Oral Clefts

Abstract

Objectives: The present study was carried out in Malaysia to explore satisfactionof non-syndrome cleft lip and plate (CLP) patients and their parents with treatment outcome.Study Design: Descriptive cross sectional study. Setting: This study was carried out in twotertiary care hospitals of Malaysia, namely Universityof Malaya Medical Centre (UMMC) andHospital Kota Bharu/ Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) during August 2007to March 2009. Materials and Methods: Total eighty three CLP patients (age > 10 years) andeighty three parents were included. The Cleft Profile Evaluation Proforma designed by RoyalCollege of surgeons Cleft Lip and Palate Audit Group was used to assess satisfaction with oralcleft related features. It consisted of an eight item list speech, hearing, lip, nose, teeth, bite,breathing and facial profile. Results: The results of present study revealed that majority of thepatients (89.8%) and parents (86.7%) were satisfied with the care and attention provided by theoral cleft team overall. Moreover, It was found that (90.3%) of CLP patients and (83%) parentswere satisfied with the overall treatment results. After treatment, speech was very satisfactoryfor (57.8%) and very unsatisfactory for (8.40%) patients. The hearing after treatment, was verysatisfactory for (62.7%), and very unsatisfactory for (7.2%) patients. Out of total 83 patients,appearance of nose was very satisfactory for (36.1%) patients and for (15.7%) patients it wasvery unsatisfactory. The speech of their child after treatment was very satisfactory for (48.2%) parents, satisfactory for (37.3%) of the parents, unsatisfactory for (7.4%) parents and veryunsatisfactory for (6.0%) parents. The hearing of their child after treatment was very satisfactoryfor (65.1 %) parents, satisfactory for (30.1%) of the parents, unsatisfactory for (2.4%) parentsand very unsatisfactory for (2.4%) parents. It may be concluded that most of patients andparents were satisfied with the treatment provided. There was complete agreement betweenthe patients and parents with regard to their satisfaction about facial appearance.

Long-Term Nasolabial Appearance Post-Unilateral Cleft Lip Repair in a Single Center: A Descriptive Study

“…Our result showed that clefts occur commonly on the left side (70%), and the left complete cleft was the most common among all possible types of clefts (54%). This result is quite similar to the results reported by Shah et al [15] in Malaysia, Al Omari et al [4] in Jordan, and Abdurrazaq et al [25] in Nigeria. Another study conducted in Pakistan by Elahi et al [26] reported that the left side was more commonly involved in cleft lip-related anomalies, and cleft lip alone was observed more frequently than combined CLP or isolated cleft palate.…”

“…Our demographic data showed female predominance in patients with a unilateral cleft, which is compatible with what Shah et al [15] reported in their study as they assessed demographic data on the characterization of oral clefts in Malaysia. They reported that females were more involved in oral cleft conditions than males (56.7% and 43.3%, respectively).…”