Journey Towards a Brighter Future with a Better Smile
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CLEFT PROBLEMS IN BANGLADESH WELCOME TO LION MUKHLESUR RAHMAN PLASTIC SURGERY HOSPITAL LN. M. R. SIDDIQI BHABAN,CHITTAGONG LIONS FOUNDATION ZAKIR HOSSAIN ROAD,CHITTAGONG,BANGLADESH TELEPHONE NO: +88 031 2851633,+88 031 2851644. A Project of LION MUKHLESUR RAHMAN FOUNDATION
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Lion Mukhlesur Rahman Plastic Surgery Hospital Established on 2005 with the vision of eliminating Cleft lip and palate deformity from Bangladesh. It was one of a kind 20 bedded hospital that time in Chittagong, Bangladesh.
Transcript of 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…
