A prospective study was conducted to look for prevalence of cleft lip and palate in a population presenting to a surgical unit in a teaching hospital. Objectives: To see prevalence of cleft lip and palate alone, lip and palate combined, right or left sided, male to female distribution, and possible factors responsible for clefting. Study Design: A prospective study. Setting: Surgical Unit II at Allied Hospital Faisalabad. Period: March 2009 to March 2010 for one year. Materials and Methods: Total 55 patients were treated in year 2009 out of total 17900 (0.3 %) patients admitted in all surgical wards and 6508 patients admitted in surgical unit II (0.8%). Patients were divided into three groups, cleft lip alone (group A), cleft palate alone (group B) and combined cleft lip and palate (group C). Children up to the age of 5 years with congenital abnormality were included in study. Results: Out of 6508 patients admitted in surgical unit II 55 patients (0.8%) had cleft lip and palate defect. 55 patients were divided in three groups. In group A, 32 patients presented with cleft lip alone (58.1 %), 16 (29 %) were males and 16 (29 %) were females, 21 patients have left sided (38 %), 4 right sided (7.27%) and 7 patients have bilateral (12.72 %) defects. 2 patients (3.63 %) had family history of cleft lip and both were males. In group B, 12 patients (21.8 %) had cleft palate alone, 7 patients (12.72 %) were males and 5 patients (9 %) were females, 10 patients (1.18 %) had soft palate only while 2 patients (3.63 %) had compete (hard and soft) palatal defect. In group C, 11 patients, had cleft lip and palate combined (20 %), 6 patients were males (10.9 %) and 5 patients (9 %) were females, 8 patients (14.54 %) had only soft palate defect while 3 patients (5.45 %) had complete palatal defect associated with 8 patients (14.54 %) left sided unilateral lip defect and 3 patients (5.45%) had bilateral cleft lip. All patients were operated without any mortality. Ages of mothers at earliest were 16 and 18 years, 3 cousin marriages, (5.45 %) all fathers were smokers, belonged to poor socio economic families and no history of mother's exposure to radiation, drug abuse during gestational life. Conclusion: As it is obvious from this study that all patients belongs to poor socio economics group, and all fathers were smokers, 3 patients born in parents who had cousin marriages (5.45 %) 2 patients (3.63 %) with family history, cleft lip and palate are multifactorial congenital abnormalities, runs in families and is influenced by various environmental factors.
CITATION STYLE
Abbas Shah, Dr. T. (2016). CLEFT LIP AND PALATE; PREVALENCE, PATIENTS PRESENTING TO A SURGICAL WARD AT ALLIED HOSPITAL FAISALABAD, IN ONE YEAR. THE PROFESSIONAL MEDICAL JOURNAL, 23(05), 516–521. https://doi.org/10.17957/tpmj/16.3240
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