Several techniques can improve the outcomes of cleft lip and palate repairs when used appropriately before surgery they are non invasive and dramatically change the shape of the babys lip nose and mouth a lip taping regimen can narrow the gap in the childs cleft lip a nasal elevator is used to help form the correct shape of the babys nose. Managementofcleft lip andpalate 1 figure i submucouscleftpalate missed or diagnosed late nasal regurgitation offluids mayalert thepaediatrician cleft size of itself is not necessarily cor related with the extent ofdysfunction indeed some physically small clefts ofthe palate and submucous cleft palate may have serious implications for speech function and hearing. Goals of treatment of the child with a cleft lip and palate should include the repairing the birth defect lip palate and nose achieving normal speech language hearing functional occlusion and good dental health. 13 hearing management it has been recently recognized that a child with craniofacial anomaly including cleft lip and palate is at increased risk of sensori neural hearing deficit all children born with cleft lip and palate should be assessed for snhl and conductive hearing loss before 12 months of age by abr and tympanometry
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