Document Detail

Age of individuals undergoing cleft lip and cleft palate surgeries in Nepal.
MedLine Citation:
PMID:  25327233     Owner:  NLM     Status:  In-Data-Review    
INTRODUCTION: Timely repair of cleft lip and palate maximises the benefits of surgery. Developing countries have large number of adults with unrepaired clefts. The impact of a cleft program can be determined by observing the trends of lower age at surgery. Public Health Concern Trust, Nepal has been providing a comprehensive nationwide cleft service since 1999. This study was conducted to see any change in the age at surgery.
METHODS: A retrospective cross sectional study was conducted to analyse the data of all the individuals' age at primary cleft surgery from July 1999 to June 2010. Mean and median age of individuals as well as the proportion of individuals operated on at the right age in different years were calculated and compared.
RESULTS: The median age for cleft lip surgery decreased from 100 to 24 months. Similarly the median age for cleft palate surgery decreased from 70 to 28 months. Proportion of surgeries carried out in the recommended age also increased. A change in the policy of the program reaching out to more remote areas and removing the age barrier for surgery resulted in older adults receiving surgery and increased median age especially for cleft palate repairs.
CONCLUSIONS: A nationwide cleft program for a decade had a small impact on age at surgery. There are still many individuals who are missing the ideal age for surgery. The program needs to reach more remote areas. This information will be useful for governmental as well as non-governmental organizations working in the area of clefts.
KEYWORDS: age; cleft lip; cleft palate; Nepal.
Shankar Man Rai; Kiran Nakarmi; Surendra Basnet; Pramila Shakya; Krishna Nagarkoti; Mangal Ghartimagar; Bishal Karki; Suzita Hirachan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JNMA; journal of the Nepal Medical Association     Volume:  52     ISSN:  0028-2715     ISO Abbreviation:  JNMA J Nepal Med Assoc     Publication Date:    2013 Oct-Dec
Date Detail:
Created Date:  2014-10-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0045233     Medline TA:  JNMA J Nepal Med Assoc     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  591-5     Citation Subset:  IM    
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