ASSESSMENT EFFECTIVE OF TREATMENT CLEFT PALATE AT QUANG NGAI HOSPITAL FOR WOMEN AND CHILDERN
Main Article Content
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.
Article Details
Keywords
Cleft palate, Maxillofacial malformations, Cleft lip, Cleft palate treatment, Quang Ngai Hospital for women and childern.
References
phẫu thuật khe hở vòm miệng hai bên bẩm sinh
theo phương pháp đẩy lùi vòm miệng(Push
back) tại Bệnh viện Răng Hàm Mặt Trung
ương”, Tạp chí Y học thực hành, tr.830, 2012.
2. Trương Mạnh Dũng, Nguyễn Thanh Hòa,
“Nghiên cứu các hình thái lâm sàng dị tật khe
hở môi – vòm miệng ở trẻ sơ sinh tại thành phố
Cần Thơ 2001 -2005”, Tạp chí Y học thực
hành, tr.589- 590, 2007.
3. Phan Quốc Dũng, Hoàng Tử Hùng, “Tình
hình dị tật khe hở môi và hàm ếch bẩm sinh tại
Bệnh viện Từ Dũ và Hùng Vương”, Tuyển tập
công trình nghiên cứu Y học răng hàm mặt,
tr.93-100, 2007.
4. Nguyễn Văn Đẩu, “Phẫu thuật khe hở
vòm khẩu cái theo phương pháp Push- Back”,
Phác đồ điều trị Nhi khoa 2 Bệnh viện Nhi
Đồng 1, Nhà xuất bản Y học, tr.501- 509, 2020.
5. Chuxian L, “Varying width ratio patterns
of posterior hard palate cleft to posterior
maxillary tuberosity plane in cleft palate”, Xi
Kou Qiang Yi Xue Za Zhi, pp.3-4, 2019.
6. Hadal K, Mustafa S, “The role of
intravelar veloplasty in primary cleft palate
repair”, Zanco J. Med. Sc, pp.47-69, 2018.
7. Mosaad A, “Comparative study between
V-Y pushback technique and Furlow technique
in cleft soft palate repair”, Eur J Plast Surg, pp.
462-482, 2017.
8. Phumzile H, “Epidemiology and clinical
profile of individuals with cleft lip and palate
utilising specialised academic treatment centres
in South Africa”, PLoS One, pp.5-16, 2019.