Anaesthesia in Congenital Facial Anomalies in a Rural Set up of a Developing Country
نویسندگان
چکیده
Background: India has an estimated backlog of 1000000 cleft patients. A total of 35000 new cleft patients are born each year. With the capacity to operate on approximately 50000 patients each year only 15000 patients from the national backlog can be operated upon each year if capability is not augmented. Objectives: To reach the population at large we meticulously planned an out-reach programme and operated on patients even in rural set ups with lack of modern facilities. We operated on patients at sub divisional centres, where apparatus for providing sevoflurane was not available. Institutional Ethical clearance was taken before conduction of the study. Patients who required prolonged surgery were taken to the tertiary centre. Working ventilators were also not available at peripheral centres. Materials and Methods: This interventional study was carried in a time span of four years on nineteen hundred and nine patients, after taking approval from the Institutional Ethical Committee. Patients were screened and some were operated at rural centers and others at a tertiary care centre. Patients who could not afford to come to the tertiary care centre were operated at different rural centers. Informed consent was taken. Results: There were 1909 patients with Congenital Facial Anomalies (CFA) over four years period out of which 918 patients were of either unilateral or bilateral cleft lip. They were successfully operated at rural health centers with limited facilities. This could reduce the total load of surgeries for CFA at tertiary care hospital ensuring safe surgeries for all with CFA for all age groups and both Anaesthesia in Congenital Facial Anomalies in a Rural Set up of a Developing Country 1* 2 1 3 1 Debasish Saha , Arunima Chaudhuri , Sumanta Ghosh Maulik , Sarbari Swaika , Debasish Ghosh ,
منابع مشابه
مدیریت ناهنجاری مادرزادی در ایران : طراحی مجموعه حداقل دادههای ملی
Introduction: Congenital anomalies are the leading causes of infant death at birth and during infancy, and are considered as significant and costly health problems. Therefore, a national registry of congenital anomalies is needed to calculate health indexes because collecting and reporting birth anomalies facilitate assessment, and health planning. Consequently, this study aimed to determine t...
متن کاملبررسی اپیدمیولوژیک شکاف جمجمه و صورت و موارد درمان نشده در جمعیت زیر 18 سال استان زنجان
Background and Objective: Congenital craniofacial anomalies emerge as changes in structure, function and metabolism at birth. This study aimed to identify congenital malformations of the face and different non-healed and healed craniofacial fractures and their epidemiology in people younger than 18 years in the province of Zanjan. Materials and Methods: This study was carried out on all urba...
متن کاملSurgery and Anesthesia Management for Intraoral Synechia: A Case Report
Introduction: Intraoral synechia is a rare congenital condition, generally associated with other maxillo-facial malformations. We present a neonate with congenital intraoral bilateral synechia without any other facial anomalies. Case Report: In this paper, we present a 19-day-old male neonate with congenital intraoral bilateral synechia without any other facial anomalies. We review the litera...
متن کاملروند پانزده ساله بروز معلولیت مادرزادی در جمعیت روستایی شهرستان رفسنجان
Background: Handicapped subjects have special social and clinical needs that should be observed. The present study was designed to survey the incidence of congenital anomalies in a rural population aged 5- 19 years in Rafsanjan. Materials and methods: In a descriptive study, we included 1356 subjects who were randomly selected through rural population of Rafsanjan. The incidence of congenit...
متن کاملSyndromic Intellectual Disability Caused by a Novel Truncating Variant in AHDC1: A Case Report
Mutations in the AHDC1 gene are associated with the Xia-Gibbs syndrome (XGS), a sporadic genetic disorder characterised by developmental delay, intellectual disability, hypotonia, obstructive sleep apnoea, dysmorphic facial features, and cerebral malformations with plagiocephaly. Here we report the case of a 13-year-old Colombian female patient with a history of developmental delay, speech dela...
متن کامل