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Abstract

Objective: This study involved a retrospective review of treatment and management for cleft lip and palate patients before the completion of their primary dentition. These newborn cleft babies were assessed immediately in the craniofacial center, and referral for presurgical nasoalveolar molding was arranged if it was indicated. The aims of this study were to retrospectively investigate (1) the distributions of varied types of cleft among our patients, and (2) the repair treatment and relevant management for cleft patients before the completion of their primary dentition. Methods: Hospital records of newborn cleft lip and palate patients enrolled in Kaohsiung Chang Gung Memorial Hospital between 2000 and 2014 were collected. The following data were inspected: (1) the date of birth, (2) gender, (3) diagnosis, (4) the record of surgical repair, and (5) the date of surgical treatment. Results: A total of 991 children with cleft lip and palate were treated in Kaohsiung Chang Gung Memorial Hospital. There were 534 boys and 457 girls. The overall male to female ratio was 1.91:1. Male patients were dominant in the group of “cleft of primary palate with or without secondary palate”; while female patients were dominant in the group of “cleft of secondary palate”. The unilateral cleft occurred more frequently on the left side than on the right side in the group of “cleft of primary palate”. The major repair surgeries were cheiloplasty and palatoplasty. There were 660 cheiloplasty surgeries and 612 palatoplasty surgeries carried out in these cleft patients. The mean age for cleft patients to have cheiloplasty was 4.3 months old, and the mean age for cleft patients to have palatoplasty was 13.6 months old.The total amount of repair surgeries was 1272, and the delayed surgical treatment was only 160 (12.6%). Conclusion: The aim of this study was to investigate the management for children with cleft lip and palate in our hospital. The condition of management was tested by the treatment protocol for cleft lip and palate patients set up. And the result indicated that the condition of management for the majority of cleft patientsenrolled between 2000 and 2014 fulfilled the criteria of treatment protocol for those patients aged less younger than 3.5 years old.

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