Indian Journal of Plastic Surgery
An open access publication of Association of Plastic Surgeons of India
Users Online: 425  
Home | Subscribe | Feedback | Login 
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4579    
    Printed131    
    Emailed3    
    PDF Downloaded372    
    Comments [Add]    
    Cited by others 6    

Recommend this journal

 

 REVIEW ARTICLE
Year : 2010  |  Volume : 43  |  Issue : 1  |  Page : 66--75

A status report on management of cleft lip and palate in India


1 Department of Plastic Surgery, Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, Andhra Pradesh, India
2 Department of Plastic Surgery, JIPMER, Pondicherry, India

Correspondence Address:
Karoon Agrawal
Professor Head, Department of Plastic Surgery, JIPMER, Pondicherry
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.63938

Rights and Permissions

Introduction: This national survey on the management of cleft lip and palate (CLP) in India is the first of its kind. Objective: To collect basic data on the management of patients with CLP in India for further evaluation. Materials and Methods: 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. Subjects: 293 cleft surgeons representing 112 centers responded to the questionnaire. Most of the forms were filled up by personal interview. Results: 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. Conclusion: 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.






[FULL TEXT] [PDF]*


        
Print this article     Email this article

Site Map  |  Home  |  Contact Us  |  Feedback  |  Copyright and Disclaimer
Online since 11th March '04
Published by Wolters Kluwer - Medknow