Table of Contents
Plastic Surgery International
Volume 2012, Article ID 620302, 4 pages
http://dx.doi.org/10.1155/2012/620302
Research Article

Profile Evaluation of Patients with Cleft Lip and Palate Undergoing Surgery at a Reference Center in Rio de Janeiro, Brazil

1Plastic Surgery Division, HUCFF-UFRJ, Rua Ramon Franco, 98 Urca, 22290-290 Rio de Janeiro, RJ, Brazil
2Medical School, HUCFF-UFRJ, 22290-290 Rio de Janeiro, RJ, Brazil

Received 29 August 2012; Revised 12 October 2012; Accepted 3 November 2012

Academic Editor: Renato Da Silva Freitas

Copyright © 2012 Diogo Franco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In Brazil, the classic timeline for operating on cleft lip and palate is three months old for cheiloplasty and is 12 to 18 months old for palatoplasty. As from Brazilian treatment centers are usually located in major cities, patients living in more remote areas are often unable to receive treatment at the ideal ages. Data were analyzed retrospectively on 45 patients with cleft lip and/or palate, consecutively operated at the Reference Center, Rio de Janeiro Federal University, Brazil. Particularly noteworthy among these data are gender, clinical presentation, operations performed, age of surgery, and the distance between their homes and the hospital. The average age of patients undergoing primary cheiloplasty was 9.4 months, with primary palatoplasties performed at an average age of 7.2 years. As 67% of these patients lived in other towns, they encountered difficulties in seeking and continuing specialized care. Despite attempts to decentralize cleft palate care in Brazil, suitable conditions are not yet noted for following the treatment protocols in a full and adequate manner.