{"id":3809,"date":"2025-07-31T15:15:24","date_gmt":"2025-07-31T15:15:24","guid":{"rendered":"https:\/\/clariceabreu.com.br\/?page_id=3809"},"modified":"2025-08-01T15:03:56","modified_gmt":"2025-08-01T15:03:56","slug":"fissura-de-labio-e-fenda-palatina","status":"publish","type":"page","link":"https:\/\/clariceabreu.com.br\/pt_br\/fissura-de-labio-e-fenda-palatina\/","title":{"rendered":"Fissura de Labio e Fenda Palatina"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3809\" class=\"elementor elementor-3809\" data-elementor-post-type=\"page\">\n\t\t\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-7f78ab3 e-flex e-con-boxed e-con e-parent\" data-id=\"7f78ab3\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-fc3449f e-flex e-con-boxed e-con e-child\" data-id=\"fc3449f\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-18d0c18 elementor-widget elementor-widget-jet-headline\" data-id=\"18d0c18\" data-element_type=\"widget\" data-widget_type=\"jet-headline.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"jet-headline jet-headline--direction-horizontal\"><span class=\"jet-headline__part jet-headline__first\"><span class=\"jet-headline__label\">Fissura de Labio e \n<\/span><\/span><span class=\"jet-headline__space\">&nbsp;<\/span><span class=\"jet-headline__part jet-headline__second\"><span class=\"jet-headline__label\">Fenda Palatina<\/span><\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9192279 elementor-widget elementor-widget-text-editor\" data-id=\"9192279\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Investigando a Fissura de Labio e Fenda Palatina<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-e1121f2 e-flex e-con-boxed e-con e-parent\" data-id=\"e1121f2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-083983b e-flex e-con-boxed e-con e-child\" data-id=\"083983b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16f9baa e-n-menu-mobile e-full_width e-n-menu-layout-horizontal elementor-widget elementor-widget-n-menu\" data-id=\"16f9baa\" data-element_type=\"widget\" data-settings=\"{&quot;menu_items&quot;:[{&quot;item_title&quot;:&quot;Fissura de l\\u00e1bio&quot;,&quot;_id&quot;:&quot;4b692f2&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;#fissuradelabio&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_dropdown_content&quot;:&quot;&quot;,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;item_title&quot;:&quot;Fissura de palato&quot;,&quot;_id&quot;:&quot;a80deb6&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;#fissuradepalato&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_dropdown_content&quot;:&quot;no&quot;,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;item_title&quot;:&quot;Fissura de palato submucosa&quot;,&quot;_id&quot;:&quot;ee3fa21&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;#fissuradepalatosubmucosa&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_dropdown_content&quot;:&quot;&quot;,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;item_title&quot;:&quot;Enxertia \\u00f3ssea&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;#enxertiaossea&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;_id&quot;:&quot;d6dfcd9&quot;,&quot;item_dropdown_content&quot;:&quot;no&quot;,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;}],&quot;item_position_horizontal&quot;:&quot;center&quot;,&quot;item_position_horizontal_mobile&quot;:&quot;center&quot;,&quot;horizontal_scroll_mobile&quot;:&quot;disable&quot;,&quot;breakpoint_selector&quot;:&quot;mobile&quot;,&quot;content_width&quot;:&quot;full_width&quot;,&quot;item_layout&quot;:&quot;horizontal&quot;,&quot;open_on&quot;:&quot;hover&quot;,&quot;horizontal_scroll&quot;:&quot;disable&quot;,&quot;menu_item_title_distance_from_content&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;menu_item_title_distance_from_content_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;menu_item_title_distance_from_content_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"mega-menu.default\">\n\t\t\t\t\t\t\t<nav class=\"e-n-menu\" data-widget-number=\"240\" aria-label=\"Menu\">\n\t\t\t\t\t<button class=\"e-n-menu-toggle\" id=\"menu-toggle-240\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"menubar-240\" aria-label=\"Menu Toggle\">\n\t\t\t<span class=\"e-n-menu-toggle-icon e-open\">\n\t\t\t\t<svg class=\"e-font-icon-svg e-eicon-menu-bar\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M104 333H896C929 333 958 304 958 271S929 208 896 208H104C71 208 42 237 42 271S71 333 104 333ZM104 583H896C929 583 958 554 958 521S929 458 896 458H104C71 458 42 487 42 521S71 583 104 583ZM104 833H896C929 833 958 804 958 771S929 708 896 708H104C71 708 42 737 42 771S71 833 104 833Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t<span class=\"e-n-menu-toggle-icon e-close\">\n\t\t\t\t<svg class=\"e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<div class=\"e-n-menu-wrapper\" id=\"menubar-240\" aria-labelledby=\"menu-toggle-240\">\n\t\t\t\t<ul class=\"e-n-menu-heading\">\n\t\t\t\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-2401\" class=\"e-n-menu-title e-anchor\">\n\t\t\t\t\t<a class=\"e-n-menu-title-container e-focus e-link\" href=\"#fissuradelabio\" aria-current=\"page\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tFissura de l\u00e1bio\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-2402\" class=\"e-n-menu-title e-anchor\">\n\t\t\t\t\t<a class=\"e-n-menu-title-container e-focus e-link\" href=\"#fissuradepalato\" aria-current=\"page\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tFissura de palato\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-2403\" class=\"e-n-menu-title e-anchor\">\n\t\t\t\t\t<a class=\"e-n-menu-title-container e-focus e-link\" href=\"#fissuradepalatosubmucosa\" aria-current=\"page\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tFissura de palato submucosa\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-2404\" class=\"e-n-menu-title e-anchor\">\n\t\t\t\t\t<a class=\"e-n-menu-title-container e-focus e-link\" href=\"#enxertiaossea\" aria-current=\"page\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tEnxertia \u00f3ssea\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t<\/div>\n\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-9502a21 e-flex e-con-boxed e-con e-parent\" data-id=\"9502a21\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-c3bc5e8 e-con-full e-flex e-con e-child\" data-id=\"c3bc5e8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-537e684 elementor-widget elementor-widget-jet-headline\" data-id=\"537e684\" data-element_type=\"widget\" data-widget_type=\"jet-headline.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"jet-headline jet-headline--direction-horizontal\"><span class=\"jet-headline__part jet-headline__first\"><span class=\"jet-headline__label\">O que <\/span><\/span><span class=\"jet-headline__space\">&nbsp;<\/span><span class=\"jet-headline__part jet-headline__second\"><span class=\"jet-headline__label\">s\u00e3o?<\/span><\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01e6152 elementor-widget elementor-widget-text-editor\" data-id=\"01e6152\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>As fissuras de l\u00e1bio e palato, conhecidas tamb\u00e9m como l\u00e1bio leporino (termo em desuso) e fenda palatina (ou \u201cc\u00e9u da boca aberto\u201d), correspondem a malforma\u00e7\u00e3o cong\u00eanita mais comum da face, com uma incid\u00eancia aproximada de 1 caso para cada 700 nascimentos. A crian\u00e7a pode apresentar apenas uma fissura de l\u00e1bio, uma fissura de l\u00e1bio e palato ou apenas a fissura do palato. A fissura do l\u00e1bio pode ser incompleta ou completa, com comprometimento unilateral ou bilateral. A fissura do palato tamb\u00e9m pode ter extens\u00e3o vari\u00e1vel e ser unilateral ou bilateral.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-eea2c4c e-con-full e-flex e-con e-child\" data-id=\"eea2c4c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2cc136 elementor-widget elementor-widget-jet-headline\" data-id=\"d2cc136\" data-element_type=\"widget\" data-widget_type=\"jet-headline.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"jet-headline jet-headline--direction-horizontal\"><span class=\"jet-headline__part jet-headline__first\"><span class=\"jet-headline__label\">Causas<\/span><\/span><span class=\"jet-headline__space\">&nbsp;<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9446135 elementor-widget elementor-widget-text-editor\" data-id=\"9446135\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Em cerca de um ter\u00e7o dos casos, a crian\u00e7a com fissura apresenta um parente que tamb\u00e9m teve fissura. Nos outros dois ter\u00e7os dos casos, n\u00e3o h\u00e1 nenhuma hist\u00f3ria familiar. A fissura n\u00e3o acontece em consequ\u00eancia de algum fato espec\u00edfico ocorrido com a m\u00e3e durante a gesta\u00e7\u00e3o. Foram descobertos diversos genes associados \u00e0 fissura labiopalatina, e v\u00e1rias drogas diferentes (\u00e1lcool, cigarros, algumas medica\u00e7\u00f5es anticonvulsivantes, derivados de vitamina A) tamb\u00e9m est\u00e3o relacionadas a uma maior incid\u00eancia de fissuras. No entanto, o mais prov\u00e1vel \u00e9 que diversos fatores contribuam para a ocorr\u00eancia de uma fissura, caracterizando uma origem multifatorial.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-6c86fa7 e-flex e-con-boxed e-con e-parent\" data-id=\"6c86fa7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-a96a44a e-con-full e-flex e-con e-child\" data-id=\"a96a44a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-13248ba elementor-widget elementor-widget-jet-headline\" data-id=\"13248ba\" data-element_type=\"widget\" data-widget_type=\"jet-headline.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"jet-headline jet-headline--direction-horizontal\"><span class=\"jet-headline__part jet-headline__first\"><span class=\"jet-headline__label\">Diagnosticando<\/span><\/span><span class=\"jet-headline__space\">&nbsp;<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c293be elementor-widget elementor-widget-text-editor\" data-id=\"4c293be\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>As fissuras de l\u00e1bio e palato, conhecidas tamb\u00e9m como l\u00e1bio leporino (termo em desuso) e fenda palatina (ou \u201cc\u00e9u da boca aberto\u201d), correspondem a malforma\u00e7\u00e3o cong\u00eanita mais comum da face, com uma incid\u00eancia aproximada de 1 caso para cada 700 nascimentos. A crian\u00e7a pode apresentar apenas uma fissura de l\u00e1bio, uma fissura de l\u00e1bio e palato ou apenas a fissura do palato. A fissura do l\u00e1bio pode ser incompleta ou completa, com comprometimento unilateral ou bilateral. A fissura do palato tamb\u00e9m pode ter extens\u00e3o vari\u00e1vel e ser unilateral ou bilateral.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf352f elementor-widget elementor-widget-image\" data-id=\"bbf352f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"260\" src=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio1.jpg\" class=\"attachment-large size-large wp-image-3843\" alt=\"Esquema da fissura de l\u00e1bio unilateral esquerda completa e fissura de palato incompleta.\" srcset=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio1.jpg 500w, https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio1-300x156.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-e42c1eb e-con-full e-flex e-con e-child\" data-id=\"e42c1eb\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2565524 elementor-widget elementor-widget-heading\" data-id=\"2565524\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 o Tratamento?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d75f3d elementor-widget elementor-widget-text-editor\" data-id=\"2d75f3d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O tratamento a ser empregado vai depender do tipo de fissura que a crian\u00e7a apresentar, seja uma fissura isolada de l\u00e1bio, seja uma fissura l\u00e1biopalatina ou uma fissura isolada de palato. Existem diversas t\u00e9cnicas descritas na literatura para o tratamento das fissuras de l\u00e1bio e palato e os cirurgi\u00f5es podem divergir em rela\u00e7\u00e3o \u00e0 t\u00e9cnica a ser utilizada, bem como a idade adequada para o reparo. \u00c9 necess\u00e1rio tirar todas as suas d\u00favidas em rela\u00e7\u00e3o \u00e0 cronologia e ao tipo de tratamento que vai ser empregado pelo seu cirurgi\u00e3o. Algumas quest\u00f5es b\u00e1sicas relacionadas ao tratamento de pacientes fissurados dizem respeito \u00e0:<\/p><p>\u00a0<\/p><ul><li>Alimenta\u00e7\u00e3o<\/li><li>Audi\u00e7\u00e3o<\/li><li>Cirurgia do l\u00e1bio<\/li><li>Cirurgia do palato<\/li><li>Desenvolvimento da fala<\/li><li>Rinoplastia<\/li><li>Enxerto \u00f3sseo alveolar<\/li><li>Cirurgia Ortogn\u00e1tica<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-dd0bf8c e-flex e-con-boxed e-con e-parent\" data-id=\"dd0bf8c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-74af3f6 e-con-full e-flex e-con e-child\" data-id=\"74af3f6\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25dbc2f elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"25dbc2f\" data-element_type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-25dbc2f\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"25dbc2f\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"alimentao\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-3961\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Alimenta\u00e7\u00e3o<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-3961\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"alimentao\">As crian\u00e7as nascidas com uma fissura de palato apresentam uma comunica\u00e7\u00e3o da boca com o nariz e n\u00e3o conseguem criar suc\u00e7\u00e3o oral. Com isso, v\u00e3o apresentar dificuldade em conseguir uma quantidade suficiente de leite (ou complemento). As mamadas s\u00e3o naturalmente mais longas e o beb\u00ea fica cansado com mais facilidade. \u00c9 comum o beb\u00ea dormir de cansa\u00e7o e acordar cerca de uma hora depois chorando de fome, o que torna o processo de amamenta\u00e7\u00e3o frustrante e cansativo para os pais. Ainda assim, o aleitamento materno deve ser estimulado como a melhor op\u00e7\u00e3o. Caso o leite materno seja retirado e oferecido em mamadeiras, medidas que podem ajudar a alimenta\u00e7\u00e3o do beb\u00ea fissurado incluem aumentar o furo do bico da mamadeira e usar garrafas do tipo squeeze, para aumentar o aporte de leite para o beb\u00ea numa fase inicial. Posteriormente, s\u00e3o utilizados bicos ortod\u00f4nticos com o furo para cima, confeccionados tanto para a fissura de l\u00e1bio quanto para a fissura de palato, que ajudam na amamenta\u00e7\u00e3o. Placas intraorais confeccionadas sob medida para o beb\u00ea ajudam a separar a cavidade oral da nasal, facilitando a degluti\u00e7\u00e3o. Um posicionamento mais verticalizado do beb\u00ea (posi\u00e7\u00e3o semissentada) tamb\u00e9m ajuda a melhorar o fluxo do leite e evita a aspira\u00e7\u00e3o.\n\n<figure id=\"attachment_3874\" aria-describedby=\"caption-attachment-3874\" style=\"width: 379px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-3874\" src=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/alimentacao-300x149.jpg\" alt=\"Bico de mamadeira adaptado para fissura de l\u00e1bio e para fissura de palato.\" width=\"300\" height=\"149\" srcset=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/alimentacao-300x149.jpg 300w, https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/alimentacao.jpg 379w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3874\" class=\"wp-caption-text\">Bico de mamadeira adaptado para fissura de l\u00e1bio e para fissura de palato.<\/figcaption><\/figure><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"audio\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-3962\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Audi\u00e7\u00e3o<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-3962\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"audio\"><p>Quando a musculatura do palato est\u00e1 normal, a movimenta\u00e7\u00e3o do palato promove a dilata\u00e7\u00e3o e drenagem das tubas auditivas para a rinofaringe. Quando h\u00e1 uma fenda do palato, a sua musculatura se insere de forma incorreta sobre a fenda e n\u00e3o h\u00e1 movimenta\u00e7\u00e3o adequada das tubas auditivas, propiciando o ac\u00famulo de l\u00edquido (otite serosa). O ac\u00famulo cr\u00f4nico pode ocasionar infec\u00e7\u00f5es de repeti\u00e7\u00e3o, o que pode levar, por sua vez, a perdas auditivas. A diminui\u00e7\u00e3o da audi\u00e7\u00e3o em crian\u00e7as prejudica o desenvolvimento da fala, pois \u00e9 importante que a crian\u00e7a ou\u00e7a bem para falar bem e aprender. Com os mecanismos de aprendizado e de fala comprometidos, a crian\u00e7a pode apresentar problemas de comportamento e at\u00e9 altera\u00e7\u00f5es psicossociais. Quando a crian\u00e7a est\u00e1 sob risco de perda de audi\u00e7\u00e3o, pode ser necess\u00e1ria a inser\u00e7\u00e3o de um tubo de ventila\u00e7\u00e3o (\u201ccarretel\u201d), para permitir a drenagem do l\u00edquido e aliviar os sintomas. O ideal \u00e9 que a crian\u00e7a seja avaliada por um Otorrinolaringologista, fazendo audiometrias e avaliando regularmente a sua capacidade auditiva. Caso seja necess\u00e1ria a inser\u00e7\u00e3o de tubos de ventila\u00e7\u00e3o (\u201ccarretel\u201d), isso deve ser coordenado com as cirurgias para o l\u00e1bio e o palato, de modo a reduzir o n\u00famero total de cirurgias \u00e0s quais a crian\u00e7a ser\u00e1 submetida.<\/p><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"esquema-da-colocao-de-tubos-de-ventilao\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"3\" aria-controls=\"elementor-tab-content-3963\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Esquema da coloca\u00e7\u00e3o de tubos de ventila\u00e7\u00e3o<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-3963\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" aria-labelledby=\"esquema-da-colocao-de-tubos-de-ventilao\"><figure id=\"attachment_3870\" aria-describedby=\"caption-attachment-3870\" style=\"width: 282px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-3870\" src=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/esquema-282x300.png\" alt=\"Esquema do fechamento de fissura de l\u00e1bio unilateral esquerda\" width=\"282\" height=\"300\" srcset=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/esquema-282x300.png 282w, https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/esquema.png 504w\" sizes=\"(max-width: 282px) 100vw, 282px\" \/><figcaption id=\"caption-attachment-3870\" class=\"wp-caption-text\">Esquema do fechamento de fissura de l\u00e1bio unilateral esquerda<\/figcaption><\/figure><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"cirurgia-do-lbio\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"4\" aria-controls=\"elementor-tab-content-3964\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Cirurgia do l\u00e1bio<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-3964\" class=\"eael-accordion-content clearfix\" data-tab=\"4\" aria-labelledby=\"cirurgia-do-lbio\"><p>Apesar da ansiedade extrema dos pais, a cirurgia para corre\u00e7\u00e3o do l\u00e1bio fissurado n\u00e3o costuma ser realizada em beb\u00eas rec\u00e9m-nascidos. Embora alguns trabalhos mostrem a realiza\u00e7\u00e3o da cirurgia em rec\u00e9m-nascidos, sua vantagem est\u00e1 mais relacionada ao tratamento da ansiedade e frustra\u00e7\u00e3o dos pais que um benef\u00edcio real para o beb\u00ea. Existem algumas regras b\u00e1sicas que devem ser observadas para que a crian\u00e7a possa ser submetida \u00e0 cirurgia com seguran\u00e7a, principalmente no que diz respeito \u00e0 sua idade e peso, levando a cirurgia a ser realizada em torno dos 3 meses de idade.<\/p><p>No pr\u00e9-operat\u00f3rio, embora seja controverso, costumamos fazer uso de uma fita para aproximar as vertentes labiais, diminuindo assim o defeito e facilitando a cirurgia.<\/p><p>Entre as in\u00fameras t\u00e9cnicas cir\u00fargicas descritas na literatura, as mais comuns envolvem uma \u201crota\u00e7\u00e3o e avan\u00e7o\u201d dos tecidos e a confec\u00e7\u00e3o de \u201cretalhos triangulares\u201d. A tend\u00eancia mundial, no entanto, envolve uma flexibiliza\u00e7\u00e3o dos protocolos, com a associa\u00e7\u00e3o de t\u00e9cnicas que s\u00e3o escolhidas especialmente para cada caso.<\/p><p>Independente da t\u00e9cnica utilizada, alguns objetivos b\u00e1sicos devem ser alcan\u00e7ados em uma cirurgia para corre\u00e7\u00e3o da fissura labial: reconstru\u00e7\u00e3o do fundo de vest\u00edbulo oral (o sulco entre a gengiva e o l\u00e1bio), reconstru\u00e7\u00e3o do assoalho nasal, isolando a cavidade oral da cavidade nasal, reconstru\u00e7\u00e3o da cinta muscular labial, permitindo uma adequada movimenta\u00e7\u00e3o dos l\u00e1bios, e finalmente, reconstru\u00e7\u00e3o da pele e do vermelh\u00e3o dos l\u00e1bios, restabelecendo a anatomia normal e a harmonia est\u00e9tica da regi\u00e3o.<\/p><\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-2eca7e8 e-flex e-con-boxed e-con e-parent\" data-id=\"2eca7e8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-0fa296e e-con-full e-flex e-con e-child\" data-id=\"0fa296e\" data-element_type=\"container\" id=\"fissuradelabio\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-478c5ac e-con-full e-flex e-con e-child\" data-id=\"478c5ac\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f593177 elementor-widget elementor-widget-jet-video\" data-id=\"f593177\" data-element_type=\"widget\" data-widget_type=\"jet-video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-video jet-elements\">\n<div class=\"jet-video jet-video--fa5-compat jet-video-aspect-ratio jet-video-aspect-ratio--16-9\" data-settings=\"{&quot;lightbox&quot;:false,&quot;autoplay&quot;:false}\"><iframe class=\"jet-video-iframe\" allowfullscreen allow=\"autoplay;encrypted-media\" title=\"youtube Video Player\" data-lazy-load=\"https:\/\/www.youtube.com\/embed\/wPAYQww_pLY?feature=oembed&amp;start&amp;end&amp;wmode=opaque&amp;autoplay=0&amp;loop=0&amp;controls=1&amp;mute=0&amp;rel=0&amp;modestbranding=0\"><\/iframe>\n<div class=\"jet-video__overlay jet-video__overlay--custom-bg\" style=\"background-image: url(https:\/\/i.ytimg.com\/vi_webp\/wPAYQww_pLY\/maxresdefault.webp);\">\n<div class=\"jet-video__play-button\" role=\"button\" tabindex=\"0\" aria-label=\"Video play button\"><span class=\"jet-elements-icon jet-video__play-button-icon\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-play\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M424.4 214.7L72.4 6.6C43.8-10.3 0 6.1 0 47.9V464c0 37.5 40.7 60.1 72.4 41.3l352-208c31.4-18.5 31.5-64.1 0-82.6z\"><\/path><\/svg><\/span>\t<span class=\"elementor-screen-only\">Play Video<\/span>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-ae870a3 e-con-full e-flex e-con e-child\" data-id=\"ae870a3\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-003c88b elementor-widget elementor-widget-heading\" data-id=\"003c88b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fissura de l\u00e1bio\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6b8a31 elementor-widget elementor-widget-image\" data-id=\"f6b8a31\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"511\" height=\"318\" src=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio.jpg\" class=\"attachment-large size-large wp-image-3881\" alt=\"\" srcset=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio.jpg 511w, https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/labio-300x187.jpg 300w\" sizes=\"(max-width: 511px) 100vw, 511px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-5f23616 e-con-full e-flex e-con e-child\" data-id=\"5f23616\" data-element_type=\"container\" id=\"fissuradepalato\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-2876b96 e-con-full e-flex e-con e-child\" data-id=\"2876b96\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-6eb048c e-con-full e-flex e-con e-child\" data-id=\"6eb048c\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f9f9e54 elementor-widget elementor-widget-jet-video\" data-id=\"f9f9e54\" data-element_type=\"widget\" data-widget_type=\"jet-video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-video jet-elements\">\n<div class=\"jet-video jet-video--fa5-compat jet-video-aspect-ratio jet-video-aspect-ratio--16-9\" data-settings=\"{&quot;lightbox&quot;:false,&quot;autoplay&quot;:false}\"><iframe class=\"jet-video-iframe\" allowfullscreen allow=\"autoplay;encrypted-media\" title=\"youtube Video Player\" data-lazy-load=\"https:\/\/www.youtube.com\/embed\/wPAYQww_pLY?feature=oembed&amp;start&amp;end&amp;wmode=opaque&amp;autoplay=0&amp;loop=0&amp;controls=1&amp;mute=0&amp;rel=0&amp;modestbranding=0\"><\/iframe>\n<div class=\"jet-video__overlay jet-video__overlay--custom-bg\" style=\"background-image: url(https:\/\/i.ytimg.com\/vi_webp\/wPAYQww_pLY\/maxresdefault.webp);\">\n<div class=\"jet-video__play-button\" role=\"button\" tabindex=\"0\" aria-label=\"Video play button\"><span class=\"jet-elements-icon jet-video__play-button-icon\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-play\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M424.4 214.7L72.4 6.6C43.8-10.3 0 6.1 0 47.9V464c0 37.5 40.7 60.1 72.4 41.3l352-208c31.4-18.5 31.5-64.1 0-82.6z\"><\/path><\/svg><\/span>\t<span class=\"elementor-screen-only\">Play Video<\/span>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-fec41f1 e-con-full e-flex e-con e-child\" data-id=\"fec41f1\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ee432d elementor-widget elementor-widget-heading\" data-id=\"1ee432d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fissura de palato\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79cbb1a elementor-widget elementor-widget-image\" data-id=\"79cbb1a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"621\" height=\"268\" src=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/cirugia.jpg\" class=\"attachment-large size-large wp-image-3889\" alt=\"Esquema da cirurgia de palato mostrando a musculatura do v\u00e9u palatino anteriorizada, o local das incis\u00f5es de relaxamento lateral e a musculatura reposicionada ap\u00f3s o fechamento da fissura\" srcset=\"https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/cirugia.jpg 621w, https:\/\/clariceabreu.com.br\/wp-content\/uploads\/2025\/07\/cirugia-300x129.jpg 300w\" sizes=\"(max-width: 621px) 100vw, 621px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-3deb1bb e-con-full e-flex e-con e-child\" data-id=\"3deb1bb\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-0c4904f e-con-full e-flex e-con e-child\" data-id=\"0c4904f\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6fcaef5 elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"6fcaef5\" data-element_type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-6fcaef5\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"6fcaef5\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"cirurgia-do-palato\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1171\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Cirurgia do palato<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1171\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"cirurgia-do-palato\"><p>As fissuras do palato (\u201cc\u00e9u da boca\u201d) podem ser unilaterais ou bilaterais, acometendo o palato completamente, o que inclui a reborda alveolar (gengiva), ou de forma incompleta, apenas em sua parte posterior. Geralmente, quando o beb\u00ea tem uma fissura de l\u00e1bio, a fissura de palato tende a ser completa, mas uma combina\u00e7\u00e3o vari\u00e1vel de extens\u00e3o de acometimento pode estar presente e n\u00e3o h\u00e1 regras.<\/p><p>As fissuras isoladas de palato est\u00e3o mais comumente associadas a outras malforma\u00e7\u00f5es sist\u00eamicas ou ainda podem fazer parte de outros quadros ou s\u00edndromes, como acontece na Sequ\u00eancia de Pierre Robin e na S\u00edndrome Velocardiofacial. Em alguns casos, a \u00favula se encontra b\u00edfida, os ossos palatinos e a musculatura se encontram fissurados, mas a mucosa palatina se encontra \u00edntegra. Essa \u00e9 a chamada Fissura Submucosa.<\/p><p>Como o palato est\u00e1 aparentemente normal (com a mucosa totalmente fechada), algumas vezes o seu diagn\u00f3stico pode ser mais tardio, sendo feito apenas quando a crian\u00e7a come\u00e7a a falar e apresenta dist\u00farbios caracter\u00edsticos da fala.<\/p><p>O tratamento do palato fissurado se inicia no pr\u00e9-operat\u00f3rio, com o que chamamos \u201cortopedia dos maxilares\u201d ou \u201cortopedia pr\u00e9-cir\u00fargica\u201d.<\/p><p>Trata-se da manipula\u00e7\u00e3o do palato com o uso de placas moldadas e confeccionadas pelo Ortodontista. Essas placas s\u00e3o constantemente remodeladas \u00e0 medida que o beb\u00ea cresce e atuam mobilizando passivamente os ossos palatinos para uma posi\u00e7\u00e3o mais favor\u00e1vel. Embora a ortopedia pr\u00e9-cir\u00fargica seja controversa, com alguns grupos n\u00e3o recomendando o seu uso, acredito que a mobiliza\u00e7\u00e3o pr\u00e9-operat\u00f3ria promove um alinhamento das l\u00e2minas palatinas que favorece a cirurgia. Al\u00e9m disso, a placa permite uma oclus\u00e3o da cavidade oral, o que facilita a suc\u00e7\u00e3o e alimenta\u00e7\u00e3o do beb\u00ea.<\/p><p>A idade ideal para o fechamento do palato varia muito entre os diversos centros especializados ao redor do mundo. Como o palato se divide em palato duro (onde se encontram os ossos palatinos, anteriormente) e palato mole (onde se encontra a musculatura, posteriormente), v\u00e1rias quest\u00f5es surgem relacionadas n\u00e3o apenas ao fechamento de ambos em tempo \u00fanico ou separadamente, mas tamb\u00e9m qual deve ser fechado primeiro. Alguns centros, por exemplo, defendem o fechamento precoce do palato mole junto com o reparo do l\u00e1bio (em torno dos tr\u00eas meses), para ent\u00e3o realizar o fechamento do palato duro entre os 9 e os 18 meses (segundo o protocolo de G\u00f6teborg). Outros Servi\u00e7os fecham o palato mole entre 9 e 12 meses (separadamente do l\u00e1bio) e fecham o palato duro apenas na \u00e9poca da enxertia \u00f3ssea alveolar, por volta dos 8 anos de idade (protocolo de Rotterdam).<\/p><p>Nos Estados Unidos, a tend\u00eancia \u00e9 o fechamento do palato em um tempo \u00fanico. H\u00e1 ainda a tend\u00eancia, seguindo os protocolos de Oslo e de Londres (segundo Sommerlad), de se realizar o fechamento do palato duro junto ao reparo do l\u00e1bio precocemente e o fechamento do palato mole aos 9 meses de idade. Na minha opini\u00e3o, o fechamento do palato em dois tempos parece ser o ideal, pois a aproxima\u00e7\u00e3o das l\u00e2minas palatinas parcialmente leva \u00e0 diminui\u00e7\u00e3o do tamanho da fenda remanescente, o que facilita a cirurgia no segundo tempo. Minha prefer\u00eancia pessoal \u00e9 para o fechamento do palato duro precocemente, como aprendido com Sommerlad. Dessa forma, a fissura do palato mole tende a estar menor quando da data da segunda cirurgia, o que torna sua abordagem mais f\u00e1cil. Considerando que o palato mole \u00edntegro e com a musculatura corretamente reconstru\u00edda \u00e9 fundamental para o bom desenvolvimento da fala, tornar essa cirurgia mais f\u00e1cil e dedicar o tempo operat\u00f3rio exclusivamente para essa regi\u00e3o parece ser bem razo\u00e1vel.<\/p><p>Em rela\u00e7\u00e3o \u00e0 cirurgia propriamente dita, existem diversas t\u00e9cnicas operat\u00f3rias descritas para o fechamento do palato. Entre os objetivos que devem ser perseguidos em uma cirurgia para corre\u00e7\u00e3o de fissura de palato, pode-se destacar: a reconstru\u00e7\u00e3o da cinta muscular do v\u00e9u palatino, com reposi\u00e7\u00e3o posterior da musculatura de modo a permitir um bom desenvolvimento da fala, fechamento da fissura do palato propriamente dita, com reconstru\u00e7\u00e3o do assoalho nasal e da mucosa oral, procurando evitar o desenvolvimento de f\u00edstulas oro-nasais (orif\u00edcios de comunica\u00e7\u00e3o entre a boca e o nariz) e provocar o menor trauma cir\u00fargico poss\u00edvel de modo a permitir o crescimento da maxila.<\/p><p>\u00c9 importante que toda crian\u00e7a submetida ao reparo cir\u00fargico da fissura palatina seja acompanhada por um especialista em Fonoaudiologia, preferencialmente acostumado a avaliar pacientes com fissura de l\u00e1bio e palato. Em alguns casos, a crian\u00e7a mant\u00e9m altera\u00e7\u00f5es caracter\u00edsticas da fala mesmo com a cirurgia adequada realizada em momento ideal. Cerca de uma em cada cinco crian\u00e7as podem necessitar de uma segunda cirurgia para melhorar a fala. Tamb\u00e9m nesse caso existem diversas cirurgias que podem ser realizadas, entre elas uma re-palatoplastia, tentando reposicionar mais posteriormente os retalhos palatinos, ou ainda uma esfincteroplastia, na qual m\u00fasculos s\u00e3o cortados da regi\u00e3o lateral da faringe e aproximados em sua regi\u00e3o posterior. Em uma terceira op\u00e7\u00e3o pode ser realizado um retalho far\u00edngeo posterior, em que um retalho \u00e9 cortado da regi\u00e3o posterior da faringe e suturado na regi\u00e3o posterior do palato. Cada t\u00e9cnica apresenta suas vantagens e desvantagens e deve ser selecionada conforme o caso individualizado e segundo a experi\u00eancia do cirurgi\u00e3o.<\/p><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"desenvolvimento-da-fala\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1172\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Desenvolvimento da fala<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1172\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"desenvolvimento-da-fala\"><p>O desenvolvimento da fala \u00e9 um processo extremamente complexo. Estima-se que cerca de 5 a 10% de todas as crian\u00e7as apresentem algum dist\u00farbio no desenvolvimento da linguagem. Na crian\u00e7a com fissura de palato, a presen\u00e7a da fenda comunicando a cavidade oral com a nasal e a musculatura da regi\u00e3o velofar\u00edngea mal posicionada criam um defeito anat\u00f4mico que prejudica a correta emiss\u00e3o vocal e a articula\u00e7\u00e3o de alguns fonemas. Ocorre uma hipernasalidade (\u201cvoz fanha\u201d) e a crian\u00e7a pode n\u00e3o ser compreendida em sua fala.<\/p><p>A partir dos 6 a 8 meses, a crian\u00e7a come\u00e7a a emitir seus primeiros poliss\u00edlabos e balbucios e entre os 12 e 18 meses surgem as primeiras palavras verdadeiras. Da\u00ed decorre a vantagem de se realizar a cirurgia para corre\u00e7\u00e3o da fenda palatina em torno dos 12 meses, de modo que a crian\u00e7a possa desenvolver sua linguagem com a anatomia j\u00e1 restabelecida.<\/p><p>No entanto, mesmo com a corre\u00e7\u00e3o cir\u00fargica adequada e em idade ideal, um percentual vari\u00e1vel de crian\u00e7as vai desenvolver algum grau de insufici\u00eancia velofar\u00edgea, com dist\u00farbios de linguagem. Nesses casos, uma nova interven\u00e7\u00e3o cir\u00fargica pode ser necess\u00e1ria. Uma avalia\u00e7\u00e3o espec\u00edfica e acompanhamento por Fonoaudi\u00f3loga \u00e9, portanto, fundamental para todos os pacientes com fissuras de palato.<\/p><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"rinoplastia-em-fissurado\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"3\" aria-controls=\"elementor-tab-content-1173\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Rinoplastia em fissurado<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1173\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" aria-labelledby=\"rinoplastia-em-fissurado\"><p>Assim como no reparo do l\u00e1bio e do palato, a rinoplastia em pacientes fissurados apresenta controv\u00e9rsias envolvendo a idade ideal para o procedimento, bem como as t\u00e9cnicas cir\u00fargicas empregadas. Quando a fissura de l\u00e1bio \u00e9 unilateral, o septo nasal se encontra desviado e ocorre assimetria de narinas, com o achatamento da narina no lado fissurado. J\u00e1 na fissura bilateral de l\u00e1bio, o nariz se encontra achatado bilateralmente, sem proje\u00e7\u00e3o de sua ponta na vis\u00e3o de perfil. A maioria das crian\u00e7as com o l\u00e1bio acometido, mesmo com o palato normal, vai necessitar de uma ou mais cirurgias para normalizar a apar\u00eancia do nariz. A primeira cirurgia no nariz \u00e9 geralmente feita no mesmo tempo que a cirurgia do l\u00e1bio. Outras cirurgias podem ser necess\u00e1rias, sendo feitas em geral na fase pr\u00e9-escolar ou apenas na adolesc\u00eancia, de acordo com o defeito residual e com o desejo do paciente.<\/p><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"cirurgia-ortogntica-em-fissurado\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"4\" aria-controls=\"elementor-tab-content-1174\"><span class=\"eael-advanced-accordion-icon-closed\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-advanced-accordion-icon-opened\"><svg aria-hidden=\"true\" class=\"fa-accordion-icon e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">Cirurgia ortogn\u00e1tica em fissurado<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1174\" class=\"eael-accordion-content clearfix\" data-tab=\"4\" aria-labelledby=\"cirurgia-ortogntica-em-fissurado\"><p>Mesmo com um tratamento adequado para o l\u00e1bio e o palato, alguns pacientes fissurados v\u00e3o evoluir com altera\u00e7\u00f5es dento-esquel\u00e9ticas (da mordida e dos maxilares) que v\u00e3o necessitar de corre\u00e7\u00e3o cir\u00fargica. O tratamento ortod\u00f4ntico \u00e9 associado ent\u00e3o ao tratamento cir\u00fargico, conhecido como cirurgia ortogn\u00e1tica. A principal altera\u00e7\u00e3o facial esquel\u00e9tica no paciente fissurado \u00e9 a defici\u00eancia \u00e2ntero-posterior de maxila, que pode ser corrigida com um avan\u00e7o de maxila, tamb\u00e9m conhecido como cirurgia Le Fort I. A cirurgia deve ser idealmente realizada ap\u00f3s o t\u00e9rmino do crescimento do esqueleto facial para diminuir a chance de recidivas, o que ocorre somente entre os 16-17 anos para as meninas e os 18-19 anos para os meninos.<\/p><\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-83e0a20 e-con-full e-flex e-con e-child\" data-id=\"83e0a20\" data-element_type=\"container\" id=\"fissuradepalatosubmucosa\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-aca3446 e-con-full e-flex e-con e-child\" data-id=\"aca3446\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-1cb0306 e-con-full e-flex e-con e-child\" data-id=\"1cb0306\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2326512 elementor-widget elementor-widget-jet-video\" data-id=\"2326512\" data-element_type=\"widget\" data-widget_type=\"jet-video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-video jet-elements\">\n<div class=\"jet-video jet-video--fa5-compat jet-video-aspect-ratio jet-video-aspect-ratio--16-9\" data-settings=\"{&quot;lightbox&quot;:false,&quot;autoplay&quot;:false}\"><iframe class=\"jet-video-iframe\" allowfullscreen allow=\"autoplay;encrypted-media\" title=\"youtube Video Player\" data-lazy-load=\"https:\/\/www.youtube.com\/embed\/J9lV1pOYBM4?feature=oembed&amp;start&amp;end&amp;wmode=opaque&amp;autoplay=0&amp;loop=0&amp;controls=1&amp;mute=0&amp;rel=0&amp;modestbranding=0\"><\/iframe>\n<div class=\"jet-video__overlay jet-video__overlay--custom-bg\" style=\"background-image: url(https:\/\/i.ytimg.com\/vi_webp\/J9lV1pOYBM4\/maxresdefault.webp);\">\n<div class=\"jet-video__play-button\" role=\"button\" tabindex=\"0\" aria-label=\"Video play button\"><span class=\"jet-elements-icon jet-video__play-button-icon\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-play\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M424.4 214.7L72.4 6.6C43.8-10.3 0 6.1 0 47.9V464c0 37.5 40.7 60.1 72.4 41.3l352-208c31.4-18.5 31.5-64.1 0-82.6z\"><\/path><\/svg><\/span>\t<span class=\"elementor-screen-only\">Play Video<\/span>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-718a289 e-con-full e-flex e-con e-child\" data-id=\"718a289\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39e642d elementor-widget elementor-widget-heading\" data-id=\"39e642d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fissura de palato submucosa\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41b16b9 elementor-widget elementor-widget-text-editor\" data-id=\"41b16b9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A Fissura de Palato Submucosa (FPSM) \u00e9 uma malforma\u00e7\u00e3o cong\u00eanita que pode ocorrer sozinha ou junto com a fissura labial e, em alguns casos, estar associada a s\u00edndromes espec\u00edficas.<\/p><p>\u00a0<\/p><p>A FPSM \u00e9 relativamente rara, com uma preval\u00eancia que varia entre 1 em cada 1.200 a 2.500 nascimentos, e ocorre em diferentes partes do mundo sem distin\u00e7\u00e3o \u00e9tnica ou geogr\u00e1fica. Curiosamente, quando associada \u00e0 fissura labial, a preval\u00eancia de FPSM pode aumentar significativamente.<\/p><p>\u00a0<\/p><p>O diagn\u00f3stico desta condi\u00e7\u00e3o \u00e9 feito por meio de um exame detalhado da boca do beb\u00ea, procurando por sinais como a \u00favula b\u00edfida (a famosa \u201ccampainha\u201d dividida ao meio), separa\u00e7\u00e3o dos m\u00fasculos do palato (o \u201cteto\u201d da boca) ou irregularidades \u00f3sseas no palato duro. \u00c9 crucial identificar esses sinais precocemente para evitar complica\u00e7\u00f5es futuras, como problemas na fala ou na alimenta\u00e7\u00e3o, que podem surgir se a condi\u00e7\u00e3o n\u00e3o for tratada a tempo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-24d1847 e-con-full e-flex e-con e-child\" data-id=\"24d1847\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-acd42f1 e-con-full e-flex e-con e-child\" data-id=\"acd42f1\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4881756 elementor-widget elementor-widget-text-editor\" data-id=\"4881756\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Embora muitos beb\u00eas com FPSM n\u00e3o apresentem sintomas imediatos, o acompanhamento \u00e9 essencial. Isso porque, em alguns casos, problemas podem surgir mais tarde, especialmente ap\u00f3s procedimentos como a remo\u00e7\u00e3o das adenoides (adenoidectomia) ou amigdalas (amidalectomia), que pode inadvertidamente levar a dificuldades na fala devido \u00e0 disfun\u00e7\u00e3o velofar\u00edngea (DVF) \u2013 uma condi\u00e7\u00e3o que afeta a capacidade de fechar completamente a passagem entre a boca e o nariz durante a fala.<\/p><p>Para beb\u00eas e crian\u00e7as diagnosticadas com FPSM, o tratamento pode variar. Alguns casos podem exigir interven\u00e7\u00e3o cir\u00fargica para corrigir a anatomia do palato, enquanto outros podem ser gerenciados com terapia da fala ou o uso de pr\u00f3teses palatinas para ajudar na fala e na alimenta\u00e7\u00e3o. A chave \u00e9 a detec\u00e7\u00e3o e interven\u00e7\u00e3o precoces para garantir o melhor resultado poss\u00edvel.<\/p><p>\u00c9 tamb\u00e9m importante para n\u00f3s, profissionais de sa\u00fade, estar atentos \u00e0 possibilidade de FPSM em crian\u00e7as com fissura labial, uma vez que a associa\u00e7\u00e3o entre as duas condi\u00e7\u00f5es pode n\u00e3o ser imediatamente \u00f3bvia, mas \u00e9 relativamente comum. A realiza\u00e7\u00e3o de um exame minucioso pode ajudar a identificar a FPSM o mais cedo poss\u00edvel, permitindo um plano de tratamento adequado e evitando complica\u00e7\u00f5es futuras.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-7ccbb11 e-con-full e-flex e-con e-child\" data-id=\"7ccbb11\" data-element_type=\"container\" id=\"enxertiaossea\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-c2deaf8 e-con-full e-flex e-con e-child\" data-id=\"c2deaf8\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-0b31cd6 e-con-full e-flex e-con e-child\" data-id=\"0b31cd6\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-72f6cb7 elementor-widget elementor-widget-jet-video\" data-id=\"72f6cb7\" data-element_type=\"widget\" data-widget_type=\"jet-video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-video jet-elements\">\n<div class=\"jet-video jet-video--fa5-compat jet-video-aspect-ratio jet-video-aspect-ratio--16-9\" data-settings=\"{&quot;lightbox&quot;:false,&quot;autoplay&quot;:false}\"><iframe class=\"jet-video-iframe\" allowfullscreen allow=\"autoplay;encrypted-media\" title=\"youtube Video Player\" data-lazy-load=\"https:\/\/www.youtube.com\/embed\/yfWkCU1YP4k?feature=oembed&amp;start&amp;end&amp;wmode=opaque&amp;autoplay=0&amp;loop=0&amp;controls=1&amp;mute=0&amp;rel=0&amp;modestbranding=0\"><\/iframe>\n<div class=\"jet-video__overlay jet-video__overlay--custom-bg\" style=\"background-image: url(https:\/\/i.ytimg.com\/vi_webp\/yfWkCU1YP4k\/hqdefault.webp);\">\n<div class=\"jet-video__play-button\" role=\"button\" tabindex=\"0\" aria-label=\"Video play button\"><span class=\"jet-elements-icon jet-video__play-button-icon\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-play\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M424.4 214.7L72.4 6.6C43.8-10.3 0 6.1 0 47.9V464c0 37.5 40.7 60.1 72.4 41.3l352-208c31.4-18.5 31.5-64.1 0-82.6z\"><\/path><\/svg><\/span>\t<span class=\"elementor-screen-only\">Play Video<\/span>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-03439af e-con-full e-flex e-con e-child\" data-id=\"03439af\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e04be12 elementor-widget elementor-widget-heading\" data-id=\"e04be12\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Enxertia \u00f3ssea alveolar<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae4dc49 elementor-widget elementor-widget-text-editor\" data-id=\"ae4dc49\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quando o paciente apresenta uma fissura labiopalatina, a reborda alveolar (regi\u00e3o da gengiva) tamb\u00e9m se apresenta fissurada. A corre\u00e7\u00e3o da fissura alveolar \u00e9 importante para restabelecer a integridade do arco dent\u00e1rio, estabilizando os segmentos da maxila e permitindo um adequado tratamento ortod\u00f4ntico. A cirurgia para tratamento da fenda alveolar consiste na coloca\u00e7\u00e3o de enxerto \u00f3sseo retirado da crista il\u00edaca (pequenos fragmentos de osso colhidos da regi\u00e3o interna da bacia) e deve ser realizada por volta dos 8 anos de idade, no momento de denti\u00e7\u00e3o mista, antes da erup\u00e7\u00e3o do dente canino permanente. O fechamento da fenda alveolar em tempo apropriado permite a migra\u00e7\u00e3o dos dentes definitivos atrav\u00e9s da fenda, contribuindo para a forma\u00e7\u00e3o de uma arcada dent\u00e1ria est\u00e1vel e adequada.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-cbb8ead e-con-full e-flex e-con e-parent\" data-id=\"cbb8ead\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-6ba72ed e-flex e-con-boxed e-con e-child\" data-id=\"6ba72ed\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-e66d188 e-con-full e-flex e-con e-child\" data-id=\"e66d188\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-530e0bb elementor-widget elementor-widget-jet-headline\" data-id=\"530e0bb\" data-element_type=\"widget\" data-widget_type=\"jet-headline.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"jet-headline jet-headline--direction-horizontal\"><span class=\"jet-headline__part jet-headline__first\"><span class=\"jet-headline__label\">V\u00eddeos<\/span><\/span><span class=\"jet-headline__space\">&nbsp;<\/span><span class=\"jet-headline__part jet-headline__second\"><span class=\"jet-headline__label\">sobre o Tema<\/span><\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f71433a elementor-widget elementor-widget-jet-blog-video-playlist\" data-id=\"f71433a\" data-element_type=\"widget\" data-widget_type=\"jet-blog-video-playlist.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-blog-video-playlist jet-blog\"><div class=\"jet-blog-playlist jet-tumbs-horizontal jet-tumbs-v-pos- jet-tumbs-h-pos-bottom jet-scroll-regular\"  data-hide-index='&quot;&quot;' data-hide-duration='&quot;&quot;' data-hide-image='&quot;&quot;'>\n\t<div class=\"jet-blog-playlist__canvas\"><div class=\"jet-blog-playlist__canvas-overlay\"><\/div><\/div>\n\t<div class=\"jet-blog-playlist__items\">\n\t\t<div class=\"jet-blog-playlist__heading\">\n\t<span class=\"jet-blog-playlist__heading-icon jet-blog-icon\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-play\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M424.4 214.7L72.4 6.6C43.8-10.3 0 6.1 0 47.9V464c0 37.5 40.7 60.1 72.4 41.3l352-208c31.4-18.5 31.5-64.1 0-82.6z\"><\/path><\/svg><\/span>\t<div class=\"jet-blog-playlist__heading-content\">\n\t\t<div class=\"jet-blog-playlist__heading-title\">Sobre Fissura de Labio e   Fenda Palatina<\/div>\t\t<div class=\"jet-blog-playlist__counter\"><span class=\"jet-blog-playlist__counter-val\">1<\/span>\/4 <span class=\"jet-blog-playlist__counter-suffix\">videos<\/span><\/div>\t<\/div>\n<\/div>\n\t\t<div class=\"jet-blog-playlist__items-list\">\n\t\t\t<div class=\"jet-blog-playlist__items-list-content\"><div class=\"jet-blog-playlist__item jet-blog-active\"  data-id='e9bc4a6' data-video_id='wPAYQww_pLY' data-provider='youtube' data-html='&quot;&lt;iframe width=\\&quot;100%\\&quot; height=\\&quot;450\\&quot; src=\\&quot;https:\\\/\\\/www.youtube.com\\\/embed\\\/wPAYQww_pLY?feature=oembed&amp;enablejsapi=1\\&quot; frameborder=\\&quot;0\\&quot; allow=\\&quot;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\\&quot; referrerpolicy=\\&quot;strict-origin-when-cross-origin\\&quot; allowfullscreen title=\\&quot;Dra. Clarice Responde: Fenda de l\\u00e1bio e palato | D\\u00favidas mais frequentes!\\&quot;&gt;&lt;\\\/iframe&gt;&quot;' data-height='450' data-video_index='1' data-video_start='0'><div class=\"jet-blog-playlist__item-index\">\n\t<div class=\"jet-blog-playlist__item-index-num\">1<\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-playing\"><i class=\"fas fa-play\" aria-hidden=\"true\"><\/i><\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-paused\"><i class=\"fas fa-pause\" aria-hidden=\"true\"><\/i><\/div>\n<\/div>\n<div class=\"jet-blog-playlist__item-thumb\">\n\t<img decoding=\"async\" src=\"https:\/\/i.ytimg.com\/vi\/wPAYQww_pLY\/hqdefault.jpg\" alt=\"Fissura de l\u00e1bio\" title=\"Fissura de l\u00e1bio\" class=\"jet-blog-playlist__item-thumb-img\">\n<\/div><div class=\"jet-blog-playlist__item-content\"><div class=\"jet-blog-playlist__item-title\">Fissura de l\u00e1bio<\/div><div class=\"jet-blog-playlist__item-duration\">13:26<\/div><\/div><\/div><div class=\"jet-blog-playlist__item\"  data-id='3f3e23b' data-video_id='wPAYQww_pLY' data-provider='youtube' data-html='&quot;&lt;iframe width=\\&quot;100%\\&quot; height=\\&quot;450\\&quot; src=\\&quot;https:\\\/\\\/www.youtube.com\\\/embed\\\/wPAYQww_pLY?feature=oembed&amp;enablejsapi=1\\&quot; frameborder=\\&quot;0\\&quot; allow=\\&quot;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\\&quot; referrerpolicy=\\&quot;strict-origin-when-cross-origin\\&quot; allowfullscreen title=\\&quot;Dra. Clarice Responde: Fenda de l\\u00e1bio e palato | D\\u00favidas mais frequentes!\\&quot;&gt;&lt;\\\/iframe&gt;&quot;' data-height='450' data-video_index='2' data-video_start='0'><div class=\"jet-blog-playlist__item-index\">\n\t<div class=\"jet-blog-playlist__item-index-num\">2<\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-playing\"><i class=\"fas fa-play\" aria-hidden=\"true\"><\/i><\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-paused\"><i class=\"fas fa-pause\" aria-hidden=\"true\"><\/i><\/div>\n<\/div>\n<div class=\"jet-blog-playlist__item-thumb\">\n\t<img decoding=\"async\" src=\"https:\/\/i.ytimg.com\/vi\/wPAYQww_pLY\/hqdefault.jpg\" alt=\"Fissura de palato\" title=\"Fissura de palato\" class=\"jet-blog-playlist__item-thumb-img\">\n<\/div><div class=\"jet-blog-playlist__item-content\"><div class=\"jet-blog-playlist__item-title\">Fissura de palato<\/div><div class=\"jet-blog-playlist__item-duration\">13:26<\/div><\/div><\/div><div class=\"jet-blog-playlist__item\"  data-id='99c6742' data-video_id='J9lV1pOYBM4' data-provider='youtube' data-html='&quot;&lt;iframe width=\\&quot;100%\\&quot; height=\\&quot;450\\&quot; src=\\&quot;https:\\\/\\\/www.youtube.com\\\/embed\\\/J9lV1pOYBM4?feature=oembed&amp;enablejsapi=1\\&quot; frameborder=\\&quot;0\\&quot; allow=\\&quot;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\\&quot; referrerpolicy=\\&quot;strict-origin-when-cross-origin\\&quot; allowfullscreen title=\\&quot;Dra. Clarice Abreu - Fissura Submucosa \\\/ Oculta\\&quot;&gt;&lt;\\\/iframe&gt;&quot;' data-height='450' data-video_index='3' data-video_start='0'><div class=\"jet-blog-playlist__item-index\">\n\t<div class=\"jet-blog-playlist__item-index-num\">3<\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-playing\"><i class=\"fas fa-play\" aria-hidden=\"true\"><\/i><\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-paused\"><i class=\"fas fa-pause\" aria-hidden=\"true\"><\/i><\/div>\n<\/div>\n<div class=\"jet-blog-playlist__item-thumb\">\n\t<img decoding=\"async\" src=\"https:\/\/i.ytimg.com\/vi\/J9lV1pOYBM4\/hqdefault.jpg\" alt=\"Fissura de palato submucosa\" title=\"Fissura de palato submucosa\" class=\"jet-blog-playlist__item-thumb-img\">\n<\/div><div class=\"jet-blog-playlist__item-content\"><div class=\"jet-blog-playlist__item-title\">Fissura de palato submucosa<\/div><div class=\"jet-blog-playlist__item-duration\">03:44<\/div><\/div><\/div><div class=\"jet-blog-playlist__item\"  data-id='e9735c9' data-video_id='yfWkCU1YP4k' data-provider='youtube' data-html='&quot;&lt;iframe width=\\&quot;100%\\&quot; height=\\&quot;450\\&quot; src=\\&quot;https:\\\/\\\/www.youtube.com\\\/embed\\\/yfWkCU1YP4k?feature=oembed&amp;enablejsapi=1\\&quot; frameborder=\\&quot;0\\&quot; allow=\\&quot;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\\&quot; referrerpolicy=\\&quot;strict-origin-when-cross-origin\\&quot; allowfullscreen title=\\&quot;Dra Clarice Abreu - Enxerto Alveolar | Pacientes Fissurados\\&quot;&gt;&lt;\\\/iframe&gt;&quot;' data-height='450' data-video_index='4' data-video_start='0'><div class=\"jet-blog-playlist__item-index\">\n\t<div class=\"jet-blog-playlist__item-index-num\">4<\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-playing\"><i class=\"fas fa-play\" aria-hidden=\"true\"><\/i><\/div>\n\t<div class=\"jet-blog-playlist__item-status jet-status-paused\"><i class=\"fas fa-pause\" aria-hidden=\"true\"><\/i><\/div>\n<\/div>\n<div class=\"jet-blog-playlist__item-thumb\">\n\t<img decoding=\"async\" src=\"https:\/\/i.ytimg.com\/vi\/yfWkCU1YP4k\/hqdefault.jpg\" alt=\"Enxertia \u00f3ssea alveolar\" title=\"Enxertia \u00f3ssea alveolar\" class=\"jet-blog-playlist__item-thumb-img\">\n<\/div><div class=\"jet-blog-playlist__item-content\"><div class=\"jet-blog-playlist__item-title\">Enxertia \u00f3ssea alveolar<\/div><div class=\"jet-blog-playlist__item-duration\">11:53<\/div><\/div><\/div><\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fbe4047 elementor-widget elementor-widget-spacer\" data-id=\"fbe4047\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fissura de Labio e &nbsp;Fenda Palatina Investigando a Fissura de Labio e Fenda Palatina Fissura de l\u00e1bio Fissura de palato Fissura de palato submucosa Enxertia \u00f3ssea O que &nbsp;s\u00e3o? As fissuras de l\u00e1bio e palato, conhecidas tamb\u00e9m como l\u00e1bio leporino (termo em desuso) e fenda palatina (ou \u201cc\u00e9u da boca aberto\u201d), correspondem a malforma\u00e7\u00e3o cong\u00eanita [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"class_list":["post-3809","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/pages\/3809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/comments?post=3809"}],"version-history":[{"count":0,"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/pages\/3809\/revisions"}],"wp:attachment":[{"href":"https:\/\/clariceabreu.com.br\/pt_br\/wp-json\/wp\/v2\/media?parent=3809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}