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.

1. 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

2. LN.MUKHLESUR RAHMAN
PLASTIC SURGERY HOSPITAL

3. Bangladesh
cleft scenario
5,000 CLEFT PATIENTS
BORN EVERY YEAR !!

4. Cleft lip and cleft palate represents the secondCleft lip and cleft palate represents the second
most frequently occurring congenital anomalymost frequently occurring congenital anomaly

5. Oral-Facial clefts are
Isolated clefts Syndromic clefts

6. Two major types of Isolated clefts
Cleft lip/palate
1:700 live births
Isolated cleft palate
1:2500 live birth

8. 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%

9. 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

10. Out of 2000 cleft patients
Cleft lip with cleft palate : 52%

11. Out of 2000 cleft
patients
Only cleft lip : 43%

12. Out of 2000 cleft patients
Isolated cleft palate : 5%

13. Out of 2000 cleftOut of 2000 cleft
patientspatients
Left : 55%Left : 55%
Right : 28%Right : 28%
Bilateral : 17%Bilateral : 17%

14. Familial 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

15. PROBLEMS
a) Anatomic Deformity
b) Functional
- Feeding
- Recurrent URTI
- Middle ear infection
- Hearing
- Speech
- Growth
c) Dentition
d) Social & Psychological

16. PROBLEMS
Poverty
Inappropriate Management

17. Surgery with unsatisfactory results

18. Lip repair is
important
Cosmetically

19. Lip Repair

20. Lip Repair

21. Palatoplasty

22. BEFORE
& AFTER

23. BEFORE
After

24. BEFORE & AFTER

25. BEFORE
&
AFTER

26. BEFORE & AFTER

27. OUR ACTIVITIES WITH
PROF. BRIAN CLIVE SOMMERLAD

28. SEMINER

29. OUR ACTIVITIES WITH
DUTCH BANGLA BANK PROJECT

30. OUR ACTIVITIES WITH
OPERATION SMILE,USA.

31. OUR ACTIVITIES WITH
OPERATION CLEFT,AUSTRALIA

32. OUR ACTIVITIES WITH
OPERATION CLEFT,AUSTRALIA

33. OUR ACTIVITIES WITH
OPERATION CLEFT,AUSTRALIA

34. Our Dream
Cleft Care Centre
Cleft Care Team
Definite Protocol
To provide maximum benefit to our Cleft Children
Safety
QualityPriorities ⇒

35. OUR SURGEONS
PROF. A.J.M. SALEK
PROF. SAFKAT HOSSAIN KHONDOKAR
DR. SHARIFUL HASAN
DR. AYUB ALI

36. OURANAESHTHESIOLOGIST
DR. ALAK NANDY
DR. GOLAM KIBRIA

37. OUR DOCTORS TEAM
DR.SHEMANTA WADDADAR
DR.MD. KHALED
DR.MD. JUNAED
DR. PRABIR
DR. MAHFUZUL QUADER
DR.RAJSREE CHOWDHURY

38. OUR SATISFACTION

39. Our Mission
Cleft free
Bangladesh
Bringing Light to Life

40. LN.MUKHLESUR RAHMAN
PLASTIC SURGERY HOSPITAL

41. LN.MUKHLESUR RAHMAN PLASTIC
SURGERY HOSPITAL
OUR SLOGAN IS
“GIVE A SMILE…