Prevalence of cleft lip and palate among four provinces in the West and North-West of Iran

Jalilevand, Nahid; Jalaie, Shohreh

doi:10.4103/1735-1995.165951

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Since possibly the children who were not recognized at birth inside the clinic had not been now collected, therefore we consider all workplace speech and language pathology documents in this place. In the research of Jalilevand et al, the results about CL/P prevalence in four west and north-west provinces of Iran indicated no differences in distribution between boys and girls [9]. Our study similarly suggested that CLP was not significant in girls and boys.…”

Section: Discussionsupporting

confidence: 77%

“…The maximum common type was CLP, and the overall prevalence was 0.93 per 1000 live births. In the study of Namdar et al, this number was 1.2 [8] and it was obtained in west and north-west Iran (0.557, 0.352, 0.503, and 0.559), Tehran City (1.3), and Gorgan City (1.05) [9][10][11]; such variability can be attributed to the geographic place of ethnic origins of the population.…”

Section: We Used Electronic Records (Medical Institutionbased) Of Chi...mentioning

confidence: 99%

“…The prevalence of clefts is the lowest among African descent (1 in 2000) [7]. The prevalence of CLP varies according to geographical and racial origin, and researchers have shown the different prevalence in different regions [8][9][10][11]. In a systematic review in Iran, the prevalence of CL/P became 1.24/1000.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Cleft Lip and Palate and Access to Rehabilitation Services in the South-West of Iran: A 10-Year Study

Derakhshandeh

Jalilevand²,

Abolghasemi³

et al. 2022

FDJ

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Background and Objectives: Cleft lip and or cleft palate (CL/P) is one of the most prevalent malformations in the head and neck region. The etiology of this malformation is multifactorial, and the incidence of clefts may be affected by ethnic, racial, geographic, and socioeconomic factors, therefore this study aimed to investigate the prevalence, risk factors of CL/P, and access to rehabilitation services for these children in the south-west of Iran. Methods: This cross-sectional study retrospectively analyzed birth data collected from hospitals (according to the International Classification of Diseases [ICD10] hospital registry code) in Shahrekord City, Iran, from 2011 to 2021. Frequency distribution and frequency of received rehabilitation services were analyzed. 76 children without this disorder were selected as a control group to evaluate the risk factors. Results: The overall prevalence was approximately 0.93 per 1000 live births. The prevalence of Cleft Lip (CL), cleft palate (CP), and Cleft Lip and Palate (CLP) were 0.17, 0.27, and 0.49, respectively. Of the 38 infants born with CL/P, 20 infants (52.63%) were boys and 18 (47.36%) were girls (P>0.05). The variables of cleft history, maternal disease, maternal medicine history, low infant weight, and child disease were significantly associated with CL/P (P<0.05). Also, the children with CL/P significantly delayed speech development (P<0.05). A total of 26.31% of them did not have early surgery, 10.52% had no surgery, and 34.21% had no history of speech and language treatment. Conclusion: Findings of this study showed that the overall prevalence of oral clefts was 0.93 per 1000 live births. However, some of these children did not have access to surgery and rehabilitation services in time; therefore it is necessary to plan to receive early surgery and rehabilitation services.

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Section: Discussionsupporting

confidence: 77%

Section: We Used Electronic Records (Medical Institutionbased) Of Chi...mentioning

confidence: 99%

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Prevalence of Cleft Lip and Palate and Access to Rehabilitation Services in the South-West of Iran: A 10-Year Study

Derakhshandeh

Jalilevand²,

Abolghasemi³

et al. 2022

FDJ

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“…On the other hand, female infants accounted for almost most cases in CP (57.5%) patients. Other investigations reported a larger incidence of CP in females [ 41 – 43 ], as well as a higher incidence of CLP in males [ 12 , 42 , 43 ], with one study finding a male dominance for CL [ 12 ]. Contrary to our study, one paper showed that CL was much higher among females (70%), while another found no significant differences in the incidence of CL between the genders [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and Spatiotemporal Descriptive Analysis of Patients with Nonsyndromic Cleft Lip and/or Palate: A 12‐Year Retrospective Study in Southern Iran

Farshidfar

Ajami

Sahmeddini

et al. 2023

BioMed Research International

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Objectives. The current study is aimed at evaluating epidemiological characteristics and spatiotemporal distribution of cleft lip and/or palate (CL/P) in the south of Iran. Methods. Data were extracted from the 1840 medical records of patients who were referred to the Cleft Lip and Palate Center of Shiraz University of Medical Sciences, from January 1, 2011, to September 1, 2022. The collected variables included demographic data (gender, birth date and season, place, birth order, and weight), cleft types and the subtypes, parental information (health status, education level, marital status, and age during the pregnancy), and other basic parameters. The chi-square test at a significance level of 0.05 was used to analyze collected data. The geographic information system (GIS) analysis was also used for analyzing the spatial distribution of CL/P patients. Results. Based on our inclusion criteria, 1281 nonsyndromic patients were included in this study. The most common type was cleft lip and palate (CLP) with 48.32%, whereas cleft palate (CP) and cleft lip (CL) accounted for 40.75% and 10.93% of the patients, respectively. There was a progressive increase in the frequency of all types of clefts, and most of them were male ( P ≤ 0.001 ). The urban population outnumbered the rural ones in all provinces. Parents were mostly healthy (>80%) with low educational status (47.5%). Most born CL/P patients were from consanguineous marriages (58.9%), especially between first-degree relatives. A majority of CL/P patients (73.1%) were born in the first two gestations with a birth weight of 2500-4000 g (77.4%). Most infants with CL/P (84.3%) were born from mothers who had at least one of the predisposing factors. Conclusion. In this study, the frequency of cleft types and subtypes was similar to the existing literature. However, high rate of consanguineous marriage, especially between first-degree relatives, was the most notable feature of this population.

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Estimate of Unmet Need for Cleft Lip and/or Palate Surgery in India

Stewart

Carlson

Hatcher

et al. 2016

JAMA Facial Plast Surg

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raniofacial cleft anomalies are common, affecting 1 in 600 live births annually. 1 However, cleft lip and/or palate (CL/P) disproportionately affects newborns in low-and middle-income countries (LMICs) owing to substandard nutrition and a lack of prenatal care. 2,3 Infants born with CL/P in LMICs face significant barriers to treatment, which often lead to prolonged disfigurement, social stigma, speech impairment, and feeding difficulty that may result in malnutrition and even death. [4][5][6] Although CL/P is a complex condition that benefits from comprehensive care, the provision of safe, timely, and effective surgery helps to achieve a successful outcome. 5,6 Like other LMICs, India lacks reliable documentation of birth anomalies 7 ; thus, accurate estimates of the burden of CL/P in India are few. 4 A multicenter hospital-based study of 94 610 births 8 reported that the incidence of CL/P was 9.3 per 10 000 births and the incidence of cleft palate was 1.7 per 10 000 births. Khajanchi et al 4 performed a populationbased assessment of the unmet need for CL/P treatment in a single district. They reported a CL/P incidence of 7.3 per 10 000 live births. With a crude birth rate of 200 per 10 000 population and 1.25 billion people, as many as 3 infants with CL/P are born in India every hour. The proportion of these cases that receive safe, timely, and effective surgical care IMPORTANCE The unmet need for cleft lip and/or palate (CL/P) care in India is significant. However, estimates required for CL/P care program planning are lacking.OBJECTIVE To estimate the unmet need for CL/P surgery in India at the state level. DESIGN, SETTING, AND PARTICIPANTSTo determine the proportion of individuals with CL/P who presented for care in India, data were used from patients who received care at Operation Smile programs in 12 low-and middle-income countries from June 1, 2013, to May 31, 2014. The resulting model describes the prevalent unmet need for cleft surgery in India by state and includes patients older than the surgery target ages of 1 and 2 years for cleft lip and cleft palate repair, respectively. Next, the total number of unrepaired CL/P cases in each state was estimated using state-level economic and health system indicators. MAIN OUTCOMES AND MEASURESPrevalent unmet need for CL/P repair. RESULTSIn the 28 states with available data, an estimated 72 637 cases of unrepaired CL/P (uncertainty interval, 58 644-97 870 cases) were detected. The percentage of individuals with unrepaired CL/P who were older than the respective target ages ranged from 37.0% (95% CI, 30.6%-43.8%) in Goa to 65.8% (95% CI, 60.3%-70.9%) in Bihar (median, 57.9%; interquartile range, 52.6%-63.4%). The rate of unrepaired CL/Ps ranged from less than 3.5 per 100 000 population in Kerala and Goa to 10.9 per 100 000 population in Bihar (median rate, 5.9 [interquartile range, 4.6-7.3] per 100 000 population).CONCLUSIONS AND RELEVANCE An estimated 72 000 cases of unrepaired CL/P are found in India. Poor states with less health care infrastructure have exception...

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Prevalence of cleft lip and palate among four provinces in the West and North-West of Iran

Cited by 9 publications

References 17 publications

Prevalence of Cleft Lip and Palate and Access to Rehabilitation Services in the South-West of Iran: A 10-Year Study

Prevalence of Cleft Lip and Palate and Access to Rehabilitation Services in the South-West of Iran: A 10-Year Study

Epidemiological and Spatiotemporal Descriptive Analysis of Patients with Nonsyndromic Cleft Lip and/or Palate: A 12‐Year Retrospective Study in Southern Iran

Estimate of Unmet Need for Cleft Lip and/or Palate Surgery in India

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