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  16. Mediterranean Vegetable Pasta with Chickpeas
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  23. Healthy Vegetarian Meal Plan: Week of 12-14-2019
  24. Vegan Peanut Butter Cup Cookies (Gluten-Free!)
  25. Kid-approved vegan eats
  26. Fudgy Avocado Walnut Brownies
  27. Healthy Vegetarian Meal Plan: Week of 12-07-2019
  28. Amazing Vegan Ginger Molasses Cookies
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  30. Herbal Inclusions for Dishes and Drinks
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  33. Instant Pot Mashed Potatoes with Garlic and Cream Cheese
  34. Healthy Vegetarian Meal Plan: Week of 11-23-2019
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  44. What I Wednesday: FNCE in Philly!
  45. Potato, Mushroom, and Lentil Kale Salad
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  48. Scribble Anxiety Away
  49. Best Hostess Gift Ever
  50. What I Ate Wednesday: Fiancé Edition!
  51. Pumpkin Walnut Burgers with Chipotle Yogurt Sauce
  52. Favorite Fluffy Whole Wheat Pancakes
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  54. Vegan Chili Cornbread Casserole
  55. Healthy Vegetarian Meal Plan
  56. Orca Conservation
  57. Fall’s Functional Foods
  58. Healthy Vegetarian Meal Plan
  59. Healthy Pumpkin Cheesecake Dip
  60. Simple Swaps for Your Zero Waste Journey
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  67. Eco-friendly Food Storage
  68. Bento Box Recipes
  69. How to Make Sushi Sandwich
  70. Healthy Vegan Buffalo Cauliflower Dip
  71. Healthy Vegetarian Meal Plan: Week of 09-14-2019
  72. 5 lunchbox ideas
  73. 17 Free and Easy Ways to Be a Self-Care Expert
  74. Fluffy Vegan Pumpkin Muffins
  75. Healthy Vegetarian Meal Plan: Week of 09-07-2019
  76. 33 Mouthwatering Healthy Vegetarian Recipes for Dinner Tonight
  77. What I Ate Wednesday
  78. The Best Apple Cider Vinegar Salad Dressing
  79. VOTE TODAY!
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  99. Cleft Palate With Cleft Lip
  100. What is CPR?
  101. What Is Dementia? Symptoms, Types, and Diagnosis
  102. Cushing Syndrome (For Parents)
  103. Do Memory Problems Always Mean Alzheimers Disease?
  104. Manganese
  105. Study Shows that Disrupted Gut Bacteria May Contribute to the Spread of Breast Cancer
  106. She Faced Breast Cancer At 16 With Little Help From Doctors. Now She’s Speaking Out On Behalf Of Black Women
  107. What Do We Know About Healthy Aging?
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  110. Study Shows Music Eases Pain and Other Symptoms for Patients Undergoing Breast Cancer Treatment
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Tuesday, January 28, 2020
  1. 5-Ingredient Peanut Butter Chia Balls
  2. Healthy Vegetarian Meal Plan: Week of 01-25-2020
  3. Can neurogastronomy save the world?
  4. Healthy Tuna Noodle Casserole
  5. Healthy Vegetarian Meal Plan: 01-18-2020
  6. Pantry 2020 Basics
  7. Top 10 Tips for Cooking Dried Legumes
  8. What I Ate Wednesday + Day In the Life
  9. Brussels Sprout Kale Caesar Salad with Rosemary Croutons
  10. Healthy Vegetarian Meal Plan: Week of 01-11-2020
  11. Eat for your Dosha
  12. Keep it Moving
  13. No-Bake Chocolate Almond Butter Oatmeal Bars
  14. Apple Cider Vinegar for Digestion
  15. Healthy Vegetarian Meal Plan: Week of 01-04-2020
  16. Mediterranean Vegetable Pasta with Chickpeas
  17. Healthy Vegetarian Meal Plan: Week of 12-28-2019
  18. Get Well, Not High
  19. 21 Fabulously Festive Vegan Holiday Treats
  20. Healthy Vegetarian Meal Plan: Week of 12-21-2019
  21. Vegan Lasagna Soup
  22. Sweet Potato Rounds with Goat Cheese, Roasted Grapes, and Pecans
  23. Healthy Vegetarian Meal Plan: Week of 12-14-2019
  24. Vegan Peanut Butter Cup Cookies (Gluten-Free!)
  25. Kid-approved vegan eats
  26. Fudgy Avocado Walnut Brownies
  27. Healthy Vegetarian Meal Plan: Week of 12-07-2019
  28. Amazing Vegan Ginger Molasses Cookies
  29. 2019 Holiday Gift Guide For Her
  30. Herbal Inclusions for Dishes and Drinks
  31. 4 Diabetes Game Changers
  32. Healthy Vegetarian Meal Plan: Week of 11-30-2019
  33. Instant Pot Mashed Potatoes with Garlic and Cream Cheese
  34. Healthy Vegetarian Meal Plan: Week of 11-23-2019
  35. Wedding Planning: The Ring, Our Vendors, and More!
  36. Instant Pot Vegan Cream of Mushroom and Wild Rice Soup
  37. Healthy Vegetarian Meal Plan: Week of 11-16-2019
  38. Healthy Vegetarian Meal Plan: Week of 10-26-2019
  39. Healthy Vegetarian Meal Plan: Week of 11-02-2019
  40. Roasted Potato, Mushroom, and Lentil Kale Salad
  41. Healthy Vegetarian Meal Plan: Week of 11-09-2019
  42. Healthy Vegetarian Meal Plan
  43. Healthy Vegetarian Meal Plan
  44. What I Wednesday: FNCE in Philly!
  45. Potato, Mushroom, and Lentil Kale Salad
  46. Healthy Vegetarian Meal Plan
  47. Unearthing Evidence-Based Integrative Remedies to Stress
  48. Scribble Anxiety Away
  49. Best Hostess Gift Ever
  50. What I Ate Wednesday: Fiancé Edition!
  51. Pumpkin Walnut Burgers with Chipotle Yogurt Sauce
  52. Favorite Fluffy Whole Wheat Pancakes
  53. Healthy Vegetarian Meal Plan
  54. Vegan Chili Cornbread Casserole
  55. Healthy Vegetarian Meal Plan
  56. Orca Conservation
  57. Fall’s Functional Foods
  58. Healthy Vegetarian Meal Plan
  59. Healthy Pumpkin Cheesecake Dip
  60. Simple Swaps for Your Zero Waste Journey
  61. Lessons on Food and Farming in Monterey, California
  62. Healthy Vegetarian Meal Plan
  63. Quick and Easy-One Pan Veggie Red Curry
  64. Healthy Vegetarian Meal Plan: Week of 09-21-2019
  65. Here’s How to Live a more Colourful Life
  66. Cooking with CBD
  67. Eco-friendly Food Storage
  68. Bento Box Recipes
  69. How to Make Sushi Sandwich
  70. Healthy Vegan Buffalo Cauliflower Dip
  71. Healthy Vegetarian Meal Plan: Week of 09-14-2019
  72. 5 lunchbox ideas
  73. 17 Free and Easy Ways to Be a Self-Care Expert
  74. Fluffy Vegan Pumpkin Muffins
  75. Healthy Vegetarian Meal Plan: Week of 09-07-2019
  76. 33 Mouthwatering Healthy Vegetarian Recipes for Dinner Tonight
  77. What I Ate Wednesday
  78. The Best Apple Cider Vinegar Salad Dressing
  79. VOTE TODAY!
  80. Veggie Stir Fry with Peanut Sauce
  81. Twilight Time: Reading With Kids
  82. Keep your cool
  83. Tart Cherry Crumble Pie
  84. Healthy Vegetarian Meal Plan
  85. Healthy Vegetarian Meal Plan
  86. Your brain on… air pollution?
  87. Brain Boosters
  88. MCT oil Coconut’s healthful gift
  89. Hot right now
  90. Cupcakes for breakfast?
  91. Vegan Chocolate Zucchini Muffins
  92. What is CBD? A Guide to Health Benefits, Usage, and More!
  93. Healthy Vegetarian Meal Plan
  94. Hummus Toast – 4 Ways!
  95. What I Ate Wednesday
  96. Fluffy Vegan Blueberry Banana Muffins
  97. Advances in Colorectal Cancer Research
  98. Advances in Breast Cancer Research
  99. Cleft Palate With Cleft Lip
  100. What is CPR?
  101. What Is Dementia? Symptoms, Types, and Diagnosis
  102. Cushing Syndrome (For Parents)
  103. Do Memory Problems Always Mean Alzheimers Disease?
  104. Manganese
  105. Study Shows that Disrupted Gut Bacteria May Contribute to the Spread of Breast Cancer
  106. She Faced Breast Cancer At 16 With Little Help From Doctors. Now She’s Speaking Out On Behalf Of Black Women
  107. What Do We Know About Healthy Aging?
  108. Participating in the Arts Creates Paths to Healthy Aging
  109. Setting Goals to be More Active Slows Memory Decline in Older African Americans
  110. Study Shows Music Eases Pain and Other Symptoms for Patients Undergoing Breast Cancer Treatment
  111. 49-Year-Old Breast Cancer Patient Grateful She Didn’t Wait Until 50 for a Mammogram
  112. Teen’s Innovative “SMART Armour” Protects Breast Cancer Patients from Radiation
  113. New Drug Improves 3-Year Survival by 50% for Young Women with Stage IV Breast Cancer
  114. Young Mother’s Life Tragically Taken by Breast Cancer After She Refused Traditional Treatments
  115. NIH Study Tracks Exercise with Mobile Apps to Improve Heart Health
  116. Lion With Skin Cancer Has Received Radiation Therapy In Hospital
  117. 3rd Grader Writes Note for Teacher Battling Breast Cancer to Read Right Before Treatment
  118. Skin Care
  119. Have Back Pain? These Are the Basic Spinal Structures You Need to Know
  120. The Final Word on Whether Alcohol Actually Has Any Health Benefits
  121. New One-Time “Seed” Treatment for Breast Cancer Being Used in Philadelphia
  122. Julia Louis-Dreyfus Talks About The Side Effects of Chemotherapy
  123. Teacher on Leave for Breast Cancer Treatment Forced to Pay for Her Own Substitute
  124. 27-Year-Old Thought She Was Injured Falling Off A Horse, But Then She Learned She Had Breast Cancer
  125. Should Surgery And Radiation Be The Standard Treatment For DCIS? The COMET Study Is Finding Out
  126. Judge Rules That 3-Year-Old Child With Leukemia Must Get Chemo Against Parents’ Wishes
  127. This Charcoal Powder Drastically Whitens Teeth Without Any Chemicals
  128. These Black Cherry-Flavored Shots Help Accelerate Weight Loss
  129. Olivia Newton-John Talks About How She Stays Positive Amid Cancer Battle
  130. This Army Captain Mom Was Diagnosed with Breast Cancer When She Was Just 8 Weeks Pregnant
  131. High-Deductible Health Plans Linked to Delayed Diagnosis and Treatment of Breast Cancer
  132. Antibiotic shortages are putting Aboriginal kids at risk – The Conversation AU
  133. Cuddle beds bringing some physical comfort to end-of-life patients – ABC News
  134. People who skip breakfast are five times more likely to die after a heart attack – Daily Mail
  135. Yale researchers revive cells in dead pig brains – Yale Daily News
  136. Scientists revive cellular activity in brain of dead pigs: report – Fox News
  137. High-Deductible Health Policies Linked To Delayed Diagnosis And Treatment – NPR
  138. After Breast Cancer Diagnosis, Technology Professor Teaches Computers to Read Mammograms
  139. Fact or Fiction: What to Know About Smoking Cessation and Medications
  140. If Soap and Water Are Not Available, Hand Sanitizers May Be a Good Alternative
  141. Autism: Beware of Potentially Dangerous Therapies and Products
  142. One side of your brain might be giving you nightmares – Cosmos
  143. What Personality Tests Tell Us About Ourselves – NPR
  144. Having a resting heart rate of 75 beats per minute DOUBLES your risk of an early death – Daily Mail
  145. Wear protective goggles to play badminton
  146. Herbal drug kratom linked to almost 100 overdose deaths, CDC says – USA TODAY
  147. Ability to lift weights quickly can mean a longer life – EurekAlert
  148. Climate change is making allergy season worse – CNN
  149. 11 Unexpected Ways You Can Relieve Headaches – HuffPost
  150. New Jersey preschoolers have highest autism rates in the nation, researchers say
  151. Auburn gymnast who suffered severe injuries: My pain is not your entertainment
  152. A four-day work week could improve our health and cut carbon emissions
  153. Promising treatment for chronic fatigue syndrome fails large trial

What Is Cleft Lip and Palate?

A cleft of the lip or palate happens when a baby is born with an opening in the
upper lip or the roof of the mouth (the palate). These orofacial
clefts
are some of the most common birth defects.

A baby with a cleft might have:

  • only a cleft palate
  • only a cleft lip
  • both a cleft lip and a cleft palate

A cleft palate (PAL-it)
is when a baby is born with an opening (a cleft) in the roof of the mouth. This leaves
a hole between the nose and the mouth.

The opening can:

  • just be in the back of the palate (the soft palate)
    or
  • extend into the front of the palate behind the gums (the hard palate)

illustration

Babies who are born with cleft lip
have a gap or opening in the upper lip. This happens when the baby’s lip doesn’t form
properly early in pregnancy, resulting in a split.

A cleft lip can be:

  • on one side of the lip (a unilateral cleft lip). This type is
    more common.
  • on both sides of the lip (a bilateral cleft lip)

illustration

Clefts can range in size:

  • Some are just a small notch in the lip (an incomplete cleft lip).
  • Others extend from the lip through the upper gum and into the nostril (a complete
    cleft lip
    ).

If the opening in the palate connects with the opening in the gums and the lip,
a baby has cleft lip and palate.

What Causes Cleft Lip and Palate?

During the first 6 to 10 weeks
of pregnancy
, the bones and skin of a baby’s upper jaw, nose, and mouth normally
come together (fuse) to form the roof of the mouth and the upper lip. A cleft happens
when parts of the lip and/or palate do not fuse together completely.

Doctors don’t always know why a baby develops a cleft, though some may be related
to genetic (inherited) factors. Also, some environmental factors can increase the
risk of a birth defect, such as:

  • taking certain medicines (such as some anti-seizure medicines) during pregnancy
  • not getting the right amount of prenatal
    nutrients
  • exposure to some chemicals during pregnancy
  • smoking cigarettes, using drugs, and/or
    drinking alcohol during pregnancy

How Is a Cleft Lip and Palate Diagnosed?

Usually, clefts are found when a baby is born. Sometimes,
they’re seen on a prenatal ultrasound. Without
a cleft lip, a cleft palate is harder to see. Doctors usually find a cleft palate
when they look and feel inside a baby’s mouth during the first newborn
exam
.

How Is Cleft Palate With Cleft Lip Treated?

Cleft lip and cleft palate can cause problems with:

  • feeding
  • growth and development
  • ear infections and hearing
  • speech development

So it’s important to correct a cleft palate with cleft lip with surgery while a
child is young.

Cleft Lip Repair

A plastic surgeon will repair the baby’s cleft lip first, usually when the baby
is about 3 months old. This is done with a surgery called cheiloplasty
(KY-lo-plass-tee). It’s done in the hospital while the baby is under general anesthesia.

The goals of cleft lip repair are to:

  • Close the cleft.
  • Improve the shape and symmetry of the upper lip and nose.

If the cleft lip is wide, special procedures like lip adhesion or nasal alveolar
molding (NAM) might help bring the parts of the lip closer together and improve the
shape of the nose before the cleft lip repair. Cleft lip repair usually leaves a small
scar under the nose.

cleft lip repair
               illustration

Cleft Palate Repair

A cleft palate usually is repaired with surgery called palatoplasty
(PAL-eh-tuh-plass-tee) when the baby is 10–12 months old. The goals of palatoplasty
are to:

  • Close the opening between the nose and mouth.
  • Help create a palate that works well for speech.
  • Prevent food and liquid from leaking out of the nose.

In palate repair surgery, a plastic surgeon will:

  • Close the cleft in layers.
  • Rearrange and repair the muscles of the soft palate so they work better during
    speech.
  • Make two incisions (cuts) on each side of the palate behind the gums to ease tension
    on the palate repair.

This surgery requires general anesthesia
and takes about 2–3 hours. Most babies can go home after 1 or 2 days in the
hospital. The stitches will dissolve on their own.

Your child will need a liquid diet for a week or two, then will eat soft foods
for several more weeks before going back to his or her regular diet. You may be asked
to keep your baby in special sleeves (“no-nos”) that prevent the elbows from bending.
This is so your baby can’t put any fingers or hard objects into the mouth, which could
make the cleft palate repair come open.

When Should I Call the Doctor?

Cleft lip and palate surgeries have greatly improved in recent years. Most kids
who undergo them have very good results. There are risks with any surgery, though,
so call the doctor if your child:

  • has a fever above 101.4°F (38.5°C)
  • has lasting pain or discomfort
  • has heavy bleeding from the mouth or nose
  • won’t drink fluids
  • isn’t making wet diapers

What Else Should I Know?

A child with a cleft lip and palate can sometimes have other health problems, such
as:

  • fluid buildup behind the ear
  • trouble feeding
  • hearing loss
  • dental problems
  • speech problems

It’s important to work with a care team experienced in treating children with cleft
lip and palate. Besides the pediatrician, a child’s treatment team will include:

  • plastic surgeon
  • ear, nose, and throat (ENT) physician (otolaryngologist)
  • orthodontist
  • dentist
  • speech-language pathologist
  • audiologist

You might also work with:

  • an oral surgeon
  • a social worker
  • a psychologist or therapist
  • a geneticist
  • a team coordinator

Some kids with cleft lip and palate may need other surgeries as they get older.
These might include:

  • Speech surgery: Children can develop speech problems even after
    the palate has been repaired. At your regular appointments with the cleft team, the
    speech-language pathologist
    will carefully listen to your child’s speech to help the surgeon decide if another
    surgery is needed to improve speech.
  • Alveolar (al-VEE-eh-lur) bone grafting: Doctors
    might use a small amount of bone from the hip to repair the cleft or notch in the
    gums and to support the permanent teeth as they come in. This surgery is usually done
    when kids are 7–9 years old.
  • Nose surgery: Clefts of the lip also affect how the nose
    looks, so some kids may benefit from more surgery on the nose. Fixing minor problems,
    such as the shape of the nostrils, can be done during childhood. More extensive nose
    surgeries, if needed, are done when the child is finished growing.
  • Orthognathic (or-thig-NATH-ik) surgery: Some
    children with cleft palate need this surgery to realign the jaws and teeth when they’re
    older. It’s done when the child is finished growing.

Looking Ahead

Most kids with cleft lip and palate are treated successfully with no lasting problems.
A team experienced in treating children with cleft lip and palate can create a treatment
plan tailored to your child’s needs.

The psychologists and social workers on the treatment team are there for you and
your child. So turn to them to help guide you through any hard times. You also can
find more information and support online:


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