Cleft lip and palate is the most common birth defect affecting the facial region, occurring in about 1 in 800 births in India which amounts to around 45,000 new cases per year. In Karnataka, it is estimated that between 4000 to 4200 new cleft babies are born annually, with around 800 born in Mysore District alone. Cleft lip and palate can cause physical issues like difficulties with feeding, speech, and dental function as well as social stigma, and requires comprehensive treatment from birth through adulthood to address these challenges.

2. CLEFT LIP AND PALATE (CLP)
THE MOST COMMON
BIRTH DEFECT
AFFECTING THE
FACIAL REGION

3. CLP- The Indian Statistics
(Tata Institute of Social Studies – 2000)
► BIRTH RATE- ROUGHLY 25
MILLION CHILDREN PER
YEAR
► INCIDENCE OF CLEFTING
IN INDIA- 1: 800 LIVE
BIRTHS
► TOTALS TO 45,000 CLEFT
CHILDREN PER YEAR

4. KARNATAKA
►IN KARNATAKA IT IS ESTIMATED THAT
4000 TO 4200 NEW CLEFT BABIES ARE
BORN EVERY YEAR
►In MYSORE Dist we have an estimated
800 new cleft babies born each year

5. CLP- The PHYSICAL Problem
PHYSICAL
► APPEARANCE
► FEEDING
► SPEECH
► FUNCTION (DENTAL)
► ADDITIONAL DEFECTS (HANDS,
LEGS, EYES)

6. CLP- The SOCIAL Problem
SOCIAL
►STIGMA FROM SOCIETY
►LOW SELF ESTEEM

7. Worthy to note the associated
problems a cleft child would have to
cope with
►Functional Problems : (difficulty in suckling
and swallowing as a result of absence of the
palatal shelves ----this in turn would give
rise to poor nutritional status
►Repeated respiratory tract infection ,ear
infections
►Growth problems
►Speech problems.

8. ►In brief , the dimensions of this
malformation (Clefts and Craniofacial
deformities) affect the structure ,function
and the very psyche of an individual.

9. An illustration

10. Causes of CLEFT
HEREDITARY
GENETIC
NUTRITIONAL
MECHANICAL
ENVIRONMENTAL

11. CLP- THE FINANCIAL PICTURE
►THE BARE MINIMUM FOR
LIFETIME TREATMENT
FOR ONE CHILD WHICH
STARTS AT BIRTH TILL
THE CHILD IS ABOUT 18
YEARS OF AGE IS INR
1,50,000 IN CHARITABLE
SETUP

12. CLP- Is It Treatable
YES

13. CLP- Treatment Statistics
► ONLY 25% GET ANY FORM
OF TREATMENT
► 75% FAMILIES – BELOW
POVERTY
► TOTAL TREATMENT AND
REHABILITATION
ABYSSMALY LOW

14. Concept of comprehensive Cleft care
from birth to adulthood at
DCKH CENTRE
MYSORE

15. An insight in to
PROCEDURES

16. TREATMENT PROTOCOL ( Treatment cost shown below includes A-Z
cost from Admission to Discharge with all included with ZERO cost to patient)
► NAM therapy (Rs 8000/-)
► 3 months- Lip repair ( Rs15,000/-)
► 9-12 months- Palate Repair ( Rs 20,000/-)
► Sequential follow-up with speech therapy & Speech
related surgery ( Rs 10,000/- to Rs 15,000/-
depending on whether surgery is performed or not)
► Vomerine osteotomy/revision/fistula repair ( Rs
15,000/-)
► Orthodontics ( Rs 15,000/-)
► 8-10 years- Alveolar bone grafting (Rs 15,000/-)
► Revisions ( 10,000/-)
► Rhinoplasty- 14-16 years ( Rs 20,000/-)
► Orthognathic Surgery 17-19 years ( Rs
20,000/-)

17. Pre Surgical
Nasoalveolar
Molding
for Infants with
Cleft Lip,
Alveolus &
Palate
Children in Crisis

18. Our protocol
► Prenatal:
Parent counseling
► Birth:
Multidisciplinary evaluation
Parent counseling
► Ist week:
Impression
Appliance delivery

19. NAM
PRIMARY
IMPRESSION(20/8/09) PRIMARY CAST

20. NAM APPLIANCE

21. APPLIANCE DELIVERED

22. PRE NAM (20/8/09) POST NAM (17/3/10)

23. LIP REPAIR

28. CLEFT PALATE SURGERY

32. SPEECH THERAPY

33. BONE GRAFTING

35. ORTHODONTICS

38. CRANIOFACIAL SURGERIES

40. BENEFITS FOR THE PATIENTS ARE……..
UNIQUENESS OF DCKH CLEFT CENTRE MYSORE
DEDICATED TEAM OF DOCTORS AND STAFF
COMPREHENSIVE & FREE CARE
NO WAITING PERIOD ONCE ADMITTED
USE OF LATEST SAFE ANESTHETIC DRUGS
OTHER ASSOCIATED CRANIOFACIAL ANAMOLIES Too Operable
 EXCELLENT PATIENT CARE
 HEALTHY ATMOSPHERE OF St. JOSEPH’S HOSPITAL

41. FACILITIES OFFERED IN OUR CENTRE

43. How can YOU help ?
1. IDENTIFY CLEFT PATIENTS FOR
DEFINITIVE TREATMENT
2. BUILD AWARENESS IN LOCAL
POPULATION
3. HELP CONDUCT SURVEY TO
ACCURATELY ESTIMATE
PREVAILENCE OF CLEFT AND OTHER
CRANIOFACIAL ANOMALIES.

44. How can YOU Help?
► TO PREVENT CHILD DISCRIMINATION IN
SOCIETY
► CREATE AWARENESS THROUGH MEDIA/
PRESENTATIONS

45. THANK YOU