Until recent years, the birth of a child with a cleft of the lip or palate was surrounded by supersitition and mystery. All congenital malformations were commonly ascribed to a multitude of natural and supernatural prenatal influecnes. Many scientists hampered by their inability to make direct observations of human fetal development within the uterus, ascribed malformation to defective inheritance and adopted a fetalistic attitude toward them.
The authors reviewed and discussed our clinical experience of 798 cases of cleft lip and palate patient who were treated at Red Cross Hospital from Apr. 1978 to December 1982.
Clinical analysis of these 798 cases of cleft lip and palate patients were carried out and summarized as follows.
1. Cleft lip includes all lip clefts incomplete or complete with or without alveolar notching. Cleft palate covers all clefts of the secondary palate including submucous cleft palate. Cleft lip palate covers all clefts of primary and scondary plate.
2. The rate of cleft lip, cleft L.P., and cleft palate was 1(3.5) : 2.1(2) : 1(1)
3. Females were affected 1.2 times more than males in cleft palate.
4. Left Incomplete cleft lip was most frequent in cleft lip and cincomplete cleft palate was most frequent in cleft palate.
5. Mothers in age group over 50 and under 20 were greater incidence than other age group.
6. Herb medicine antiementics and contraceptives were the frequent medicine among prental medication.
7. Hyperemesis and U.R.I. was the frequent disease in first trimester.
8. Family history was 9.3%
9. Blood “O”type was less frequent than other blood group.
10. Two flap palatoplasty was applied with incomplete cleft palate, three flap was applied with complete and bilateral cleft palate. Four flap was applied withseveral cases of bilateral cleft palate.
11. Pharyngcal flap was applied with 32 paints in severe hypernasality.
12. Motality was absent and overall complication was cases; Pneumonia, bleeding, Wound infection wound disruption, oronasal fistula, hypertrophic scar.
13. Rare craniofacial clefts was 23 cases among 1363 cases of facial clefts.
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