A Model Humanitarian Cleft Mission

Fayyaz, Ghulam Qadir; Gill, Nauman Ahmad; Ishaq, Irfan; Ganatra, Muhammad Ashraf; Mahmood, Farrakh; Kashif, Muhammad; Alam, Iftikhar; Kuo, John S.; Lo, Lun Jou; Laub, Donald R.

doi:10.1097/gox.0000000000000282

Cited by 27 publications

(7 citation statements)

References 14 publications

(13 reference statements)

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“…The management of a cleft palate patient contributes significantly to the healthcare burden in any region of the world, but more so in Pakistan, as the overall incidence of cleft lip with or without palate is higher in Asians. 11 The management of these patients encompasses all aspects of care, starting from prenatal diagnosis (where available) and continuing into adulthood for secondary procedures when required. However, the prime aspect of care of a cleft patient is the surgical repair of this deformity.…”

Section: Discussionmentioning

confidence: 99%

Continuous Versus Interrupted Sutures for Primary Cleft Palate Repair

Fayyaz

Gill

Alam

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Cleft palate is a common congenital problem. It is traditionally surgically repaired with interrupted sutures between the ages of 6 and 18 months, with the aim of achieving closure of both nasal and oral layers. In various fields of surgery, continuous, rather than interrupted, sutures are the norm. There are no reports, however, of continuous suture repair for cleft palate.Methods:A comparative study was designed at Clapp Hospital Lahore, to compare the effectiveness of 2 techniques. A total of 152 patients were included in the study over a period of 3 years. Per-operatively, the duration of surgery (time for nasal and oral layer closure) and the number of suture materials used were noted and compared between the 2 groups. Postoperatively, we compared the rate of wound dehiscence and fistula formation between the 2 groups.Results:Out of 152 patients, 84 patients were operated on by continuous technique and 68 patients by interrupted technique. The mean duration of nasal layer closure in group A was 7.08 minutes, whereas that in group B was 11.50 minutes. The mean number of sutures required for the continuous suture group was 2.12, whereas that for the interrupted suture group was 4.59 (P < 0.05). There were no differences seen in either of the 2 postoperative outcomes compared in this study.Conclusion:A continuous closure technique can be utilized in palate repair, as it us more cost-effective and time-efficient.

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Section: Discussionmentioning

confidence: 99%

Continuous Versus Interrupted Sutures for Primary Cleft Palate Repair

Fayyaz

Gill

Alam

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…The use of microscope for palate repair as recommended by Sommerlad is not practical universally. Moreover, there are many countries in the world where presurgical orthopedics and nasoalveolar molding are not available readily, 8 as a result of which wide cleft palate is a common occurrence in the underdeveloped and developing countries. The main burden of cleft lip and palate is present in such countries and that is why repair of palate becomes more challenging.…”

Section: Discussionmentioning

confidence: 99%

“…The main burden of cleft lip and palate is present in such countries and that is why repair of palate becomes more challenging. 8 …”

Section: Discussionmentioning

confidence: 99%

Radical Dissection of Greater Palatine Artery and Dynamic Reconstruction of Cleft Palate

Fayyaz

Gill

Chaudry

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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114

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Background:Restoration of proper anatomy and physiology is an integral part of cleft palate repair. The senior author has devised a new technique of radical release of greater palatine vessels, which helps in achieving tension-free closure of palatal cleft. In addition, release and transposition of palatal muscles is performed without the use of operative microscope, resulting in improved palatal function. This technique is applicable to all types of clefts of the palate and can be performed on adult patients as well.Materials and Methods:This is a retrospective case series of cleft palate repairs performed over a period of 3 years. Single-stage repair with modified Bardach’s technique for complete cleft palate and von Langenbeck’s technique for incomplete cleft palate with radical release of greater palatine vessels and levator complex retropositioning was performed. The outcome measures were closure of palatal defect and speech production. A follow-up of at least 6 months was completed in each patient.Results:A total of 1568 patients were included in the study. Their age ranged from 9 months to 54 years. The overall fistula rate was 6.1%. Improvement of speech was observed even in adult patients.Conclusions:Radical release of greater palatine artery and levator complex transposition can dramatically improve results of cleft palate repair. This technique helps in dynamic reconstruction of cleft palate and can be effectively applied in all age groups.

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“…2 Pakistan ranks fourth in the world (after China, India, and Indonesia) having the highest number of cleft children born every year. 3 Cleft lip and palate require longterm, complex treatment that has lifelong social, psychological and physical implications on the affected individuals. 4 The cleft of the primary palate (anterior hard palate, alveolus, lip and nose) results from the failure of fusion of medial nasal, lateral nasal and maxillary processes around 30-37 days of embryonic life.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Cleft Lip and Cleft Palate in Southern Pakistani Population

Anwar¹,

Mustafa²,

Haider³

2021

PJMHS

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Objectives: To determine various types of cleft lip and palate, its geographical distribution and its association with cousin marriages, family history and other craniofacial syndromes in the Southern Pakistani population. Study design: Cross-sectional study Place and Duration of Study: Plastic Surgery Department of Sheikh Zayed Medical College / Hospital, Rahim Yar Khan and Hamza Medicare, Rahim Yar Khan from January 2020 to March 2021. Methodology: All patients who presented to the outpatients department with cleft deformities of lip and palate, irrespective of their age and gender were included in the study. Patients who were operated previously and those who were not agree with the study protocol were excluded from the study. The data were collected through a structured proforma as well as history and physical examination. The data were organized and analyzed through Statistical Package for Social Sciences version 23. Results: Total of 403 patients with cleft lip and palate deformities were included in this study, with an average age of 39±62 months. Out of total 239 59.3% were males with male to females ratio of 1.4:1. Cleft lip with cleft palate, cleft palate only and isolated cleft lip were found in 56.8%, 13.4% and 29.20% of cases respectively and 2 (0.5%) cases of median cleft. Out of total, 155 (38.5%) were from Southern Punjab, 50.6% from Sindh and 10.9% were from Baluchistan Province. In 386 (95.8%) cases parent had a History of cousin marriage, and family history of Cleft Lip & Cleft Palate was positive in 67 (16.6%) cases. Other congenital anomalies were found in 12.5% of cases. Conclusion: Cleft lip and palate deformities affected the male population more than females. Cleft lip in association with cleft palate is the commonest deformity. Isolated cleft palate mainly affected females. The high incidence of these anomalies in cousin marriages emphasizes educating the people to avoid cousin marriages. Key Words: Cleft Lip, Cleft Palate, Consanguinity, Family history. Congenital deformities

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A Model Humanitarian Cleft Mission

Cited by 27 publications

References 14 publications

Continuous Versus Interrupted Sutures for Primary Cleft Palate Repair

Continuous Versus Interrupted Sutures for Primary Cleft Palate Repair

Radical Dissection of Greater Palatine Artery and Dynamic Reconstruction of Cleft Palate

Patterns of Cleft Lip and Cleft Palate in Southern Pakistani Population

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