Fissura labiopalatina

Também conhecido como lábio leporino, as fissuras labiopalatinas são malformações congênitas, ou seja, é adquirido pelo bebê durante a gestação. É uma malformação craniofacial que tem como característica uma abertura que pode afetar o lábio, o palato (céu da boca) ou ambos. Isso ocorre porque durante o período de desenvolvimento do feto, essas estruturas não se formam completamente. Os indivíduos com fissura labiopalatina necessitam de um atendimento com vários especialistas, como fonoaudiólogo, psicólogo, ortodontista, cirurgião plástico, otorrinolaringologista, entre outros. A reabilitação fonoaudiológica inicia logo após o nascimento, com orientações sobre alimentação, onde deve ser priorizada a amamentação, pois o bico do seio materno encaixa perfeitamente na fissura que há no lábio e palato. Se, por algum motivo, a amamentação for impedida, é orientado o tipo de mamadeira com bico especial. A primeira cirurgia, para fechamento do lábio, deve acontecer com 3 meses de vida, e com 1 ano, o fechamento do palato. Com o desenvolvimento da linguagem e fala, geralmente observa-se uma voz hipernasal – “fanha”, pois há uma alteração das estruturas envolvidas nesse processo, podendo o trabalho de reabilitação com exercícios específicos condicionarem um novo padrão de fala. É importante ressaltar que um indivíduo com essa malformação possui todas as condições de falar, aprender, desenvolver-se como qualquer outra.
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