Volume : 6, Issue : 11, November - 2017

Clinico-Epidemiological Profile of Children who underwent Surgical Correction for Orofacial Clefts in South India: A Retrospective Study

Dr. Sumita Shankar, Dr. Ravi Shankar Ayyanar, Dr. Basava Malleswara Rao V, Dr. B. Manaswitha, B. Vamsi Krishna

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">The Orofacial clefts(OFC) are described as a range of abnormalities that are seen in the </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">newborn</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;"> infants. The OFC usually involves the structures around the oral cavity which sometimes extend to facial structures that results in oral, facial and craniofacial deformities. Hence the management of this condition is important not just as an aesthetic aspect but also as a psychosocially </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">stigmatized</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;"> condition as it affects the mastication, ventilation, </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">phonation</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;"> and hearing of an individual.</span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Aim and Objective<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To assess the epidemiological distribution of OFC and utilisation of Dr. NTR Vaidya Seva Scheme for OFC Surgeries in Andhra Pradesh.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Materials and methods<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">This was a retrospective study based on three years data of patients undergoing plastic surgery for CL/P under Dr. NTR Vaidya Seva scheme in Andhra Pradesh. Dr. NTR Vaidya Seva Trust maintains an electronic database of all patients who underwent treatment for different conditions of which only the data related to patients utilising these services for cleft lip with or without palate has been retrieved for analysis. Data was analysed by Descriptive statistics on Microsoft Excel 2016. The frequency distribution of patients according to age, gender, type of cleft and treatment provided was done.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The cases of CL/P were 629 out of these 353(56.12%) were male and 276(43.88%) were females. The majority (58.19%)of the subjects were using public healthcare facility to use the scheme whereas 41.81% of the participants preferred private healthcare facilities.<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> In case of distribution of age at surgery among the subjects, the majority (292) were found to be below one year of age.</span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">The condition of cleft lip with or without palate is a congenital birth deformity which requires treatment at the right age and right time as it may affect the development of a child. Awareness should be created among people about the risk factors of the condition.<o:p></o:p></span></p>