Hare Lip
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Causes of Hare Lip
Why there is a hare lip? The main cause of neonatal pathologies is the susceptibility of a pregnant woman during the first trimester to viral infectious diseases. Further, in the list of factors influencing the appearance of a defect, the future mother accepts certain medications, poor environmental conditions, tobacco smoking, drugs, genetic factors.
Is he handed over a hare lip?
Hare lip becomes the result of gene mutations, if these genes play a role in cranial development. The learned world is engaged in the search for a gene that transmits vice. But now it is known: the hare's lip, formed under the influence of heredity, is most likely to appear in children where several relatives were born with such a defect.
Symptoms of a hare lip
The hare lip may look different. There is a one- and two-sided pathology. In the first case, we observe a dissection into the depth of the upper lip (more often on the left). In the second, we see a furrowing furrow to the nose (or deeper) from the middle.
The degree of damage can be different. Splitting through, one-sided and two-sided. The through is also called isolated. It is extremely rare to find a defect on two lips.
Note that the hare lip and the Patau syndrome are far from the same thing. But this defect can arise as a result of the Patau syndrome, which appears accidentally and is irreversible. Approximately 1 in 5,000 babies are born with Patau's syndrome. Such children need special medical care. The first week of life of a baby born with Patau's syndrome is considered critical, because most babies do not survive. Pregnancy with a similar diagnosis is considered a high risk group.
The hare is an external defect. It can be easily removed by a plastic surgeon. In newborns, the cleft lip has no effect on their physiology and psyche, but can then give some difficulties. For example, during a meal. In addition, the baby can be difficult to talk and smile. You will need specialized dentistry products. The vice can lead to other violations.
Celebrities with a hare lip
Famous people are not ideal, many of them, like ordinary people, have defects, for example, a hare's lip.
So, the famous actor Joaquin Phoenix between the nose and lips has a scar. He was born with a scar, which is a relaxed form of congenital pathology.
Hare-lipped is attributed to TV presenter Masha Malinovskaya, and the leader of the group "Time Machine" Andrei Makarevich. Some people claim that Mikhail Boyarsky hides a scar from his hare's lip under his mustache. Other domestic actors, who are said to have been born with this defect - Andrei Mironov and Alisa Freindlich.
[11]
Hare lip diagnostics
Diagnose the hare lip during ultrasound during pregnancy from 16 to 20 weeks. This news is not a reason for abortion, because it does not entail neither the mental retardation of the child nor the violation of its development. The exception is hare lip as a result of pathology of an innate nature. Such cases are diagnosed before the onset of labor.
Who to contact?
Treatment of a hare lip
Correct the defect only in an operative way. Hailoplasty goes in stages. The number of operations, scope and timing is determined by the doctor. You should contact the otorhinolaryngologist, speech therapist, psychologist, phoniatrist, dentist-orthodontist and surdologist, because the hare lip provokes a decrease in immunity, worsening of hearing and speech. Before surgical operations, serious care of the oral cavity is necessary to exclude the appearance of caries and other diseases. In the postoperative time, care must be taken to prevent infection from entering the wound.
Operation of the hare lip
Hare lip is corrected operatively. The operation involves several stages. First, it is important not only to eliminate the cosmetic defect, but also to restore the anatomy. The baby is being plastics of the nose and lips. The plasticity of the palate is done until the baby reaches the age of one and a half. Apply general anesthesia. You can remove stitches in a week. Sky plastic surgery involves staying in a hospital for five days. The final operation, the plastic of the upper jaw, is planned from eight to twelve years, when the child has permanent teeth.
Hare lip surgery
The hare lip is subject to plastic. Primary cheiloplasty is performed in the first days of the baby's life. So restore the fullness of the split before that lips. At an early age, different methods of cheloplasty are performed. The choice of technique is performed by the doctor, guided by the form of the defect.
If it is necessary to correct the lip, nose and muscles of the mouth area, perform a primary rhinoheyloplasty. Such interference is considered difficult.
Restoration of the usefulness of the lips and nose and the removal of defects of the process of the alveolus is solved by performing rhinoheylognatoplasty.
A comprehensive examination of the patient precedes cheyloplasty. Physicians need to receive confirmation that the child is ready for surgery.
After the completion of the plasty of the rabbit's lip, a gauze swab is placed in the nose to protect the seams. Then a swab for 3 months is replaced with a plastic tubing to prevent deformation of the nose. A week after the operation, the stitches are removed.
Postoperative scar is visible, but in the future it can be reduced by referring to cosmetic procedures.
A year later, the results of cheyloplasty become apparent. In most cases, additional deformation correction is required. They are held later.
Prophylaxis of the hare lip
Give up bad habits. When planning a pregnancy, be examined on TORCH and STI. Consult a geneticist if the family has a pathology. Plan pregnancy at a young age. Avoid stress, take medication with a prescription.
Prognosis of the hare lip
The overall forecast is favorable. With the help of timely treatment, you can completely eliminate the defect, and make the scar after the operation invisible. Further development of the child will be the same with his peers. Sometimes the services of a speech therapist may be required, because the hare lip leads to speech disturbances (difficulty articulation, nasal congestion).
Disability at the hare lip
A person who comes into the world with a defect such as a hare lip, establishes a disability. The district pediatrician must send for examination. The basis is a violation of the digestive system. Establish a disability before the elimination of violations, aged 3 to 7 years. They are put on the register of social security agencies and pay a disability pension. One parent is required to receive compensation each month. In case of refusal by the examination to recognize the disability of the child or the removal of the disability before recovery, it is necessary to appeal this decision. The child is removed from the disability account only after all rehabilitation activities have been completed.
The hare lip, therefore, is not a verdict. This is a cosmetic defect that needs to be corrected in a timely manner.
Использованная литература