Primary Treatment for Cleft Lip and /or Cleft Palate in Children in Japan

DOI 26 References
  • UCHIYAMA Takeshi
    Department of Oral and Maxillofacial Surgery, Tokyo Dental College
  • YAMASHITA Yukari
    Department of Oral Rehabilitation, School of Dentistry, Showa University
  • SUSAMI Takafumi
    Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics the University of Tokyo Hospital
  • KOCHI Shoko
    Maxillo-Oral Disorders, Tohoku University Hospital, Tohoku University Hospital Dental Center
  • SUZUKI Shigehiko
    Department of Plastic Surgery, Graduate School of Medicine, Kyoto University
  • TAKAGI Ritsuo
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
  • TACHIMURA Takashi
    Osaka University Graduate School of Dentistry, Division of Functional Oral Neuroscience
  • NAKANO Yoko
    Department of Oral and Maxillofacial Surgery, Tokyo Dental College
  • SHIBUI Takeo
    Department of Oral and Maxillofacial Surgery, Tokyo Dental College
  • MICHI Kenichi
    Prof. Emeritus. Showa University
  • NISHIO Juntaro
    Department of Oral and Maxillofacial Surgery, Osaka Medical Center and Research Institute for Maternal and Child
  • HATA Yuiro
    Graduate School Tokyo Medical and Dental University Division of Maxillofacial/Neck Reconstruction Head and Neck Reconstruction (Department) Plastic and Reconstructive Surgery (Section)

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Other Title
  • わが国における口唇裂・口蓋裂児に対する一次治療の実態
  • ―日本口蓋裂学術調査委員会報告―

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Abstract

Objective: To investigate current trends in primary treatment for children with cleft lip and/or cleft palate (CL/P) in Japan.<br>Design: Nationwide, retrospective study under direction of Academic Survey Committee of Japanese Cleft Palate Association (JCPA) based on analysis of data obtained via booklet-style questionnaire completed by institutions providing primary treatment for CL/P patients.<br>Participants, Patients: Patients were 4,349 children undergoing primary repair for CL/P at 107 participating institutions between 1996 and 2000.<br>Main Outcome Measure (s): Cleft type, laterality and extent of clefting, use of infant palatal plate and timing and technique of primary repair for CL/P were evaluated by cleft surgeons at 107 participating institutions.<br>Results: Out of a total of 2,874 patients with CLP or CP, infant palatal plates were used in 1,087 (37.8%) and not used in 1,787 (62.2%). Primary unilateral lip repair was performed at age of 2-6 months in more than 90% of patients. Bilateral cleft lip was treated by one-stage repair in 285 patients (44.5%) and by two-stage repair in 258 (40.2%). Primary one-stage palatal repair was performed in 2,212 (76.9%) and two-stage palatal repair in 262 (9.1%) of all cleft palate patients. Information on treatment in the remaining 400 (14%) patients was unavailable.<br>Conclusion: This investigation clarified current trends in primary treatment for CL/P in Japan. The results suggest the need for an increase in regional core hospitals and greater variation in treatment options.

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