CLINICAL STUDY OF CLEFT LIP AND PALATE AND RARE FACIAL CLEFTS IN UPPER ASSAM AND ARUNACHAL PRADESH
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 40
Abstract
BACKGROUND Facial clefts occur in varying degree of severity and variety of patterns. It is a nightmare which every parent wants to avoid. Facial clefts occur when the structures contributing to the formation of face namely- the frontonasal prominence, the maxillary prominence, the medial nasal prominence, the lateral nasal prominence and the mandibular prominences fail to fuse with one another. Many rare facial clefts cannot be explained by simple embryological concepts. These defects result in abnormal facial appearance, difficulties in feeding, defective teeth, defective speech, repeated infections and social stigma. The study was carried out from January 2008 to June 2018, among the 1000 cases of facial clefts who attended the Smile Train Centre in Srishti Hospitals and Plastic SOPD of Assam Medical College Hospital, Dibrugarh, Assam. MATERIALS AND METHODS This descriptive study was carried out among the 1000 cases of facial clefts who attended the Smile Train Centre at Srishti Hospitals and PSOPD in AMCH, Dibrugarh, Assam, from January 2008 to June 2018. All the cases were evaluated on the basis of sex, religion, race, type of cleft, severity of the cleft, family history of facial clefts, birth order, consanguinity, maternal age, associated disease, radiation exposure and drug history during 1st trimester of pregnancy. Also, the socio-economic status, parents’ literacy, source of information for treatment and parents’ satisfaction after treatment was noted down. RESULTS It was found that isolated cleft lip (42.2%) occurred more commonly than isolated cleft palate (15.1%). Cleft lip was more common in males (55.7%) than in females (44.3%). 412 (41.2%) of the cases presented with both cleft lip and palate and among these 268 (65.04%) were females and 144 (34.95%) were males. Isolated cleft palate was found to be more common in females (71.5%) than in males (28.09%). All these cases underwent reconstructive surgery and left the hospital with a sociably presentable face. CONCLUSION Cleft lip and palate and rear facial clefts are no longer considered a stigma, as they are surgically correctable.
Authors and Affiliations
Utpal K. R. Bordoloi
Keywords
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- EP ID EP548185
- DOI 10.14260/jemds/2018/965
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