Abstract
Initiation of team care for a patient with cleft lip/palate (CL/P) should occur at the time of diagnosis. Parental counseling should ideally be started at the time of prenatal detection. However, in the low-resource/outreach (LRO) setting, where prenatal diagnosis is seldom available, public hospitals or humanitarian organizations might mobilize local teams to provide counseling and treatment coordination shortly after birth. Parental counseling empowers the caregivers by explaining the cleft and its anticipated treatment. By outlining the importance of their child’s general health and nutritional status at the time of each surgery, treatment outcomes can be improved.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Nasr VG, DiNardo JA, Faraoni D. Development of a pediatric risk assessment score to predict perioperative mortality in children undergoing noncardiac surgery. Anesth Analg. 2017;124(5):1514–9.
Yuki K, Matsunami E, Tazawa K, Wang W, DiNardo JA, Koutsogiannaki S. Pediatric perioperative stress responses and anesthesia. Transl Perioper Pain Med. 2017;2(1):1–12.
Kuo C-L, Lien C-F, Chu C-H, Shiao A-S. Otitis media with effusion in children with cleft lip and palate: a narrative review. Int J Pediatr Otorhinolaryngol. 2013;77(9):1403–9.
Silvestre J, Tahiri Y, Paliga JT, Taylor JA. Screening for obstructive sleep apnea in children with syndromic cleft lip and/or palate. J Plast Reconstr Aesthet Surg. 2014;67(11):1475–80.
Chervin RD, Hedger K, Dillon JE, Pituch KJ. Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000;1(1):21–32.
Wilhelmsen HR, Musgrave RH. Complications of cleft lip surgery. Cleft Palate J. 1966;3:223–31.
Chow I, Purnell CA, Hanwright PJ, Gosain AK. Evaluating the rule of 10s in cleft lip repair: do data support dogma? Plast Reconstr Surg. 2016;138(3):670–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kolentz, A., Hing, A., Sierra, P. (2021). Pediatric and Anesthesiologic Evaluation. In: Swanson, J.W. (eds) Global Cleft Care in Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-59105-2_8
Download citation
DOI: https://doi.org/10.1007/978-3-030-59105-2_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-59104-5
Online ISBN: 978-3-030-59105-2
eBook Packages: MedicineMedicine (R0)