Investigating psychosocial impact of cleft lip and palate on patients and parents

The objectives of this study are to evaluate the psychosocial impact of cleft lip and palate [CLP] condition among non-syndrome patients and their parents in Malaysia. Total eighty three CLP patients [age > 10 years] and eighty three parents were selected from university of Malaya medical centre [UMMC] and Hospital Kota Bharu I Hospital Raja Perumpuan Zainab II [HKB I HRPZII] Kelantan Malaysia. The Questionnaires were used for determining impact of CLP condition on psychosocial status of patients and parents. It was found that due to CLP condition majority of patients were teased. In addition, the self-confidence of CLP patients was also adversely affected. Among the parents 22.9% felt upset always, 36.1% felt upset often while 8.4% felt upset sometimes about their child oral cleft in the current study. Only 26.5% of the patients reported that they have problems at school due to their CLP condition. About 54.2% of patients were having very good relationship with other children, 37.3% had reasonably good and 8.4% were having quite good relationship with other children. The prevalence of teasing was quite high among the oral cleft patients. The self-confidence was adversely affected because of the cleft condition among majority of the patients

Demographic data on the characterization of oral clefts in Malaysia

The aim of this study was to investigate current epidemiology of several types of oral clefts among the patients receiving treatment at two tertiary care hospitals, namely University Malaya Medical Centre [UMMC] Kuala Lumpur, and Hospital Kota Bharu / Hospital Raja Perumpuan Zainab II [HKB/ HRPZII] Kelantan. This study evaluated the records of 526 cleft lip and palate [CLP] patients with or without additional malformations, who came for treatment during 2003 to 2007. Of the total 526 patients registered in the study hospital records during the study period, 338 were from HKB/ HRPZ II and 188 from UMMC. Majority 86.7% of these patients were in the age group

Impacted mandibular third molar surgery; the role of dexamethasone in postoperative swelling and trismus

The objective of this study was to evaluate the therapeutic effect of dexamethasone in post-operative edema and trismus after impacted third molar surgery. It was a prospective randomized control study carried in Department of Oral and Maxillofacial surgery, BADC, Larkana from March 2012 to Feb 2013. Patients age between 20-45 years of either gender; unilateral mandibular impacted third molars [right or left] were included. Patients divided in two groups by using random allocation number. Patients in Group-A were given intramuscular 8 mg dexamethasone 1 hour before surgery and four tablets [2mg] dexamethasone orally immediate postoperatively and 24 hours after surgery. The facial swelling was checked before surgery, after 24 hours [1st day], after 48 hours [2nd day], after 72 hours [3rd day] and on 7th postoperative day Inter-incisor distance was checked on every follow up. Data was analyzed by SPSS version 17. Mean and standard deviation was calculated for age and gender. Mean and SD of facial swelling and mouth opening was calculated before extraction, on 1st, 2nd, 3rd and on 7th post-operative day in both groups. The dexamethasone group showed significant reduction in swellingcompared with control group at all intervals. Dexamethasone resulted in significantly less trismus than controls on day 2 postoperatively, but there was no significant difference among the groups at 7thday. Dexamethasone is effective in minimizing swelling and trismus after removal of impacted lower third molar and improves the social life of individual