Honoring The Cleft And Craniofacial Awareness Month

Author: Megha Agarwal on Jul 12,2021

National cleft and craniofacial awareness and prevention month is one event you should be looking forward to this July. The event honors infants, children, and adults with cleft and congenital craniofacial conditions. Cleft and craniofacial problems affect approximately 7,000 children annually in the United States. 

 

These congenital disabilities start forming during the development of a baby’s facial features while they are in their mother’s womb. A detailed publication by the World Health Organization reveals that cleft palates and cleft lips are the leading congenital disabilities in the world. In the United States alone, cleft lips and palate occur in one of every 600-1,000 births, while other craniofacial deformities are present in one out of every 1,000 children born.

 

Likewise, many adults also suffer from cleft and craniofacial anomalies. Some suffer from these abnormalities by birth. However, there are others affected due to certain accidents and trauma. Accidents can leave adult individuals, with no prior history of these disabilities, with an opening in their mouth and lips. 

 

The issues can lead people, both children and adults, to lack self-esteem and other developmental problems. Cleft and lip palates can also lead to breathing problems, language development, and speech-related problems. 

 

This article sheds light on the issue and causes of cleft and craniofacial conditions, with a simple aim to help uplift those with such issues.

 

Common Craniofacial Conditions

 

Cleft lip 

 

Cleft lips can easily form in babies right during pregnancy. As the child in the womb is developing, body tissues and other cells from both sides of the child's head can grow toward the center of their face. 

 

The joining of such tissues can create facial features, including their lips and mouth. Cleft lips happen when these tissues that are supposed to make up the child's lip do not entirely join together before they are born. This leads to an opening in the upper lips. This opening can be like a slit, small or large, going through the lip into their noses. 

 

Cleft lips can form on either just one side of the lip or sometimes both. In some cases, cleft lips can be in the middle of the lip, which is rare. Children with a cleft lip are often seen accompanied by a cleft palate or a small gap in their gum line. 

 

Cleft Palate 

 

 

A cleft palate occurs on the roof of one’s mouth. This deformity usually starts forming during the sixth to the ninth week of fetal development. A cleft palate deformity occurs when tissues that make up the roof of a child’s mouth are not joined together completely during pregnancy. For some children, the front and back parts of the palate are open. However, for other children, only one part of the palate is open. 

 

Microtia

 

Craniofacial abnormalities like microtia denote either an underdeveloped outer ear or a completely missing ear. Children born with such conditions are likely to have certain underdevelopment in their ear canal and middle ear. Usually, this condition affects only one ear and is typically common among boys. 

 

On the other hand, bilateral microtia is a condition wherein both ears of a child are underdeveloped and require assistance with regards to hearing. 

 

Hemifacial Microsomia 

 

 

Hemifacial microsomia is a condition that affects one side of a child's face. It is also known as branchial arch syndrome or lateral facial dysplasia. The side that is affected is left underdeveloped and affects their jaw, ears, and their mouth. The side of the face that is affected due to the condition is smaller than the other side and could typically lead to speech and hearing difficulties in children. 

 

The condition can affect children to varying degrees. However, in rare, extreme cases, hemifacial microsomia affects the jaw muscles, upper jaw, skull, and middle ear as well. 

 

Craniosynostosis 

 

 

Craniosynostosis directly affects the skull of a child. This happens so where it alters the soft spots, also called the sutures of the skill in a child. The soft spots in such conditions seem to close down, causing an underdeveloped brain and skull growth. This premature closing of the soft spots of the skull can lead to the creation of pressure inside the head. In turn, this leads to an increase in size, changing the bone structure of both the skull and face. This often leads a child’s face to appear abnormal and asymmetrical. 

 

Vascular Malformation 

 

A vascular malformation is an apparent growth or birthmark present at the time of birth. This birthmark usually consists of blood vessels, causing aesthetic and functional problems in children and adults. The deformity involves different body systems and malformations, named according to the location of their occurrence and the blood vessels they affect. The condition is also known as lymphangiomas, vascular gigantism, and arteriovenous malformations. 

 

Deformational plagiocephaly 

 

Also known as positional plagiocephaly, the condition refers to an asymmetrical shape of a child’s head due to repeated pressure to the same area. The term is derived from the Greek language, literally meaning an “oblique head” (Plagio - Oblique and Cephale - Head). 

 

Hemangioma 

 

The condition refers to abnormal growth of blood vessels in the skin of a human that is present as a faint red mark since their birth. The mark can also occur in the first few months after birth. Hemangioma is also known as a salmon patch, strawberry hemangioma, or port-wine stain. 

 

What causes craniofacial anomalies in children?

 

Research suggests that most cases of cleft and craniofacial anomalies are caused by the wrong interaction of genetic material and environmental factors. Thousands of babies can suffer from these conditions with no definitive cause behind the same. 

 

Both parents can pass on specific genes to their children, causing them to develop clefts, either alone or in combination with other genetic syndromes that include cleft lips, cleft palates, and other cranial anomalies. In some instances, children can inherit genes that make them more susceptible to developing such anomalies. Added to these genes, environmental triggers can cause the conditions to develop further after birth. 

 

Folic acid deficiency can also cause cleft and craniofacial anomalies in children. Folic acid, a vitamin B found in breakfast cereals, orange juice, grains, and green, leafy vegetables, can change a lot when it comes to congenital anomalies. A diet lacking in folic acid can lead to a higher risk in a child developing such anomalies. 

 

How can cleft and craniofacial anomalies cause problems?

 

Children with cleft and craniofacial anomalies can come across multiple problems, including: 

 

1. Feeding and eating 

2. Speech and language

3. Hearing 

4. Jaw and teeth 

5. Ear infections

 

Apart from the physical symptoms and problems, children can also be challenged with such medical conditions. Social, mental, emotional, and behavioral issues can easily surface with children, even after the best intensive medical care. These problems usually arise owing to the difference they feel in their appearance. 

 

Diagnosing Cleft and Craniofacial abnormalities

 

 

A routine physical examination can identify craniofacial abnormalities. While some are pretty obvious and apparent since birth, others can develop these anomalies over the first few months after birth. Examining a child’s skull, facial structure, and brain with a CT scan and an MRI can clarify such a diagnosis. 

 

An average baby’s head grows rapidly in the first few years of their life, which is why this is the right time to diagnose these conditions and look for a treatment methodology. 

 

A good pediatrician can recommend specific observations for a few months to see if the baby’s condition is progressing or not. The baby can also be referred to a neurosurgeon, who can work to develop a great treatment plan for the child. 

 

Risk Factors

 

There can be multiple risk factors that can increase the likelihood of a child developing cleft and craniofacial anomalies. Some of the factors may include: 

 

Family history 

 

Children are more likely to develop such anomalies if a parent or a grandparent has a history of cleft and craniofacial anomalies. 

 

Exposure to substances during pregnancy 

 

Infants born to mothers who have consumed alcohol, certain medications, and substances and smoked cigarettes during their pregnancy are more likely to develop these abnormalities. 

 

Diabetes 

 

Women diagnosed with diabetes before their pregnancy have an increased risk of giving birth to a child with cleft and craniofacial anomalies. 

 

Obesity 

 

Obese women can also give birth to babies with an increased risk of such abnormalities. 

 

Cleft lip, with or without a cleft palate, is more common in males than females. A cleft palate without a cleft lip is more common in females. In the United States, cleft lip and palate are most commonly reported among the Native American population and are least commonly found among African-Americans. 

 

Management and Treatment 

 

Managing treatments for children with cleft and craniofacial anomalies can vary depending on the severity of such anomaly. Their age and needs play a significant role. 

 

Surgery options to repair cleft lip are usually available in the first few months after birth and are also recommended in the first year itself. 

 

Apart from these surgical procedures, many children might need other surgeries as they grow up. Surgeries can improve their appearance, speech and language development issues, hearing issues, breathing difficulties, and more than that, their state of mind and self-esteem for years to come. Here are a few ways to improve your child’s self-esteem.

 

The treatment process also extends to dental and orthodontic care and speech therapy. 

 

Conclusion:

 

July is the National Cleft and Craniofacial Awareness and prevention month. While there are thousands of children in the US alone born every day with such a condition, many are recovering from these problems. These problems are accompanied by not just physical health anomalies but also mental trauma and self-esteem issues. With treatment and the right help, children can lead healthy lives. 

 

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Families may argue about whether it is personality, stress, or something medical. That uncertainty can be exhausting.Movement Symptoms Over TimeAs Huntington's progresses, movement problems usually become more noticeable. The person may have involuntary movements, often called chorea. Speech may become unclear. Swallowing may also become difficult, which can lead to weight loss or choking risk.This is one reason Huntington's disease needs ongoing medical care. It does not affect only one symptom. It affects the way the person moves through the whole day.Thinking And Memory ChangesHuntington's can also affect thinking. A person may struggle with decision-making, multitasking, planning, or switching from one task to another. They may take longer to process information. They may forget appointments, repeat questions, or seem less flexible than before.This can be painful for families because the person may still look physically well in the beginning. Others may not understand why work, money management, driving, or home responsibilities are becoming harder.The thinking changes are not laziness. They are part of the disease process.Is Huntington's Disease Fatal?Many families quietly search is Huntington's disease fatal because they want a clear answer, even if the answer hurts. Huntington's is considered a progressive and life-shortening condition. It gets worse over time and currently has no cure.NHS describes Huntington's as an inherited condition that affects movement, thinking, and mood, gets worse over time, and cannot currently be cured, though treatments can help symptoms.Death is often linked to complications such as pneumonia, choking, falls, infections, weight loss, or other health problems that become harder to manage as the disease advances. So yes, the condition is serious. But care, planning, therapy, and support can still make a real difference in quality of life.You May Also Like: What Is Burning Mouth Syndrome and How to Treat It Safely?Huntington's Disease Life ExpectancyHuntington's disease life expectancy varies from person to person. The age symptoms begin, overall health, complications, care quality, and disease progression all matter. Adult-onset Huntington's often begins between ages 30 and 50, though symptoms can appear earlier or later.MedlinePlus Genetics states that people with adult-onset Huntington's usually live about 15 to 20 years after signs and symptoms begin. NHS Inform notes that the condition often gradually worsens over around 10 to 25 years.These numbers are not a countdown. They are broad estimates. Real life can look different for every family.How Is Huntington's Disease Treated?The honest answer is that treatment focuses on managing symptoms and supporting daily life.Treatment may include:Medicines for movement symptomsAntidepressants or mood medicationsSpeech therapyPhysical therapyOccupational therapyNutrition supportSwallowing assessmentsMental health counselingGenetic counselingCare planning for later stagesMayo Clinic notes that treatment can help manage symptoms, but care planning is important because Huntington's causes loss of function and eventually death.Research Is Moving ForwardThere is also active research into disease-modifying therapies, including gene-based approaches. Some recent trial reports have raised hope, but families should discuss any treatment claims with a qualified specialist before assuming availability or suitability.Living With Huntington's Day To DayDaily life with Huntington's often needs adjustments. Small changes can help the person stay safer and more comfortable. A clutter-free home, easier clothing, medication reminders, soft foods when swallowing changes appear, and regular routines can all help.Families may also need support. Caregiving can become emotionally heavy. It is not only the physical help, but the grief of watching someone change. This is where practical care matters as much as medical care.Read More: Are Microplastics' Health Effects Hurting Your Body?Final ThoughtsHuntington's disease is a serious inherited condition, but understanding it can make families feel less lost. The causes of Huntington's disease are genetic, and the condition can affect movement, thinking, mood, behavior, speech, and swallowing.Questions like is Huntington's disease fatal, Huntington's disease life expectancy, and How is Huntington's disease treated? are hard to ask, but they matter. Clear information does not remove the difficulty, but it can help families prepare with more steadiness and less fear.FAQ1. Can Someone Have Huntington's Disease Without A Family History?It is uncommon, but it can happen that a person appears to have no known family history. Sometimes a parent died before symptoms were recognized, was misdiagnosed, or had very mild signs. In rare cases, a new genetic change may be involved. If symptoms suggest Huntington's, doctors may still recommend neurological evaluation and genetic counseling.2. Should Family Members Get Genetic Testing?Genetic testing is a personal decision. Some people want to know because it helps with family planning, finances, career choices, or peace of mind. Others may not feel ready to carry that information. Testing should usually happen with genetic counseling, because the result can affect emotional health, family relationships, insurance concerns, and future planning.3. What Kind Of Doctor Treats Huntington's Disease?A neurologist usually leads care, often with support from a genetic counselor, psychiatrist, speech therapist, physical therapist, occupational therapist, dietitian, and primary care doctor. As the condition changes, the care team may also include swallowing specialists, social workers, and palliative care professionals. Good care is rarely one-person care. It usually works best as a team.

Text bipolar disorder on wooden blocks with colorful alphabets

How to Support a Loved One With Bipolar Disorder Daily

Loving someone with bipolar disorder is exhausting in ways that are hard to put into words. One day, things feel manageable, and the next, you are walking on eggshells again. The unpredictable mood shifts, the emotional weight, and the constant worry about saying or doing the wrong thing add up fast. But here is what most caregivers eventually learn: your steady presence matters more than you think. This guide gives you real, grounded advice on supporting your loved one with bipolar disorder every day without burning yourself out.What Is Bipolar Disorder? Start Here Before Anything ElseYou really cannot support someone through something you do not understand. So, what is bipolar disorder in plain terms? It is a lifelong brain condition where a person swings between extreme emotional highs and crushing lows. During a manic phase, they may feel invincible, sleep almost nothing, talk nonstop, and make reckless choices. During a depressive episode, getting out of bed can feel like climbing a mountain. These are not just mood swings. They can go on for days or weeks at a stretch.Understanding bipolar disorder causes also puts things in perspective. This disorder is caused by a combination of genetics, brain chemistry, and life experiences, and no one chooses to have it. Understanding the bipolar disorder types can help you get a real idea of what to expect.Bipolar I involves full manic episodes that can sometimes require hospitalization. Bipolar II tends to involve milder highs but longer, more frequent depressive periods.Cyclothymia sits at the milder end but still brings ongoing emotional instability over two or more years. No two people experience this condition the same way.Catch Mood Shifts Early When You CanSpotting warning signs before a full episode takes hold can genuinely change the outcome. During a manic phase, symptoms of bipolar disorder often include unusual bursts of energy, barely sleeping, talking very fast, and making impulsive decisions. A depressive episode looks like the opposite: deep sadness, no motivation, withdrawing from everyone, struggling to think clearly, and sometimes thoughts of self-harm.That said, try not to overwatch every emotion. Treating every mood shift as a red flag creates stress for both of you. When something feels off, ask your loved one directly instead of reading into things. Keeping a shared mood journal or a simple tracking app gives you something concrete to bring to doctor appointments. Tools such as DrGPTmd may be of assistance here as well. It allows you to store your medical records securely, monitor health data over time, and have it all in one place so provider conversations are more focused and productive.Talk With Care, Not ControlThe words you choose matter more than most people realize. Open-ended questions work well: "What would help you right now?" or "How has today been for you?" Avoid well-meaning but dismissive phrases like "Look on the bright side" or "Everyone struggles sometimes." Even said with love, those words often make someone with bipolar disorder feel more misunderstood, not less.Sometimes the most helpful thing you can say is: "I'm not sure I always get it right, but I'm not going anywhere." You are not there to solve everything. Sitting with someone and genuinely listening, without jumping into advice mode, is often far more meaningful than any solution you could offer. When you do share your own concerns, keep things calm and leave blame out entirely.Also check: Chronic Inflammation Symptoms You Should Not IgnoreDo Not Underestimate the Power of RoutineA predictable daily structure does more for managing symptoms of bipolar disorder than most people give it credit for. Consistent wake times, regular meals, and some movement each day all contribute to mood stability. Even a short evening walk helps. Cutting back on alcohol and caffeine also protects sleep quality, and disrupted sleep is one of the most reliable triggers for both manic and depressive episodes.You do not need to overhaul everything at once. Gradual, repeatable habits tend to stick far better than dramatic lifestyle changes. If there is one thing worth prioritizing above all else, protecting your loved one's sleep schedule is where the biggest payoff tends to come from.Support Their Treatment Without Taking It OverTreatment for bipolar disorder is not something that can be skipped or paused. It usually means a combination of medication, regular therapy, and ongoing appointments with a mental health provider. The medications prescribed only work reliably when taken consistently, including on the days when your loved one feels perfectly fine.Feeling stable and deciding medication is no longer needed is one of the most common paths to relapse. A gentle reminder that the stability they feel is tied to the medication can go a long way. Joining a family therapy session occasionally is also worth considering, since treatment for bipolar disorder consistently works better when close family members are involved. Just as understanding bipolar disorder causes helps remove blame from the relationship, understanding treatment makes you a more effective supporter. If you want to stay on top of your loved one's health between appointments, DrGPTmd is worth exploring. It allows families to upload lab reports, organize medical documents, and monitor health trends using AI-powered insights, all from one secure account.Have a Crisis Plan Ready Before You Need ItBipolar disorder is unpredictable by nature, and mid-crisis is the worst time to be figuring out what to do. During a calm, stable period, sit down together and write out a simple plan: the mental health provider's contact information, current medications and dosages, and the steps both of you agree to follow if things take a serious turn.Make sure the plan includes the Suicide and Crisis Lifeline. If your loved one ever mentions thoughts of self-harm, call or text 988 right away. It runs around the clock, every day of the year, anywhere in the US. Having that plan written down means you are not scrambling when it matters most.Your Well-Being Is Part of This TooCaregiver burnout sneaks up on you. It builds gradually over months of putting yourself last, and by the time you notice it, you are already running on empty. Taking care of yourself is not a luxury. It is what makes sustained, reliable support actually possible.Hold on to your sleep habits, your friendships, and the activities that recharge you. Set limits when you need to. NAMI (National Alliance on Mental Illness) and DBSA (Depression and Bipolar Support Alliance) both offer free support groups across the US for people in exactly your position. Talking to your own therapist is a genuinely good idea, too. The more emotionally steady you are, the more you can actually give.More to Discover: Digital Dementia: Symptoms, Causes & Prevention MechanismsConclusionNobody gets this perfectly right, and that includes you. Supporting someone with bipolar disorder means good stretches and harder ones, moments where you feel helpful and days where nothing lands the way you intended. What carries people through is not perfection but consistency. Keep learning, keep showing up, and make sure your own needs stay in the picture. Resources, communities, and professionals are out there to help. You do not have to carry this alone.Frequently Asked QuestionsCan bipolar disorder symptoms be mistaken for other conditions? Quite often, yes. The symptoms of bipolar disorder overlap closely with depression, ADHD, and anxiety, which is a big reason why diagnosis takes time. A mental health professional usually monitors mood patterns across several visits before arriving at a confirmed diagnosis.What everyday habits tend to make bipolar disorder worse? Poor sleep, ongoing stress, alcohol use, and stopping medication without guidance are the most common triggers that worsen bipolar disorder symptoms. Helping your loved one keep those factors in check makes a real difference in how often and how severely episodes occur.Where can US caregivers find free support for bipolar disorder? NAMI offers a free Family-to-Family program available to caregivers nationwide. DBSA runs peer-led support groups designed specifically for family members and friends. Both organizations have local chapters and online resources straightforward to access across the US.