Changing Patterns in Demography of Cleft Lip–Cleft Palate Deformities in a Developing Country: The Smile Train Effect—What Lies Ahead?

Patil, Surendra B.; Kale, Satish M.; Khare, Nishant; Math, Mahantesh; Jaiswal, Sushila; Jain, Arvind Kumar

doi:10.1097/prs.0b013e3181f95b9c

Cited by 24 publications

(28 citation statements)

References 8 publications

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“…Our study also showed that more female newborns had CP than males. This is in accord with most studies reporting higher incidence of CL/P in males [2], [3], [17], [20], [21] and higher incidence of CP in girls [2], [7], [17], [20], [22]. One study of 45,676 discharges for cleft deformities in children in the US from 1997–2007 found no sex differences in rates [23].…”

Section: Discussionsupporting

confidence: 87%

“…However, in the Netherlands, a similar pattern of falling rates for facial cleft deformations during 1997–2006 was linked to prenatal identification of congenital anomalies [18]. A 2011 study in India reported an apparent falling rate of cleft deformities, but offered no explanation for this trend [7].…”

Section: Discussionmentioning

confidence: 99%

“…Even when newborns with cleft deformities receive appropriate treatment, some still have facial deformity and speech impairment [7]–[9], which further increases the health care and familial burden of the disease [10]. Asians, boys in particular, experience greater psychosocial injury from cleft deformities than that found in whites studied in the US and Europe [11].…”

Section: Introductionmentioning

confidence: 99%

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Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002–2009

et al. 2013

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BackgroundFacial cleft deformities, including cleft lip with or without cleft palate (CL/P) and cleft palate (CP), are common congenital birth anomalies, especially in Asia. This study aimed to analyze the prevalence of CL/P and CP and to identify associated factors in Taiwan.MethodsThis population-based epidemiological study retrospectively analyzed birth data obtained from the Department of Health in Taiwan for years 2002–2009. Frequency distribution, percentages and related predictors were investigated, and findings were presented by types of cleft deformities. Logistic regression analysis was performed to identify factors associated with cleft deformities.ResultsOverall prevalence of cleft deformities among 1,705,192 births was 0.1% for CL/P and 0.04% for CP over the 8-year study period. Higher prevalence of CL/P or CP was observed with multiple pregnancies, being male for CL/P, being female for CP, gestational age ≤37 weeks and lower birth weight (<1.5 kg). Both CL/P and CP were significantly associated with gestational age <37 weeks and birth weight<1.5 kg (all P <0.0001). CL/P was significantly associated with multiple parities (P = 0.0004–0.002). Male newborns and female newborns were significantly associated with CL/P and CP, respectively (both P<0.0001).ConclusionsOverall prevalence for congenital cleft deformities in study subjects was 0.1%, in keeping with high rates in Asia. Results suggest the need for awareness and early identification of those at high risk for cleft deformities, including newborns with gestational age <37 weeks, weighing <1.5 kg at birth and women with multiple parities, as a potential strategy to counter long-term adverse effects on speech and language in this population.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002–2009

et al. 2013

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“…Other organizations like Facing the World and Smile Train have also followed suit. 18,19 Discussion with key members of Operation Smile regarding establishing a reputable Institution Review Board would be a beneficial next step in creating a database for future short-term trips. Academic institutions partnering with charities have also been a source for institutional ethics board approval.…”

Section: Part 3: the Value Of Researchmentioning

confidence: 99%

Plastic and Reconstructive Surgery in Global Health: Let’s Reconstruct Global Surgery

Chung

2017

Plastic and Reconstructive Surgery - Global Open

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Summary:Since the inception of the Lancet Commission in 2013 and consequent prioritization of Global Surgery at the World Health Assembly, international surgical outreach efforts have increased and become more synergistic. Plastic surgeons have been involved in international outreach for decades, and there is now a demand to collaborate and address local need in an innovative way. The aim of this article was to summarize new developments in plastic and reconstructive surgery in global health, to unify our approach to international outreach. Specifically, 5 topics are explored: current models in international outreach, benefits and concerns, the value of research, the value of international surgical outreach education, and the value of technology. A “Let’s Reconstruct Global Surgery” network has been formed using Facebook as a platform to unite plastic and reconstructive surgeons worldwide who are interested in international outreach. The article concludes with actionable recommendations from each topic.

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“…The aim of palate repair is to create a complete closure, having an intact hard and soft palate with a normal functioning velopharyngeal mechanism (18). Even when newborns with cleft deformities receive appropriate treatment, some still have facial deformity and speech impairment (19)(20)(21), which further increases the health care and familial burden of the disease (22). With the help of Speech and Language thera- pists it is possible to improve these patients' speech.…”

Section: Introductionmentioning

confidence: 99%

Quality of Speech Following Cleft Palate Surgery in Children

Fakhim

Shahidi

Javan

2018

ABCMed

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Background: Surgical treatment of cleft palate is accompanied with speech problems. Speech therapy in these children after surgery can improve their speech. In this study, we aimed to evaluate the quality of speaking in operated cleft palate patients and speech therapy effects in a small group of these patients. Methods: In this cross-sectional study, speech quality of 55 children with operated cleft palate was assessed regarding resonance, audible nasal emission, consonant production and speech acceptability. Speech outcomes after therapy were evaluated in 19 patients. Results: Cleft palate types were unilateral cleft and lip palate in 18 cases, bilateral cleft and lip palate in 4 cases, secondary cleft palate type in 30 cases and of mere-soft palate in 3 cases. Thirty-five children were operated during the first year of life and 20 were operated after the first year. More than 55% of patients had normal hypernasality with few cases of severe hypernasality and less than 45% had error in consonant production. Patients operated during first year of life had more speech problems. Speech parameters were improved in 19 patients after speech therapy. Conclusion: In conclusion, children with cleft palate have some degrees of speech disorders after repair surgery than could be improved by the speech therapy. Speech therapy should be considered as one of the main treatment protocols along with repair surgery in children with cleft palate.

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Changing Patterns in Demography of Cleft Lip–Cleft Palate Deformities in a Developing Country: The Smile Train Effect—What Lies Ahead?

Cited by 24 publications

References 8 publications

Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002–2009

Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002–2009

Plastic and Reconstructive Surgery in Global Health: Let’s Reconstruct Global Surgery

Quality of Speech Following Cleft Palate Surgery in Children

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