Cleft Lip and Palate Case Scenarios PDF

Case Scenario Cleft lip and palate Dr / Nagm Eldin Abu Elnga Ahmed Lecturer of general surgery, Faculty of medicine , Assiut University  A male baby 2 months age came to maxillofacial surgery out patient clinic. Her mother complaining of a facial...

Case Scenario Cleft lip and palate Dr / Nagm Eldin Abu Elnga Ahmed Lecturer of general surgery, Faculty of medicine , Assiut University  A male baby 2 months age came to maxillofacial surgery out patient clinic. Her mother complaining of a facial deformity that is a defect in his upper lip in the left side Case 1 that reach the floor of the nose with a difficulty in the feeding  Answer the followings: 1- What is your diagnosis? a- Left incomplete cleft lip. b- Left complete cleft lip. c- Bilateral complete cleft lip. d- Bilateral incomplete cleft lip. 2- Explain why there is a feeding problem. a- Defect in buccinator muscle. b- Defect in frontalis muscle. c- Defect in orbicularis oris muscle. d- Inability to create negative pressure. 3- What is the time of surgical intervention? a- 1 month. B- 2 months. C- 3 months. D- 4 months.  Case 2 A male baby 3 months age came to maxillofacial surgery out patient clinic. Her mother complaining of a facial deformity that is a defect in his upper lip in both sides that not reach the floor of the nose.  Answer the followings: 1- Whats your diagnosis? a- Right incomplete cleft lip. b- Right complete cleft lip. c- Bilateral complete cleft lip. d- Bilateral incomplete ceift lip. 2- Enumerate how this deformity happens. 3- What is the time of surgical intervention? a- 1 month. B- 2 months. C- 3 months. D- 4 months.  Case 3 A female baby 3 months age came to maxillofacial surgery out patient clinic. Her mother complaining of facial deformity in the upper lip in the right side that reach the floor of the nose with nasal regurgitation of milk. On examination there is also a defect in the soft and hard palate and alveolus.  Answer the followings: 1- What is your diagnosis? A- Unilateral compete clift lip and palate. B- Unilateral incomplete clift lip and palate. C- Bilateral complete clift lip and palate. D- Bilateral incomplete clift lip and palate. 2- What is the time of surgical intervention? A- Cleft lip: a- 1 month. b- 2 months. c- 3 months. d- 4 months. B- Cleft palate: a- 3-6 moths. b- 6-9 moths. c- 9-12 months. d- 12-15 months.