Cleft Lip & Palate-

Cleft lip and primary palate form at 4-5 wk gestation period

Secondary palate form at 9 wk gestation period

Treatment-

Primary lip closure-  follow RULE OF 10's

Repair of palate - 12-18th month of age 

Interceptive orthodontics - 5-7 yr 

Bone grafting of alveolar clefts - 9-11yr 

Comprehensive orthodontics + orthognathic surgery- after 12 yr of age

RULE OF 10's for repair of cleft lip -

                                                            Infant should be >= 10 wk old

                                                                                         >= 10g/dl Hg

                                                                                         >= 10 lb