the child's palatine processes have not fused.have his palatine bones fused normally?

Question

the pediatrician at the clinic explains to parents of a newborn that their son suffers from cleft palate.she tells them that the normal palate fuses in an anterior-to-posterior pattern.

Answer 1

I'm not sure of your question, but I can give you a general answer.
During the eighth week of embryonic development, the palatal shelves should fuse. If not, the child will have a cleft palate. If only one side descends, there will be a unilateral cleft. If both sides fail, there will be a bilateral cleft. If the frontal structure doesn't fall into place, there will be a cleft lip in addition to the cleft palate. Once the lip closes, the structure behind the incisive foramen (where the gum ridge meets the hard palate) will close, following a v-shaped progression.
With a hard palate cleft, he soft palate will be involved, as well.
Fortunately, cleft lip and palate are the easiest birth defect to correct. Incidence is about 1 in 700 births.
The best bet is to consult a craniofacial team (usually found in a teaching hospital). The team will consist of plastic surgeons, ENT doctors, social workers (to help find funding), and speech pathologists. Those of us in the profession call it "one-stop shopping".