Cleft lip and palate is one of the more common congenital anomalies with an incidence of about 1 in 600 live births.1,2 The etiology is probably multifactorial: a genetic component is implicated as are a wide variety of exogenous factors and up to 50% of infants may have other associated anomalies.3 The presentation may be during routine antenatal scans, although some cases do not become apparent until birth. Whilst the esthetic appearance may be the most obvious, respiratory and feeding difficulties associated with clefts carry greater medical significance and in some cases may require early intervention. The long-term management of these disorders is best in the setting of a specialist multidisciplinary team in
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