study:

  • To equip clinicians with tools for detailed family and pregnancy history taking.
  • To provide a systematic guide for physical assessment of infants with CL/CP.
  • To review treatment, long-term complications, and support for affected families.

Main Methods:

  • Review of embryology and genetics of CL/CP (Part 1).
  • Guidance on obtaining detailed patient histories and identifying risk factors.
  • Systematic physical assessment protocols for CL/CP and associated conditions.

Main Results:

  • Visual aids (pictures) of various CL/CP types are included for enhanced understanding.
  • Emphasis on identifying other midline defects or syndrome-consistent findings.
  • Comprehensive review of treatment strategies and long-term outcomes.

Conclusions:

  • Effective management of CL/CP requires thorough assessment and history taking.
  • Identifying associated syndromes and risk factors is crucial for comprehensive care.
  • Providing robust family support, educational resources, and counseling is essential for CL/CP management.

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