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What else to look for in a child born with a cleft of the lip and/or palate.

The majority of cases of cleft lip and/or palate fall into the category of multifactorial inheritance. Diagnosis is simple and guidelines giving estimates of the risk of recurrence for various situations are available. A few patients with cleft of the lip and/or palate have other structural abnormalities. Accurate diagnosis to outline treatment, predict prognosis and give genetic counseling in this latter group may be a problem for the clinician. A guideline to help make a diagnosis is presented in a set of 10 tables.