journey towards a brighter future with a better smile

CLEFT PROBLEMS IN BANGLADESH

WELCOME

TO

LION MUKHLESUR RAHMAN PLASTIC SURGERY HOSPITAL

LN. M. R. SIDDIQI BHABAN,CHITTAGONG LIONS FOUNDATIONZAKIR HOSSAIN ROAD,CHITTAGONG,BANGLADESH

TELEPHONE NO: +88 031 2851633,+88 031 2851644.

A Project of LION MUKHLESUR RAHMAN FOUNDATION

LN.MUKHLESUR RAHMAN PLASTIC SURGERY HOSPITAL

Bangladesh cleft scenario

5,000 CLEFT PATIENTS

BORN EVERY YEAR !!

Cleft lip and cleft palate represents the Cleft lip and cleft palate represents the second most frequently occurring second most frequently occurring congenital anomalycongenital anomaly

Oral-Facial clefts are

Isolated clefts Syndromic clefts

Two major types of Isolated clefts

Cleft lip/palate 1:700 live births

Isolated cleft palate 1:2500 live birth

Etiology of Cleft lip & Palate

RACIAL • ASIAN AND LATINOS: 1:500

• AFRICANS: 1:1000• EUROPEANS: 1: 700

GENETIC

• FAMILIAL INHERITANCE • CHROMOSOMAL ABERRATIONS like trisomy D & E • A CLEFT PARENT WITH AUTOSOMAL DOMINANT GENE 50%

Etiology of Cleft lip & Palate

ENVIORNMENTAL

• NUTRITION:- VIT A (excess), FOLIC ACID (deficiency)• DRUGS:- STEROIDS, DYLANTIN, ISOTRETINOIN,

Diazepam THALIDOMIDE• VIRAL INFECTION:- RUBELLA• EXCESSIVE SMOKING & DRINKS in first 2 months of

pregnancy

Out of 2000 cleft patients

Cleft lip with cleft palate : 52%

Out of 2000 cleft patients

Only cleft lip : 43%

Out of 2000 cleft patients

Isolated cleft palate : 5%

Out of 2000 cleft Out of 2000 cleft patientspatients

Left : 55%Left : 55%

Right : 28%Right : 28%

Bilateral : 17%Bilateral : 17%

Familial InheritanceFamilial Inheritance

• Affected relatives Predicted Recurrence (%) CL/P CP

One sibling 4.4 2.5

One parent 3.2 6.8

1 sibling 1 parent 15.8 14.9

PROBLEMS

a) Anatomic Deformity

b) Functional - Feeding - Recurrent URTI - Middle ear infection - Hearing - Speech - Growth

c) Dentitiond) Social & Psychological

PROBLEMS

Poverty

Inappropriate Management

Surgery with unsatisfactory results

Lip repair isimportant

Cosmetically

Lip Repair

Lip Repair

Pala

top

lasty

BEFORE & AFTER

BEFORE

After

BEFORE & AFTER

BEFORE &

AFTER

BEFORE & AFTER

OUR ACTIVITIES WITH PROF. BRIAN CLIVE SOMMERLAD

SEMINER

OUR ACTIVITIES WITHDUTCH BANGLA BANK PROJECT

OUR ACTIVITIES WITHOPERATION SMILE,USA.

OUR ACTIVITIES WITHOPERATION CLEFT,AUSTRALIA

OUR ACTIVITIES WITHOPERATION CLEFT,AUSTRALIA

OUR ACTIVITIES WITHOPERATION CLEFT,AUSTRALIA

Our Dream

Cleft Care Centre

Cleft Care Team Definite Protocol

To provide maximum benefit to our Cleft Children

SafetyQualityPriorities

OUR SURGEONS

PROF. A.J.M. SALEK

PROF. SAFKAT HOSSAIN KHONDOKAR

DR. SHARIFUL HASAN

DR. AYUB ALI

OUR ANAESHTHESIOLOGIST

DR. ALAK NANDY

DR. GOLAM KIBRIA

OUR DOCTORS TEAM

DR.SHEMANTA WADDADARDR.MD. KHALEDDR.MD. JUNAEDDR. PRABIR DR. MAHFUZUL QUADERDR.RAJSREE CHOWDHURY

OUR SATISFACTION

Our Mission

Cleft free Bangladesh

Bringing Light to Life

LN.MUKHLESUR RAHMAN PLASTIC SURGERY HOSPITAL

LN.MUKHLESUR RAHMAN PLASTIC SURGERY HOSPITAL

OUR SLOGAN IS

“GIVE A SMILE…