{"id":18091,"date":"2022-11-01T10:56:32","date_gmt":"2022-11-01T10:56:32","guid":{"rendered":"https:\/\/nutrident.fr\/?page_id=18091"},"modified":"2022-11-03T12:08:33","modified_gmt":"2022-11-03T12:08:33","slug":"cleft-palate","status":"publish","type":"page","link":"https:\/\/nutrident.fr\/en\/cleft-palate\/","title":{"rendered":"What do we know about the cleft palate?"},"content":{"rendered":"<div class=\"meta\"><div class=\"meta__users\"><\/div><div class=\"meta__date-modified\">Updated:&nbsp;<span>November 3, 2022<\/span><\/div><\/div><div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img width=\"220\" height=\"300\" src=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-220x300.jpg\" alt=\"harelip\" class=\"wp-image-12584\" srcset=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-220x300.jpg 220w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-751x1024.jpg 751w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-768x1048.jpg 768w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-1126x1536.jpg 1126w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-1501x2048.jpg 1501w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine-139x190.jpg 139w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/fente-labio-palatine.jpg 1839w\" sizes=\"(max-width: 220px) 100vw, 220px\" \/><figcaption>Hare's beak is rare but can lead to several complications.<\/figcaption><\/figure><\/div>\n\n\n<p>The cleft lip is the common name for the <strong>labio-palatal malformation<\/strong>. It is fortunately rare, but quite impressive and disabling.  <\/p>\n\n\n\n<p>Thanks to advances in surgical medicine and orthodontics, it can be corrected if caught early. The results are spectacular, even if the patient retains some after-effects. <a href=\"https:\/\/nutrident.fr\/en\/\">Nutrident<\/a> comes back in detail on this affection.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_33_2 counter-hierarchy ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\">Contenus<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" style=\"display: none;\"><label for=\"item\" aria-label=\"Table of Content\"><i class=\"ez-toc-glyphicon ez-toc-icon-toggle\"><\/i><\/label><input type=\"checkbox\" id=\"item\"><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1'><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#Where_does_the_harelip_come_from\" title=\"Where does the harelip come from?  \">Where does the harelip come from?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#What_causes_harelip\" title=\"What causes harelip?  \">What causes harelip?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#The_different_forms_of_harelip\" title=\"The different forms of harelip\">The different forms of harelip<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#What_are_the_consequences_of_a_harelip\" title=\"What are the consequences of a harelip?  \">What are the consequences of a harelip?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#Can_harelip_damage_be_repaired\" title=\"Can harelip damage be repaired?  \">Can harelip damage be repaired?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/nutrident.fr\/en\/cleft-palate\/#Hares_beak_FAQ\" title=\"Hare's beak : FAQ\">Hare's beak : FAQ<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Where_does_the_harelip_come_from\"><\/span>Where does the harelip come from?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>In the age of political correctness, the term cleft lip has been replaced by the medical term cleft palate. Both names are quite telling:<strong> the malformation affects the upper lip and palate<\/strong> and gives the appearance of a hare's mouth.<\/p>\n\n\n\n<p>It is a congenital condition that originates in the development of the so-called fetal buds that later form the face. Rather than forming the distinct nose and jaw, the medial nasal bud and the maxillary mass merge to varying degrees.<\/p>\n\n\n\n<p>The frequency of cleft lip depends on the child's origin. <strong>It affects about 1 in 1000 children<\/strong> in Caucasians, is more common in Japanese (1\/584) and rarer in black Americans (1\/2273). Girls are twice as affected as boys. Certain chromosomal abnormalities multiply the risk factors.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"What_causes_harelip\"><\/span>What causes harelip?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>There are several factors that &#8220;promote&#8221; the formation of a cleft lip. Considerations include <strong>heredity<\/strong>, <strong>chromosomal problems<\/strong> and maternal behaviors.<\/p>\n\n\n\n<p>The appearance of harelip is undeniably hereditary. Although it is not systematic, parents who have suffered from it are more likely to transmit the malformation to their offspring.<\/p>\n\n\n\n<p>On the <a class=\"wpil_keyword_link\" title=\"genetic\" href=\"https:\/\/nutrident.fr\/en\/oral-health-genetics\/\">genetic<\/a> side, cleft lip is associated with many syndromes. Of the 250 identified, the most common are trisomy 13 or trisomy 18, Goldenhar syndrome, Treacher Collins syndrome, Van der Woude syndrome, Shprintzen syndrome and Stickler syndrome.<\/p>\n\n\n\n<p>Older mothers are the most likely to conceive children born with cleft lip. The use of certain medications, <a href=\"https:\/\/cloudvapor.com\/comment-bien-preparer-le-mois-sans-tabac\/\" target=\"_blank\" rel=\"noopener\">tobacco<\/a> and alcohol are aggravating factors.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"The_different_forms_of_harelip\"><\/span>The different forms of harelip<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The harelip is located in different places. It can be more or less pronounced, partial or total, unilateral or bilateral. It affects the palate and\/or the upper lip.<\/p>\n\n\n\n<h3>The malformation of the palate<\/h3>\n\n\n\n<p>The <strong>palate<\/strong> can be more or less affected. In extreme cases, it is even totally absent, which opens the total communication between the mouth and the nose.<\/p>\n\n\n\n<h3>The lip deformity<\/h3>\n\n\n\n<p>The <strong>upper lip <\/strong>may be more or less split. In the most pronounced cases, the separation goes up to the base of the nose and can even reach the gums. In this case, we no longer speak of a cleft lip, but of a cleft lip and jaw.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_consequences_of_a_harelip\"><\/span>What are the consequences of a harelip?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Harelip is a disabling deformity on many levels. It can cause <strong>difficulties in breathing and eating<\/strong>, but also problems related to the auditory system, with failures in the quality of hearing, as well as recurrent ailments, especially ear infections.<\/p>\n\n\n\n<p>Harelip affects the growth of the jaws and many <strong>oral problems<\/strong> result from it. Teeth grow uncontrollably and frequent bite problems occur.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img width=\"300\" height=\"208\" src=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/Depositphotos_73713121_s-2015-300x208.jpg\" alt=\"harelip\" class=\"wp-image-12578\" srcset=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/Depositphotos_73713121_s-2015-300x208.jpg 300w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/Depositphotos_73713121_s-2015-254x176.jpg 254w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/06\/Depositphotos_73713121_s-2015.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption>Hare's beak can be corrected by surgery.  <\/figcaption><\/figure><\/div>\n\n\n<p>Harelip leaves physical after-effects, more or less unsightly.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Can_harelip_damage_be_repaired\"><\/span>Can harelip damage be repaired?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Harelip can be detected in ultrasounds during the first trimester of pregnancy, as it appears as early as the fifth week. It is easier to identify when it touches the lip, rather than the palate. There is no intervention possible at this stage.<\/p>\n\n\n\n<p>The extent of the malformation is measured at birth and <strong>surgery must be performed within the first few weeks of life<\/strong> to limit the problem. If the cleft lip touches the lip, it must be closed, which is possible from the second week. It is usually not necessary to wait beyond the third month.<\/p>\n\n\n\n<p>If it is the veil that needs to be closed, the surgery should not take place until after the third month, but preferably before the eighth month.<\/p>\n\n\n\n<p>When the cleft lip reaches the palate, it is the most delicate configuration. The operation will take place between the 6 and 12 months of the child.<\/p>\n\n\n\n<p>On the other hand, depending on the severity of the malformation, several operations may follow. <strong>However, it is essential to correct the problems before the child reaches the age of one<\/strong>, so that he\/she has as few after-effects as possible.<\/p>\n\n\n\n<p>Often, the child will need orthodontic and speech therapy to compensate for the damage caused by the cleft lip.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Hares_beak_FAQ\"><\/span>Hare's beak : FAQ<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1657868193588\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">How to avoid harelip?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>It is not always possible to avoid the appearance of this malformation, but women are advised to avoid smoking, alcohol or drugs, as well as taking certain medications such as anti-epileptics, retinoids, corticoids, folic acid antagonists.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1657868199445\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">When can harelip be detected on ultrasound?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>The first ultrasound at 13 weeks can theoretically detect this anomaly.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1657868203100\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">When to operate a harelip?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>If it is a simple cleft lip, surgery to close the cleft can be scheduled as early as 3 months of age. But when the case is more complex, surgeons often recommend waiting a little longer and intervening before the age of one year (between 6 and 12 months).<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div><div class=\"article-data before-content\"><div class=\"article-data__date\"><div class=\"article-data__date-modified\"><time class=\"published\" datetime=\"2022-11-01T10:56:32+00:00\">This article was originally published on&nbsp;<span class=\"2\">November 1, 2022<\/span>&nbsp;and was most recently updated on&nbsp;<span>November 3, 2022<\/span><\/time><br><\/div><\/div><\/div><div class=\"user-info\"><\/div><!--copyscapeskip--><div class=\"medical_references\"><div class=\"medical_references__heading\"><span>Medical Sources<\/span><\/div><div class=\"medical_references__list\"><p><strong>University Hospital of Lyon<\/strong>. <a href=\"https:\/\/www.chu-lyon.fr\/fente-labio-palatine-et-fente-faciale-rare\">Cleft lip and palate and rare facial cleft<\/a>.<\/p>\n<p><strong>University Hospital of Poitiers<\/strong>. <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/chirurgie-pediatrique\/fentes-labiales-palatines-et-labiopalatines\/\">Cleft lip, palate and lip-palate<\/a>.<\/p>\n<p><strong>Saint-Justine UHC<\/strong>. <a href=\"https:\/\/www.chusj.org\/fr\/soins-services\/C\/complications-de-grossesse\/complications-foetus\/Complications\/fente-labiale-palatine\">Cleft lip and palate<\/a>.<\/p>\n<\/div><\/div><!--\/copyscapeskip-->","protected":false},"excerpt":{"rendered":"<p>Updated:&nbsp;November 3, 2022 The cleft lip is the common name for the labio-palatal malformation. It is fortunately rare, but quite impressive and disabling. Thanks to advances in surgical medicine and orthodontics, it can be corrected if caught early. The results are spectacular, even if the patient retains some after-effects. Nutrident comes back in detail on [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"inline_featured_image":false},"acf":[],"_links":{"self":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/18091"}],"collection":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/comments?post=18091"}],"version-history":[{"count":3,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/18091\/revisions"}],"predecessor-version":[{"id":18961,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/18091\/revisions\/18961"}],"wp:attachment":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/media?parent=18091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}