Statistics of Patients with Cleft Lip and Cleft Palate in Srinagarind Hospital, 1984-2007

ABSTRACT

Background and Objective: Srinagarind Hospital is a tertiary hospital with high potential for medical care of patients with cleft lip and cleft palate so we need to study about statistic and trend of the types of the patients who receive the medical care which depends on the age and illness in order to prepare to be a center of medical care, to have excellent researches in the Northeast and the nearest regions, to plan for giving the medical care and to have complete service which will benefit for patients with cleft lip and cleft palate. This study aim to determine statistics and trend of admitted patients with cleft lip and cleft palate in Srinagarind Hospital regarding types of the disease, distribution, frequency and age of the operated patients.Methods: A retrospective descriptive study was done. All admitted patients with cleft lip and cleft palate in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University during 1984-2007 were included. Results: The study result is found that the most patients is male patients with cleft lip and cleft palate were 56%. There were 32% cleft lip patients, 22% cleft palate patients and 46% cleft lip with cleft palate patients from 1,950 in patient cases that came 3,342 visits, the patient can came to received the treatment many time. The majority of the patients live in Khon kaen, Mahasarakham, and Kalasin were 55%, 25% and 17% respectively. During 1984-1992, the patients to received cheiloplasty treatment age 3-4 months were 14%, to received palatoplasty treatment age 9-12 months were 29%, and during 1993-2001, the patients to received cheiloplasty treatment age 3-4 months were 32%, to received palatoplasty treatment age 9-12 months were 52% and the patients received correction of cleft lip and cleft palate age 4-5 years were 15%. The trend of patients has been increasing by patient’s age; because of the mutidisciplinary team has developed a medical care tendency and work together to the concrete. In 2002, the referral system was developed and the treatment by multidisciplinary team and treatment protocol has absolutely and efficiency. Therefore, a patient to received cheiloplasty treatment aged 3-4 months were increasing 57%, to received palatoplasty treatment aged 9-12 months were 63%, and the patients received correction of cleft lip and cleft palate aged 4-5 year were 11%. Conclusion: The study result is found that cleft lip with cleft palate patients has come to received medical treatment by patient’s age increasing as follows Nation Health Security system plan. However, some patients received medical treatment late, such as to send a patient late, an intervening disease, to be in need a knowledge for the authorities, and the many patients to wait for treatment. This reason might be effect to patients who received the treatment late.Keywords Cleft lip and cleft palate