Rehabilitation problem of patients with congenital cleft lip and palate in Samara Region

Relevance. Congenital orofacial clefts are the pathologies of the maxillofacial region with one of the most severe consequences. Patients with clefts deteriorate the quality of life. The report contains data about the relevance of rehabilitation of children with cleft lip and palate in the Samara region. Aim. To develop a questionnaire which will help to investigate the influence of cooperation of patients with congenital clefts, their parents and the orthodontist on the effectiveness of orthodontic treatment. Materials and methods. We interviewed 119 parents of patients aged from 3 to 17 years with clefts palate and lips, who are registered at the Samara regional center and participating in individual rehabilitation programs using an anonymous questionnaire. Results. 68% of surveyed parents indicated the presence of disability in children with congenital clefts palate and lip, 6% noted its absence. 66 (55%) parents noted maxillofacial anomaly as the main anomaly, which indicates their interest in orthodontic treatment. 55% of parents knew about their children's maxillofacial anomalies. 66.6% of them believe that parents should stimulate their children to treat the maxillofacial pathology in early childhood. Among the possible causes of the anomaly occurrence include smoking (6.4%), alcohol (3.2%), environmental effects, including occupational hazards (23.8%). The impact of psychological trauma was noted by 3.2% of mothers. The lack of a balanced diet before and during pregnancy included 8% of the respondents. Conclusions. The paper presents data about the increasing relevance of rehabilitation of children with cleft lip and palate. We have developed a questionnaire, which allows evaluating the influence of the factor of cooperation on the effectiveness of rehabilitation measures. A contradiction between the commitment to complete the rehabilitation process as soon as possible and the desire to take advantage of benefits offered by the state to patients' families has been revealed.

распространенность расшелин губы и неба, анкетирование родителей пациентов, эффективность ортодонтического лечения, рассогласование целей, льготы, prevalence of cleft lip and palate, survey amongst patients' parents, effectiveness of orthodontic treatment, aim mismatch, benefits