Abstract
Clefts of lip (CL), palate (CP), or both (CLP) are the most common orofacial congenital malformations found among live births, accounting for a large number of head and neck anomalies. To date, little is known regarding the epidemiology and pattern of orofacial clefts in Nepal. The objectives were to know the frequency and pattern of orofacial clefts in Eastern Nepal and compare with different parts of the world. A retrospective study was conducted at B P Koirala Institute of Health Sciences to identify all children with orofacial clefts who were treated during a period of five years. Cleft lip and/or palate records were obtained from patient files in the Hospital's Medical Record Department. Age at presentation, sex, region of origin, type and laterality of the cleft were recorded. A total of 398 orofacial cleft cases were seen during the period. Isolated cleft lip (CL) was the most common cleft type followed closely by cleft palate (CP). The distribution of clefts by side showed a significant preponderance of the left side followed by the right and bilateral sides.
Highlights
Cleft lip and palate is one of the most common congenital malformations
A total of 398 orofacial cleft cases were seen during the period
The distribution of clefts by side showed a significant preponderance of the left side followed by the right and bilateral sides
Summary
Cleft lip and palate is one of the most common congenital malformations. Cleft lip/palate have a wide geographic distribution with average live birth prevalence in the world ranging from 1/700 to 1/1000 births with substantial variability related to geographic origin, ethnicity, and socioeconomic conditions [1]. The frequency and distribution of orofacial clefts varies widely among different populations. The epidemiology of cleft lip and palate has been studied extensively in different parts of the world, there is little information on the epidemiology of cleft deformities in Nepalese populations. The main objective of this study was to establish the frequency, laterality, sex and geographical distribution of orofacial clefts among patients attending B P Koirala Institute of Health Sciences (BPKIHS) in Dharan, Nepal
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