The Trend of Cleft Care at a Children's Referral Center in Thailand
Dhave Setabutr1,2, Thanakrit Sathavornmanee1,3, Polpatt Jitpakdee1,3
1Department of Otolaryngology, Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand.
Insights
Cleft care in Thailand shows slight timing differences compared to developed nations. Patient distance from the treatment center significantly impacts surgical timing for cleft lip and palate care.
Area of Science:
- Pediatric Surgery
- Craniofacial Anomalies
- Public Health
Background:
- Cleft lip and palate care requires multidisciplinary management.
- Understanding regional variations in treatment timing is crucial for improving outcomes.
- Established cleft care protocols exist in developed countries, serving as benchmarks.
Purpose of the Study:
- To analyze trends in cleft care at a major Thai referral center.
- To compare treatment timelines with international data.
- To identify factors influencing cleft treatment delivery.
Main Methods:
- Retrospective chart review of 102 patients under 18 years old.
- Data collected from January 2015 to October 2017.
- Demographic and treatment timeline comparison with published literature.
Main Results:
- Most patients (53%) were male; 44% had cleft lip and palate.
- Primary cleft lip surgery averaged 11 months; hearing screenings at 6 months.
- Abnormal tympanograms noted in 32%; distance >30km impacted surgery timing (P < .05).
Conclusions:
- Cleft care timing in Thailand shows minor deviations from developed countries.
- Geographical distance from the treatment center is a significant factor affecting surgical scheduling.
- Further research can optimize care delivery in resource-variable settings.
Objective:
To investigate the trend in cleft care at a major children's referral center in Bangkok, Thailand.
Study Design:
Retrospective chart review.
Patients And Methods:
A review of 129 patients under 18 years of age who had underwent care by the senior author for cleft treatment between January 2015 and October 2017 was done. The impact of varying factors on patient care was analyzed. We compare our demographics and treatment timeline to that of previously published literature in more developed countries.
Setting:
Tertiary care medical center.
Results:
One hundred and two patient charts were reviewed with 53% male patients. Most patients had both cleft lip and cleft palate, 44%. Cleft lips most commonly were complete and occurred on the left side. In all, 77.4% of clefts were nonsyndromic. On average, primary cleft lip surgery was delayed being performed about 11 months of age. Sixteen percent of patients were treated with an obturator, while 11 patients had nasoalveolar molding use. Hearing screenings occurred on average at around 6 months of age. Abnormal tympanograms were evident in 32% of individuals. There was a significant difference in timing of surgery for patients who lived a distance greater than 30 kilometers from the hospital versus those from the Bangkok metropolis (P < .05).
Conclusion:
Reviewing data from a high-volume referral center in Thailand reveals mild variance with regard to cleft care timing compared to published literature from the developed world. Distance traveled was found to impact timing of surgery.
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