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Date Published: 23/06/2022
Abstract Views: 749
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DOI: https://doi.org/10.51298/vmj.v515i2.2813
Issue
Vol. 515 No. 2 (2022)
Section
Các bài báo
How to Cite
Thị Lệ Châu, H. ., & Đình Tuyến, N. . (2022). ASSESSING THE EFFECTIVE TREATMENT IN PATIENTS WITH CLEFT PALATE AT QUANG NGAI HOSPITAL FOR WOMEN AND CHILDREN. Vietnam Medical Journal, 515(2). https://doi.org/10.51298/vmj.v515i2.2813

ASSESSING THE EFFECTIVE TREATMENT IN PATIENTS WITH CLEFT PALATE AT QUANG NGAI HOSPITAL FOR WOMEN AND CHILDREN

Huỳnh Thị Lệ Châu1, Nguyễn Đình Tuyến1,
1 Quang Ngai Hospital for Obstetrics and Pediatrics

Main Article Content

Abstract

Background: Cleft palate, which separates the palatial structure, is a congenital malformation in the maxillofacial region.  The palatal structure includes the palatine bone, the palatine levator muscle mass, the pharyngeal stretcher muscle, and the mucosa. Although the cleft palate is not life-threatening, it makes difficulties in eating and communication. It is necessary to have a comprehensive treatment plan from birth to maturity with a combination of many specialties. Up to now, there is no research on cleft palate treatment in Quang Ngai. Objective: Describe the clinical characteristics and evaluate the surgical results of patients with cleft palate treated at Quang Ngai Hospital for Women and Children. Method: A descriptive, prospective longitudinal study was performed on 32 patients with congenital cleft palate who were treated at Quang Ngai Hospital for Women and Children between January 2021 and August 2021. Result: Clinical characteristics: Among 32 patients, there are 23 males and 9 females with the common age of 12-24 months. The reason for hospitalization is due to lisp, reaching 56.2% (18/32); choking when eating or drinking is 43.8% (14/32). Tooth decay over 2 teeth accounts for 40.6%. Sick mother in the first trimester of pregnancy who gives birth infants with cleft palate reaches 34.4% (11/34). The number of right-sided cleft palate cases reaches a peak of 40.6% (13/32), the figure for the left-sided one is 18.8% (6/32), and the percentage of soft and hard cleft palate is 31.3% (10/32); the proportion of cleft lip and palace is 62.5% (20/32). The mean width of the cleft palate at the posterior nasal spine is 16.1±3.4 mm. The mean length of the soft palate before and after surgery is 20.84±3.44 mm and 29.13±3.24 mm, respectively, and has increased by 39.78%. The average surgical time is 85.47±8.17 minutes. Surgical results: Successful results after surgery reach 96.6% (31/32), one patient gets broken suture of incision. After two months, patients with good incision account for 90.6%, and 9.45% (3/32) of patients have a stoma. Conclusion: Common clinical characteristics include: right-sided cleft palate, left-sided cleft palate, soft and hard cleft palate, cleft lip and palace. Cleft palate surgery at Quang Ngai hospital for Children and Women achieves positive results. The operation time is acceptable. After two months,  cases with good incisions account for 90.6%.

Article Details

Keywords

Cleft palate, Maxillofacial malformations, Cleft lip, Cleft palate treatment, Quang Ngai Hospital for Women and Children

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