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[bt_section layout=”boxed” top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” skin=”light” full_screen=”no” vertical_align=”btMiddleVertical” divider=”yes” back_image=”” back_color=”#ffffff” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”” el_class=”” el_style=”” responsive=””][bt_row][bt_column width=”1/1″][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_header superheadline=”Tab to show your question answer” headline=”Frequently Asked Questions” headline_size=”medium” dash=”bottom” dash_style=”btAccentDash” subheadline=”Question and answer about our Lovely Smile” el_class=”” el_style=””][/bt_header][/bt_column][/bt_row][/bt_section][bt_section layout=”boxed” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”light” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”#ffffff” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”” el_class=”” el_style=”” responsive=””][bt_row][bt_column width=”1/1″][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”What is cleft lip and cleft palate?” dd_content=”A cleft lip is a physical split or separation of the two sides of the upper lip and appears as a narrow opening or gap in the skin of the upper lip. This separation may occur on one or both sides. It may appear as small notch, in the edge of the lip only or may extends beyond the base of the nose and includes the bones of the upper jaw and/or upper gum.A cleft palate is a split or opening in the roof of the mouth. A cleft palate can involve the hard palate (the bony front portion of the roof of the mouth), and/or the soft palate (the soft back portion of the roof of the mouth).It is possible to have a cleft lip without a cleft palate, a cleft palate without a cleft lip, or both together. (See the pictures in next page)” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”Is it possible to repair this deformity ?” dd_content=”Certainly, it is possible. No matter what kind of malformation, surgery can repair it. However only a specially trained plastic surgeon should perform it. Besides a plastic surgeon, the roles of other physicians also exist in such cases.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”How many surgeries/days does it require to treat?” dd_content=”If your child has unilateral cleft clip, then a single surgery is usually enough to correct the defect. Child’s appearance, speech would become normal and the scar mark also becomes very faint with times. Similarly cleft palate can be repaired by single surgery in most cases. However, speech therapy might be needed later on.If your child has both cleft lip and cleft palate, he or she will need 2 to 3 surgeries to close the defect. In case of severe deformity your child may talk differently from those of a normal child. In that case it is mandatory to get speech therapy. At the same time regular consultation with an orthodontist is also a necessity.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”How many children suffer from such deformity?” dd_content=”Every year approximately 5000 new children are born with this type of congenital defect.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”What is the reason for this deformity? Am I to blame for this?” dd_content=”It is not yet clearly known why cleft lip and palate take place as a birth defect. It is thought and assumed that, following reasons can augment cleft lip and palate in children as birth defect –
1. Deficiency of vitamin A, especially deficiency of folic acid during first 2 months of pregnancy.
2. Consumption of deworming medicine, strong antibiotics or being affected by some toxic substance during first three months of pregnancy.
3. If water consumed contaminated with arsenic.
4. Generically inherited.
5. If mother suffer from fever or influenza or goes through intense mental pressure.
*Remember: This defects does not arise from parent’s sin, it has no connection with slicing a fish, nor is it related to lunar eclipse, or solar eclipse, neither does it occur because of a curse by someone.
” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”Will there be any problem feeding the child?” dd_content=”Breast feeding can be a problem for children with cleft lip and palate. With cleft conditions they cannot close their mouth; as a result they fail to create the pressure to suck milk inside. Food and water can ooze out through the nose of these children. As the palate acts like a wall between the nose and the oral cavity,if there is any hole or crevasse in the wall, substance like food/water will come out through the less obstructed route like nose instead of going to the normal food canal i.e., esophagus.While feeding if food comes out through the nose and if the child starts coughing, do not panic. In such circumstances you must remain cool and stable.Because of this defect child can suffer from deficiency syndrome as he/she cannot have enough food or water. Moreover it takes a lot of time to feed the child.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”How to feed ? Some advice om correct methods of feeding a child.” dd_content=”• There is no definite way to feed a child. So to identify what would be the right method for both the child and the mother it is necessary to go through some trials/error to find the right or an easy way for that child.
• It will be possible to breast feed the child, but your child may be slow on sucking and he/she may take a longer time to be fed. You have to be patient.
The child may find it difficult to suck the milk from mother’s breast. In that case the milk has to be extracted/pumped out and fed by spoon. The child has to be positioned upright or 45 degree angled with support to head and back. Milk has to be given with spoon or feeder at the back of the tong. If this is done the milk would not ooze out from the nose and possibility of it flowing to the lungs would be decreased.
• Besides breast feeding child also has to be fed by spoon and feeder with wider nipple holes. Wider nipple holes make it easier for the baby to suck sufficient amount of milk with lesser labor. In addition a compressible bottle can also be used for feeding, which allows easy supply of sufficient amount of milk to baby’s mouth. A cup or a feeder with fixed spoon will be used for feeding. The process of feeding with a spoon should be done very slowly. This method of feeding will continue until the cleft is repaired.
• Never put large amount of food at a time in baby’s mouth, it may suffocate him/her. If you feed the child for unusually longer time and very slowly, the child may become tired and non-cooperative. So it is better to feed small amount of food at a time and repeat the process within shorter period of interval.
• It is very important to make the child sit upright/ 45 degree angled while being fed. This will abate the chance of the milk flowing into the lungs or coming out through the nose.
• As the child has problem in closing the lips, it intakes a lot of gas while being fed. To prevent this child has to be made to sit straight and then the feeding spoon or the nipple of the breast should be pressed as far as possible inside the oral cavity. Besides during the feeding and after feeding the gas from stomach has to be piped out.
” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”About Total Cost of Treatment?” dd_content=”Yes, Total expenses of surgery, hospital stay, medicines and others are free of cost.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”What will I feed the Child?” dd_content=”Up to 6 months feed the child with milk only. It is highly recommended to practice breast feeding. If the child cannot suck efficiently, pump out your breast milk by breast pump and feed him with spoon. You must allow the baby to suck your breast, it will stimulate milk production. After 6 months feed him 1-2 spoon of honey every day. Besides this give him blended/mashed food of balanced mixture of rice/egg/meat/fish/lentil/vegetables, and required amount of oil, twice a day, with small amount in short interval of times. If this is followed the child is less likely to suffer from deficiency syndrome. Moreover there will be less chance of problem during anesthesia. It is also better to give soft food with moderate consistency to a cleft palate child. Because this lessen the possibility of the food to come out through the nose.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][bt_dropdown title=”Why would the Child have a running nose?” dd_content=”Children with cleft palate may suffer from running nose frequently. This is because of regurgitation of food into the crevices nasal cavities, causing irritation & inflammation thus producing ulcers and discharge. However nothing to be worried about for this. If the child develops respiratory difficulties, a pediatrician should immediately be consulted.” el_class=”” el_style=”” responsive=””][/bt_dropdown][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”bottomSmallSpaced” transparent_border=”noBorder” el_class=”” el_style=”” responsive=””][/bt_hr][/bt_column][/bt_row][/bt_section]

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Care and counselling for the children with cleft lip and palate as birth defect.

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