Primary treatment for cleft lip and/or cleft palate in children in Japan

Takeshi Uchiyama, Yukari Yamashita, Takafumi Susami, Shoko Kochi, Shigehiko Suzuki, Ritsuo Takagi, Takashi Tachimura, Yoko Nakano, Takeo Shibui, Ken Ichi Michi, Juntaro Nishio, Yuiro Hata

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    Objective: To investigate current trends in primary treatment for children with cleft lip and/or cleft palate in Japan. Design: Nationwide, retrospective study under the direction of the Academic Survey Committee of the Japanese Cleft Palate Association based on analysis of data obtained via a booklet-style questionnaire completed by institutions providing primary treatment for cleft lip and/or palate patients. Participants, Patients: Patients were 4349 children undergoing primary repair for cleft lip and/or palate at 107 participating institutions between 1996 and 2000. Main Outcome Measure(s): Cleft type, laterality; use of infant palatal plate; and timing and technique of primary repair for cleft lip and/or palate were evaluated by cleft surgeons at 107 participating institutions. Results: Of a total of 2874 patients with cleft lip and palate or cleft palate only, infant palatal plates were used with 1087 (37.8%) and were not used with 1787 (62.2%). Primary unilateral lip repair was performed at the age of 2 to 6 months in more than 90% of patients. Bilateral cleft lip was treated by onestage repair in 285 patients (44.5%) and by two-stage repair in 258 (40.2%). Primary one-stage palatal repair was performed in 2212 (76.9%) and two-stage palatal repair in 262 (9.1%) cleft palate patients. Information on treatment of the remaining 400 (14%) patients was unavailable. Conclusion: This investigation clarified current trends in primary treatment for cleft lip and/or palate in Japan. The results suggest the need for an increase in regional core hospitals and greater variation in treatment options.

    Original languageEnglish
    Pages (from-to)291-298
    Number of pages8
    JournalCleft Palate-Craniofacial Journal
    Volume49
    Issue number3
    DOIs
    Publication statusPublished - 2012 May

    Keywords

    • Booklet-style questionnaire
    • Cleft lip and/or cleft palate
    • JCPA
    • Nationwide investigation
    • Primary treatment in Japan

    ASJC Scopus subject areas

    • Oral Surgery
    • Otorhinolaryngology

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