scholarly journals Incidence of Heart Diseases in Children with Cleft Lip and Cleft Palate

2021 ◽  
pp. 200-204
Author(s):  
. Deepika ◽  
. Manasa ◽  
Framton Retna Bell
Keyword(s):  
Cleft Palate ◽  
Medical Records ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Heart Diseases ◽  
Cardiac Anomaly ◽  
Congenital Heart Diseases ◽  
Craniofacial Malformations ◽  
Medical College

Introduction:  Cleft lip and cleft palate are one of the most common craniofacial malformations that occur in children. Congenital heart diseases are more prevalent among children with cleft lip and cleft palate. Early intervention is necessary to improve the survival and for proper development of children. Materials and Methods: A retrospective study is conducted at Paediatrics Department in Saveetha medical College for a period of one year. In the present study medical records of patients with cleft lip and palate are evaluated and analysed for the incidence of heart diseases. Results: In the present study medical records of patients with cleft lip and palate are evaluated and analysed for the incidence of heart diseases. Out of 163 children with cleft lip and cleft palate, 56 children (71.42% male and 28.57% female) had cleft lip, 30 children (66.66% male and 33.33% female) had cleft palate, 77 children (66.23% male and 33.76% female) had both cleft lip and cleft palate.VSD is reported as the most common cardiac anomaly (42.86%) in children with cleft lip and cleft palate. Conclusion:  There is an increased incidence of congenital heart diseases in children with cleft lip and cleft palate. Echocardiography is an important investigation done for early identification and proper management.

Congenital Heart Diseases Associated With Cleft Lip and Palate and Its Impact on Surgical Treatment Planning of Patients With Cleft Lip and Palate—A Cross-Sectional Study

2020 ◽  
pp. 105566562094308
Author(s):  
Gautam Rao ◽  
Anil Desai ◽  
Niranjan Kumar
Keyword(s):  
Surgical Treatment ◽  
Treatment Planning ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Clinical Records ◽  
Surgical Treatment Planning ◽  
Cleft Surgery

Objectives: The aim of this study is to know the prevalence, type of congenital heart diseases (CHDs), and its association with cleft lip and/or palate and to know the impact of CHDs on surgical treatment planning of cleft lip and palate from a craniofacial hospital specializing in orofacial clefts, head and neck cancer, and trauma management. Design: A total of 1381 patients with nonsyndromic cleft lip and palate were included in the study. This is a hospital-based retro–prospective case record analysis. The data were collected from clinical records of the patients which included clinical, chest radiographic and 2D echocardiographic findings. Total incidence of CHDs and its impact on treatment planning was evaluated using κ statistics and χ2 test. Results: There were 32 (2.32%) cleft lip and palate patients with CHDs. In 2 patients, cleft surgery was delayed by 6 to 9 months to allow the defect to decrease in size. Subacute bacterial endocarditis prophylaxis was administered in 7 patients before cleft surgery. Cardiac surgery was advised prior to cleft surgery in 3 patients. Sixteen patients with CHDs were not taken for cleft surgery considering the potential risk to the patient’s life as they had multiple cardiac anomalies. There were no intraoperative and postoperative complications in these patients. Conclusion: The results emphasize the association between clefting and CHD. The collected data suggest that there should be careful examination of children with cleft lip and palate for signs of heart disease. This could significantly reduce the morbidity/mortality of cleft lip and palate surgery making it more predictable and safer.

scholarly journals Study of Anomalies Associated With Labiopalatine Clefting

2012 ◽  
Vol 01 (01) ◽  
pp. 014-018
Author(s):  
Pradipta Ray Choudhury ◽  
K.L. Talukdar ◽  
J. Sarma ◽  
Prabahita Baruah
Keyword(s):  
Heart Disease ◽  
Cleft Palate ◽  
Pediatric Surgery ◽  
Congenital Malformations ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
External Ear ◽  
Orofacial Cleft ◽  
Genitourinary System ◽  
Medical College

Abstract Background and aims: Cleft lip with or without cleft palate are the most common congenital malformations of the head and neck accounting for about 65% of all anomalies of this region. Approximately 70% of cleft cases are non-syndromic and occur as isolated condition, while remaining 30% cases are associated with systemic defects involving cardiovascular, musculoskeletal, genitourinary system and other structural anomalies. The purpose of this study is to assess the various anomalies associated with labiopalatine clefting. Materials and methods: Sixty four cases of cleft lip with or without cleft palate attending the OPD of Department of Plastic Surgery and Pediatric Surgery, Gauhati Medical College and Hospital, were studied. Among them three cases were found to be associated with other anomalies. Results: One case of cleft lip and palate presented with multiple anomalies like tongue tie, malformed external ear and micrognathia. Another one had acyanotic heart disease associated with cleft lip. A case of cleft lip and palate was also found to be associated with hydrocephalus. Conclusion : Proper knowledge and details of anomalies associated with orofacial cleft will help to provide necessary treatment and improve survival of these children.

scholarly journals Accuracy of claim data in the identification and classification of adults with congenital heart diseases in electronic medical records

2019 ◽  
Vol 112 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Sarah Cohen ◽  
Anne-Sophie Jannot ◽  
Laurence Iserin ◽  
Damien Bonnet ◽  
Anita Burgun ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Claim Data ◽  
Congenital Heart Diseases

scholarly journals RELATIVE FREQUENCY OF CONGENITAL HEART DISEASES IN BABIES WITH CLEFT LIP AND/OR PALATE

2016 ◽  
Vol 5 (23) ◽  
pp. 1258-1260
Author(s):  
Ravikumar P ◽  
Mohammed Manekkat Thekke Peedikayil ◽  
Tradib Arekanadth Jayapal
Keyword(s):  
Relative Frequency ◽  
Congenital Heart ◽  
Cleft Lip ◽  
Heart Diseases ◽  
Congenital Heart Diseases

Archform in Cleft Palate – A Computerized Tomographic Classification

2006 ◽  
Vol 30 (2) ◽  
pp. 131-134
Author(s):  
S. Pandey ◽  
R. Pandey ◽  
S. Bhatnagar ◽  
K. Pradhan ◽  
R. Pradhan ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Prospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pediatric Dentistry ◽  
Arch Form ◽  
Computer Tomograph ◽  
Medical College ◽  
Arch Forms ◽  
Maxillary Arch

This prospective study was conducted in King George's Medical College, Lucknow, India amongst fifty cleft lip and palate cases to study the various archforms. The maxillary arch form was traced from Computer Tomograph sections of all the cases pre and post-operatively. The various patterns of arch forms as observed from CT tracings exhibiting U & V shaped with sub-types denominated as posteriorly – convergent (c), divergent (d) and parallel (p). This simplified classification can be used in pediatric dentistry practice.

scholarly journals Association of congenital heart diseases with extracardiac anomalies

2017 ◽  
Vol 4 (5) ◽  
pp. 1807 ◽  
Author(s):  
Mithlesh Dewangan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Prospective Observational Study ◽  
Heart Diseases ◽  
Cross Sectional Study ◽  
Congenital Heart Diseases ◽  
Cross Sectional ◽  
Medical College ◽  
Jawaharlal Nehru

Background: Congenital heart diseases are one of the main causes of death among the congenital malformations. An extracardiac malformation further increases the risk of morbidity and mortality to these patients, in addition to risks of surgical correction. So here comes the importance of extracardiac malformation.Methods:This prospective observational study was conducted at Neonatology Section, Department of Pediatrics, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. The study was conducted over a period of 2 years (from January 2015 to December 2016). Newborns with congenital heart disease were examined for extracardiac defects.Results: This hospital based cross-sectional study found that there were 121 cases of congenital heart diseases among 11030 live births making an incidence of 1.09% Out of these 73.5% were acyanotic heart diseases and 26.5% were cyanotic heart disease. Extracardiac anomalies were found in 38 (31.5%) cases.Conclusions:Association of Congenital heart disease with extracardiac anomalies is well known. Syndromes are most commonly associated. 

scholarly journals Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience

2020 ◽  
Author(s):  
Erkan Çağlıyan ◽  
Samican Ozmen ◽  
Süreyya Sarıdaş Demir ◽  
Aslı Akdöner ◽  
Sabahattin Altunyurt ◽  
...  
Keyword(s):  
Survival Rate ◽  
Congenital Heart ◽  
Low Birthweight ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Mortality Rates ◽  
Long Term Results ◽  
Cardiac Anomaly ◽  
Congenital Heart Diseases ◽  
Cardiac Anomalies

INTRODUCTION: Evidence shows that rather than postnatal diagnoses, prenatal diagnoses of congenital heart diseases are correlated with better long-term results and lower mortality rates. In this retrospective study, neonatal stage results of infants with isolated cardiac anomalies, their indications for operation or intervention (if any), and the mortality rates in the first age are attempted to be demonstrated. METHODS: The study was conducted through the retrospective analysis of 47 patients who were diagnosed with fetal cardiac anomaly in the antenatal period, and monitored during natal and postnatal stages at the same center in the Departments of Obstetrics and Gynecology and Pediatric Cardiology of Dokuz Eylul University Hospital. RESULTS: In our center 36 patients gave birth by cesarean section, and 11 patients by spontaneous vaginal delivery. Two low birthweight neonates were born (<2500 g), and these neonates were observed to have hypoplastic left heart and Fallot tetralogy. Thirty-nine of the 47 neonates born with isolated cardiac anomaly were operated after birth. Five patients were advised follow-ups. The remaining 3 neonates died within 48 hours after birth. Survival rate of the operated neonates was 59.5% and the general survival rate was 59.5%. Average 1, and 5-minute APGAR scores of the infants were 7.8 (3-9) and 9.0 (8-10), respectively The neonates were operated an average of 3 days after birth, and the average duration hospitalization of neonates were 12 days. Twenty-nine neonates needed preoperative respiratory support and 37 of them received prostaglandin E1 infusion. Follow-up was advised for 3 neonates within the first month and the first year. Five neonates needed operation during the specified period, and 2 neonates died. DISCUSSION AND CONCLUSION: In conclusion, prenatal diagnosis of congenital heart diseases allows planning the delivery in tertiary care centers, stabilization of the infants in the preoperative period and realization of emergency intervention.

scholarly journals Fabrication of Feeding Plate in Cleft Palate Patient: A Case Report

2019 ◽  
Vol 07 (01) ◽  
pp. 035-037
Author(s):  
Tulsi Lodhi ◽  
Surendra Kumar Patil ◽  
Surendra Kumar Bahetwar ◽  
Aparna Sharma ◽  
Nupur Ninawe ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Female Child ◽  
Craniofacial Malformations ◽  
Feeding Plate ◽  
Proper Weight ◽  
Palate Patient ◽  
Nasal Regurgitation

AbstractCleft lip and palate is one of the most common congenital craniofacial malformations. It is associated with various problems such as difficulty in sucking, nasal regurgitation, hearing and speech problems, etc. Feeding is of primary and immediate concern for the growth of infants. In this case report, a 3-month-old female child diagnosed with Veau's class II cleft reported with the difficulty in sucking of milk and nasal regurgitation while feeding. To overcome this problem, a feeding plate was fabricated with simple impression method, which helped the infant feed and restore the proper weight required for cleft palate reconstructive surgery.

scholarly journals Angiographic study of Coronary Artery Dominance in Nepalese Population

2016 ◽  
Vol 5 (1) ◽  
pp. 6-8
Author(s):  
Rajesh Nepal ◽  
Anil OM
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Angiographic Study ◽  
Medical College ◽  
Dominant Pattern ◽  
The Mean

BackgroundThe dominance of coronary artery in our population is not known. This study aims to identify dominant coronary artery in Nepalese population.Material and MethodsThis study was carried out in the Cath Lab of Manmohan cardiovascular and thoracic centre Kathamandu over a period of 18 months (August2012 to April 2014). All patients of either gender who presented to the Cath lab for coronary angiography for different indications were included in the study. Patients with congenital heart diseases who were below the age of 18 years were excluded.ResultsA total of 667 patients were enrolled out of which 69% (n=488) were male and 31% (n=219) were female. The mean age was 51.3(30-76) years. Right coronary artery was dominant in 83%, left dominant in 10 % and co-dominant in 7% of the patient population.ConclusionThe right coronary dominant pattern is more prevalent in our population. Gender has no significant association with coronary dominance.Journal of Nobel Medical College Volume 5, Number 1, Issue 8, January-July 2016, 6-8 

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