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

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

A Gopalakrishna1, Karoon Agrawal2 
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

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.


How to cite this article:
Gopalakrishna A, Agrawal K. A status report on management of cleft lip and palate in India.Indian J Plast Surg 2010;43:66-75


How to cite this URL:
Gopalakrishna A, Agrawal K. A status report on management of cleft lip and palate in India. Indian J Plast Surg [serial online] 2010 [cited 2019 Jul 17 ];43:66-75
Available from: http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=66;epage=75;aulast=Gopalakrishna;type=0