scholarly journals A Cross-Sectional Study: Are Myths on Cleft Lip and Palate Still Prevalent?

Cureus ◽  
2021 ◽  
Author(s):  
Sravya Turlapati ◽  
Sai Krishna ◽  
Korutla U Deepak ◽  
Baggialaxmi Kanagaraja ◽  
Kanaparthi A Gayathri ◽  
...  
2013 ◽  
Vol 4 (3) ◽  
pp. 86-91
Author(s):  
Chai Siew Cheng ◽  
SKL Jimeno ◽  
R Sasidaran ◽  
A Sergius

Objective: To identify number of cases and the type of cleft lip and/or palate managed in government tertiary center (Queen Elizabeth Hospital) in Kota Kinabalu; and to analyze the associative factors of cleft lip and/or palate. Methods: A retrospective cross-sectional study carried out in Hospital Queen Elizabeth, Kota Kinabalu, Sabah from January 2011 to December 2012. Data from 162 new cases, which were referred for cleft lip and/or palate, were included in the study. Result: Cleft lip and palate was the most common type. While cleft lip with or without palate had higher preponderance towards male patients, secondary palate however was more common among female patients. These results were statistically significant. Conclusion: Further and larger scale study need to be carried out to identify the incidence of cleft lip and/or palate in Sabah, and its associated genetic and environmental risk factors. Early identification and intervention for cleft lip and palate need to be emphasized. DOI: http://dx.doi.org/10.3126/ajms.v4i3.8170   Asian Journal of Medical Sciences 4(2013) 86-91


2019 ◽  
Vol 57 (1) ◽  
pp. 5-13
Author(s):  
Arthur S. Yang ◽  
Bruce M. Richard ◽  
Andrew K. Wills ◽  
Osama Mahmoud ◽  
Jonathan R. Sandy ◽  
...  

Objectives: To (1) determine the prevalence of nonperialveolar palatal fistula up to age 5 following repair of unilateral cleft lip and palate (UCLP) in the United Kingdom, (2) examine the association of palatoplasty techniques with fistula occurrence, and (3) describe the frequency of fistula repairs and their success. Design: Cross-sectional study. Setting: All 11 centralized regional cleft centers in the United Kingdom. Participants: Two hundred sixty-eight children born between 2005 and 2007 recruited by Cleft Care UK, a nationwide cross-sectional study of all 5-year-old children born with nonsyndromic UCLP. Main Outcome Measure: Nonperialveolar palatal fistula prevalence up to age 5. Results: Fistulas were found in 72 children (31.3%, 95% confidence interval: 25.4%-37.7%) and had no significant association with palate repair sequences. Twenty-four fistulas were repaired by age 5, 12 of which had data showing 10 (83.3%) successful repairs. Conclusion: The prevalence of nonperialveolar fistulas following primary palatoplasty of UCLP in the United Kingdom was higher than previously reported. This information should be part of the preoperative discussion with families. Prospective collection of the presence of fistulas will be necessary before we can associate the occurrence of fistulas with a surgeon, institution, surgical technique, or protocol of care.


2004 ◽  
Vol 28 (3) ◽  
pp. 225-232 ◽  
Author(s):  
Ashok Kumar Jena ◽  
Ritu Duggal ◽  
Ajoy Roychoudhury ◽  
Hari Parkash

This cross-sectional study was conducted on 40 subjects to investigate the effects of timings and number of palate surgeries on maxillary growth in complete unilateral cleft lip and palate patients.The number of surgeries performed for palate repair was not an important growth inhibiting factor of maxilla, rather the age at which the initial palate surgery was performed for palate repair was an important factor in influencing maxillary growth.


2007 ◽  
Vol 6 (2) ◽  
pp. 105
Author(s):  
Edy Machmud

This study was an observational, cross sectional study with purpose toanalyze the effect of hotz plate appliance to the development ofmaxillary arch of patients with cleft lip and palate. Twelve sampleswith cleft lip andpalate, age under 2 years were recruitedfrom twodifferent hospitals. Six samples used hotz plate appliance wererecruited from Rumah Sakit Hasan Sadikin, Bandung while the othersix as control didn't use hotz plate appliance were recruited fromRumah Sakit Haji, Makassar. The result showed that minor maxillaryarch was similar in size with major maxillary arch of patient with hotzplate appliance, however, patient without hotz plate appliance,showed longer minor maxillary arch than major maxillary arch. It canbe concluded from this study that hotz plate appliance had an effecton the palatal development of patient with complete unilateral cleft lipand palate and also prevented the collapse of minor maxillary arch toeither anterolateral or anteromedial.


2014 ◽  
Vol 48 (6) ◽  
pp. 993-998 ◽  
Author(s):  
Armando dos Santos Trettene ◽  
Ana Paula Ribeiro Razera ◽  
Thaís de Oliveira Maximiano ◽  
Aline Godoi Luiz ◽  
Gisele da Silva Dalben ◽  
...  

Objective To identify the main doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty. Method Cross-sectional study carried out in a reference hospital, between September and November 2012. The sample was composed of 50 individuals divided in two groups, of which 25 caregivers of children submitted to cheiloplasty, and 25 of children submitted to palatoplasty. The doubts were identified by an interview applied during the preoperative nursing consultation and were then categorized by similarity. Descriptive statistics was used for analysis of the outcomes. Results Concerning cheiloplasty, the doubts were related to feeding (36%), hygiene and healing (24% each), pain and infection (8% each). With regard to palatoplasty, the doubts were related to feeding (48%), hygiene (24%), pain (16%), bleeding (8%) and infection (4%). Conclusion The study evidenced the concern of caregivers in relation to feeding and care of the postoperative wound.


2018 ◽  
Vol 25 (03) ◽  
pp. 428-433
Author(s):  
Syed Yousif Ali Shah ◽  
Shahid Ali Mirani ◽  
Safia Khatoon ◽  
Mohammad Ilyas Shaikh ◽  
Muhammad Amin Sahito

Objectives: The present study was carried out in Malaysia to explore satisfactionof non-syndrome cleft lip and plate (CLP) patients and their parents with treatment outcome.Study Design: Descriptive cross sectional study. Setting: This study was carried out in twotertiary care hospitals of Malaysia, namely Universityof Malaya Medical Centre (UMMC) andHospital Kota Bharu/ Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) during August 2007to March 2009. Materials and Methods: Total eighty three CLP patients (age > 10 years) andeighty three parents were included. The Cleft Profile Evaluation Proforma designed by RoyalCollege of surgeons Cleft Lip and Palate Audit Group was used to assess satisfaction with oralcleft related features. It consisted of an eight item list speech, hearing, lip, nose, teeth, bite,breathing and facial profile. Results: The results of present study revealed that majority of thepatients (89.8%) and parents (86.7%) were satisfied with the care and attention provided by theoral cleft team overall. Moreover, It was found that (90.3%) of CLP patients and (83%) parentswere satisfied with the overall treatment results. After treatment, speech was very satisfactoryfor (57.8%) and very unsatisfactory for (8.40%) patients. The hearing after treatment, was verysatisfactory for (62.7%), and very unsatisfactory for (7.2%) patients. Out of total 83 patients,appearance of nose was very satisfactory for (36.1%) patients and for (15.7%) patients it wasvery unsatisfactory. The speech of their child after treatment was very satisfactory for (48.2%) parents, satisfactory for (37.3%) of the parents, unsatisfactory for (7.4%) parents and veryunsatisfactory for (6.0%) parents. The hearing of their child after treatment was very satisfactoryfor (65.1 %) parents, satisfactory for (30.1%) of the parents, unsatisfactory for (2.4%) parentsand very unsatisfactory for (2.4%) parents. It may be concluded that most of patients andparents were satisfied with the treatment provided. There was complete agreement betweenthe patients and parents with regard to their satisfaction about facial appearance.


2018 ◽  
Vol 56 (2) ◽  
pp. 177-186 ◽  
Author(s):  
Rosaline S. Zhang ◽  
Lawrence O. Lin ◽  
Ian C. Hoppe ◽  
Oksana A. Jackson ◽  
David W. Low ◽  
...  

Objective: To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. Design: Retrospective cross-sectional study. Setting: Cleft Lip and Palate Program, Children’s Hospital of Philadelphia. Patients, Subjects: One thousand twenty-eight surveys obtained from 456 subjects (mean age: 10.10 (4.48) years) with CL/P evaluated between January 2015 and August 2017 with at least 1 completed NOSE survey. Interventions: Nasal Obstruction Symptom Evaluation surveys completed at each annual visit. Main Outcome Measures: Composite NOSE and individual symptom scores. Results: Sixty-seven percent of subjects had nasal obstruction at some point during the study period, with 49% reporting nasal obstruction at latest follow-up. subjects aged 14 years and older reported the most severe symptoms ( P = .002). Subjects with cleft lip and alveolus (CL+A) and unilateral cleft lip and palate (CLP) reported more severe nasal blockage than other phenotypes ( P = .021). subjects with a history of either posterior pharyngeal flap (PPF) or sphincter pharyngoplasty (SP) had significantly higher NOSE scores than subjects with no history of speech surgery ( P = .006). There was no significant difference ( P > .050) in NOSE scores with regard to history of primary tip rhinoplasty, nasal stent use, or nasoalveolar molding. Conclusions: There are more severe nasal obstructive symptoms among subjects older than 14 years of age, with CL+A or unilateral CLP, and with a history of PPF or SP. Future studies utilizing the NOSE are needed to evaluate and address this prevalent morbidity in the CLP population.


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