Сопутствующие заболевания у детей с врожденной расщелиной губы и нёба в регионе с промышленными экотоксикантами

Abstract

Objective. To evaluate the incidence of somatic diseases in children with congenital cleft lip and palate residing in regions with industrial pollution. Patients and methods. We analyzed medical records of the Department of Maxillofacial Surgery of the Republican Children's Clinical Hospital in Ufa made between January 1, 1985 and December 31, 2019. A total of 3.463 children with congenital cleft lip and/or palate aged 0 to 16 years were treated and followed-up during this period. Results. We found that 2017 children with congenital cleft lip and/or palate (58.24%) were born and resided in areas with welldeveloped petrochemical industry, whereas 1446 children (41.76%) were born and resided in the areas without petrochemical pollution. Clinical analysis of the health status of children with congenital cleft lip and/or palate living in the areas with petrochemical pollution demonstrated high incidence of respiratory tract diseases and acute respiratory viral infections. Conclusion. We observed a positive correlation between the level of environmental pollution and incidence of concomitant somatic diseases in children with congenital cleft lip and/or palate. This should be considered in pre- and postoperative rehabilitation of children with congenital cleft lip and/or palate with the involvement of pediatricians. Key words: congenital cleft lip and palate, industrial pollutants, concomitant diseases, preoperative preparation