A status report on management of cleft lip and palate in India
<b>Introduction:</b> This national survey on the management of cleft lip and palate (CLP) in India is the first of its kind. <b> Objective:</b> To collect basic data on the management of patients with CLP in India for further evaluation. <b> Materials and Methods:<...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2010-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=66;epage=75;aulast=Gopalakrishna |
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| Summary: | <b>Introduction:</b> This national survey on the management of cleft lip and palate (CLP) in India is the first of its kind. <b> Objective:</b> To collect basic data on the management of patients with CLP in India for further evaluation. <b> Materials and Methods:</b> A proforma was designed and sent to all the surgeons treating CLP in India. It was publicized through internet, emails, post and through personal communication. <b> Subjects:</b> 293 cleft surgeons representing 112 centers responded to the questionnaire. Most of the forms were filled up by personal interview. <b> Results:</b> The cleft workload of the participating centers is between 10 and 2000 surgeries annually. These centers collectively perform 32,500-34,700 primary and secondary cleft surgeries every year. The responses were analyzed using Microsoft excel and 112 as the sample size. Most surgeons are repairing cleft lip between 3-6 months and cleft palate between 6 months to 1 year. Millard and Tennison repairs form the mainstay of lip repair. Multiple techniques are used for palate repair. Presurgical orthopedics, lip adhesion, nasendoscopy, speech therapy, video-fluoroscopy and orthognathic surgery were not always available and in some cases not availed of even when available. <b> Conclusion:</b> Management of CLP differs in India. Primary surgical practices are almost similar to other studies. There is a lack of interdisciplinary approach in majority of the centers, and hence, there is a need for better interaction amongst the specialists. A more comprehensive study with an improved questionnaire would be desirable. |
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| ISSN: | 0970-0358 1998-376X |