Cleft Palate

Todayโ€™s path rounds are on ๐œ๐ฅ๐ž๐Ÿ๐ญ ๐ฉ๐š๐ฅ๐š๐ญ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‚๐ฅ๐ž๐Ÿ๐ญ ๐ฉ๐š๐ฅ๐š๐ญ๐ž is abnormal formation of the hard palate (roof of the mouth) during development.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any species can get this!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
During development, the roof of the mouth develops from the outside inwards, with fusion of the two sides on midline. In cleft palate, this inward growth isnโ€™t sufficient to reach midline, leaving a large gap in the roof of the mouth. There are varying degrees of cleft palate, ranging from just a small defect, to a completely divided hard palate. The exact cause of this abnormality is unknown, but there is a suspected genetic component in some species of animals. As well, the exposure of the mom to ๐ญ๐ž๐ซ๐š๐ญ๐จ๐ ๐ž๐ง๐ฌ (mutation causing compounds) or other toxins may cause formation of cleft palate in the developing baby.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The main issue with cleft palate is that anything that enters the mouth ends up in the nose, including milk! This can cause milk to enter the lungs, causing ๐š๐ฌ๐ฉ๐ข๐ซ๐š๐ญ๐ข๐จ๐ง ๐ฉ๐ง๐ž๐ฎ๐ฆ๐จ๐ง๐ข๐š. The prognosis of aspiration pneumonia is generally pretty poor, so these animals are often euthanized.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Small cleft palate defects can be treated surgically in some cases, but the success rate is fairly low. Plus, during the pre-operative period, the animal must be intensively managed to prevent aspiration pneumonia, and often need to receive milk by an oral tube. This often leads to owners electing euthanasia, since the treatment success is so low and the procedure is extremely costly.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) A calf with cleft palate who canโ€™t keep his tongue in his mouth ๐Ÿ˜ญ
2-4) Examples of cleft palate defects in the roof of the mouth. In one of the photos, you can see feed material packed up into the nose, which is a prime cause of aspiration pneumonia!
5-7) The skull of a calf with cleft palate, showing how the skullโ€™s shape can be affected in severe cases. This is probably one of the coolest skulls Iโ€™ve ever seen!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.

Photos 1-4 courtesy of Noahโ€™s Arkive.
Photos 5-7 courtesy of Meredith Holley.

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