Articles Vol. 63 No. chuyên đề 3-HN Sản Nhi Nghệ An (2022) 30/11/2022

ASSESSMENT EFFECTIVE OF TREATMENT CLEFT PALATE AT QUANG NGAI HOSPITAL FOR WOMEN AND CHILDERN

Huynh Thi Le Chau1,2, Nguyen Dinh Tuyen1,2
1 Quang Ngai Obstetrics and Pediatrics Hospital
2 Bệnh viện Sản Nhi Quảng Ngãi
Corresponding author: nguyendinhtuyen889@gmail.com
DOI: 10.52163/yhc.v63i8.529
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Keywords
Cleft palate, Maxillofacial malformations, Cleft lip, Cleft palate treatment, Quang Ngai Hospital for women and childern.
Abstract

Background: Cleft palate is a congenital malformation in the maxillofacial region that separates
the palatal structure including the palatine bone, the palatine levator muscle mass, the pharyngeal
stretcher muscle, and the mucosa. Cleft palate, although not life-threatening, causes difficulties in
eating and communicating. In the treatment of Cleft palate, it is necessary to have a comprehensive
treatment plan from birth to adulthood with the coordination of many specialties. Up to now, there
is no research topic on cleft palate treatment in Quang Ngai.
Objectives: To describe the clinical characteristics of patients with Cleft palate treated at Quang
Ngai Hospital for women and childern and evaluate the results of cleft palate surgery in the study
subjects.
Methods: A descriptive, prospective and longitudinal clinical study was performed on 32
patients with congenital cleft palate who were examined and treated surgically at Quang Ngai
Hospital for women and childern from April 2020 to September 9 2021.
Results:
Clinical characteristics: Research results on 32 patients with cleft palate show that total cleft
palate must account for the highest percentage (40.6%), 62.5% cleft palate combined with cleft lip.
The reason for admission to hospital due to slurred speech accounted for the highest rate. There are
40.6% of patients with more than 2 tooth decay. The width of the cleft palate at the position of the
posterior nasal spikes averaged 16.1±3.4mm. The mean preoperative soft arch length was
20.84±3.44mm; after surgery was 29.13±3.24mm, increased by 39.78%.
Surgical results: There were no cases of postoperative wound infection. Patients discharged
from hospital with good incisions reached 96.6%. Initial results of cleft palate treatment were very
positive, after 2 months of re-examination, good incision accounted for 90.6%; 9.45% of patients
have stoma.
Conclusions: The results of Cleft palate treatment at the Hospital of Obstetrics and Gynecology
in Quang Ngai province initially achieved very positive results, after 2 months of re-examination,
the incision was good, accounting for 90.6%; 9.45% of patients have stoma.

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