Pathology · single question
A patient with cleft lip and palate is expected to present with all of the following EXCEPT:
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Correct answer: A. Increased growth of the maxilla
- A. Correct. Cleft lip and palate is associated with REDUCED maxillary growth (hypoplastic maxilla) due to scarring from surgical repair and disrupted growth centers — NOT increased maxillary growth. Patients commonly have a Class III skeletal relationship (underdeveloped maxilla relative to mandible).
- B. Crossbite (due to maxillary hypoplasia and collapse) is very common in cleft lip and palate patients.
- C. Congenitally missing teeth, especially lateral incisors adjacent to the cleft, are a common finding.
- D. Velopharyngeal inadequacy (failure of the soft palate to close against the pharyngeal wall) causes hypernasality and is a well-recognized complication of cleft palate.