Main Article Content

Dr. Jyoti Dvivedi
Dr. Sanjay Dvivedi




Cleft deformities are a challenge to the surgeons since very long. The present study was undertaken at a tertiary medical care centre in Dehradun, Uttarakhand keeping in mind the scarcity of such studies in this region.  In this study 312 patients of cleft lip or cleft palate or both cleft lip and palate, were evaluated over a period of 12 months. The authors investigated the differences between age and sex with cleft status and family history of clefts, type of clefts, surgical procedures done on them; follow up in such children and patient/family satisfaction after treatment.

Maximum numbers of patients were in the age group of 1–10 years and the incidence of clefts was higher in males. Bilateral clefts were present in 19.26% cases where as 50.37% cases had left sided clefts, 30.37% cases had right sided clefts. In the study sample maximum numbers of patients of cleft lip were treated by Randall–Tennison’s technique in almost 70% cases, while almost all the cleft palate patients were operated by Pushback technique. 6 cases showed over or under correction of the lip, 5 cases showed contracted scars but more than 90% of the families were fully satisfied by the treatment and results. This study will provide baseline information on the status of cleft patients in this state of Uttarakhand for future reference to health workers

Abstract 54 | pdf Downloads 27


1. Philip Stamier, Gudrum E Moore. Genetics of cleft lip and palate: Syndromic genes contribute to the incidence of non-syndromic clefts. 2003; 12. Available from URL: www.highwirepress.com.
2. Olasoji HO,Ukiri OE, Yohaya A. Incidence and aetiology of oral clefts:a review. Afr J Med Sci 2005; 34:1-7.
3. Gregg T, Richardson A. Dental development, orthodontics, cleft lip and palate. In: David A Adams, Michael J Cinnamond, editor. Scott - Brown’s Otolaryngology. 6th ed. London: Butterworth Heinemann; 1997; 6:1 – 35.
4. S. Riva Raju. In search of a smile: Study of children born with Cleft Lips and palates in India. Tata Institute of social sciences. Available from URL; www.smiletrain.com.
5. Richard PJ, William PS. Cleft lip and palate. Developmental abnormalities of the face, Palate, jaws and teeth. In: Russel RCG, Williams NS, Bulstrode CJK, editor. Bailey & love’s short practice of surgery. 23rd ed. London: Arnold; 2000: 586-9.
6. David AN, Kimberly GS, Friederick NH, Dauna JK, Robert JK. Fetal cleft lip with or without cleft palate: US classification and correlation with outcome. Radiology 1995; 195: 677-84.
7. Gullino E, Serra M, Ansaldi C, Massobrio M, Pagliano M. Bilateral cleft lip and palate diagnosed sonographically at 11 weeks of pregnancy. J Clin Ultrasound.2006; 34(8):398-401.
8. Orlagh H, Donald B, Peter H, Chris J. The psychosocial effects of cleft lip and palate-a systemic review. European journal of Orthodontics 2005; 27: 274-83.
9. Vasan N. Management of children with clefts of the lip or palate: an overview. NZ Dent J 1999; 95(419): 14-20.
10. Orkar KS, Ugwu BT, Momoh JT. Cleft lip and palate: the Jos experience. East Afr Med J 2002; 79(10): 510-3.
11. Song O, Shi B, Zheng Q. Study on repair approach of bilateral cleft lips and nose deformity. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2006; 20(9): 899-901.
12. Zhou OJ, Shi B, Shi ZD, Zheng O, Wang Y. Survey of the patients with cleft lip and palate in China who were funded for surgery by the Smile Train Program from 2000 to 2002. Chin Med J (Engl) 2006;119 (20): 1695-700.
13. Blanco-Davis, Feliciano. Incidence of cleft Lip and Palate in the northwest of Mexico: A 10- Year study. Journal of Craniofacial Surgery.2003; 14 (4):533-547.
14. Deason S. Maternal smoking during pregnancy is associated with a higher risk of non-syndromic orofacial clefts in infants. Evid Based Dent.2005; 6(2):43-4.
15. Haapanen ML, Rintala AE. Comparison of quality of speech after Veau – Wardill – Kilner pushback operation and the Cronin modification in the primary treatment of cleft palate. Scand J Plast Surg Hand Surg. 1993; 27(2): 113-8.
16. Lazarus DD, Hudson DA, Vanzyj JE, Fleming AN, Fernandes D. Repair of unilateral cleft lip: a comparison of five techniques. Ann Plas Surg 1998; 41(6): 587-94.
17. Richard P. Strauss, Hillary Broder. Interdisciplinary team care of cleft lip and palate: Social and psychological aspects. Clinics in Plastic Surgery 1985; 12 (4):543-51
18. Samuel MN, Philip KTC. Unilateral Cheiloplasty. In: Stephen J. Mathes editor. Plastic Surgery. 2nd ed. Philadelphia: Saunders Elsevier; 2006 P 165-215.
19. Landsberger P, Proff P, Dietze S, Hoffmann A, Kaduk W, Meyer FU, Mack F. Evaluation of patient satisfaction after therapy of unilateral clefts of lip, alveolus and palate. J Craniomaxillofac Surg 2006; 34(2): 31-3.