IDA Recommendation
IDA Recommendation
- Healthcare authorities need to recognize craniofacial anomalies as a notifiable
disease.
- It is important that the issue of registering of cases of birth deformity should
be taken seriously in India.
- Various studies on cleft cases should be performed along with collection of data
from different centres covering the various geographical and economical section
of India, presence of consanguinity and high and low incidence areas as noted in
previous studies.
- IDA recommends that a team for the multidisciplinary treatment of a child with an
orofacial cleft includes the following specialists:
- Pediatrician
- Nurse practitioner
- Plastic surgeon
- Pediatric dentist
- Otolaryngologist
- Geneticist
- Genetic counselor
- Speech pathologist
- Orthodontist
- Maxillofacial surgeon
- Social worker
- Psychologist
- No single treatment concept has been identified, especially for a Cleft Lip and
Palate . The timing of the individual procedures varies in different centers and
with different specialists.
- We Recommend the Following Treatment Protocol to be used in Healing Smile Foundation
cleft treatment center:
- Newborn - Diagnostic Examination, General Counseling of Parents, Feeding Instructions,
Palatal Obturator (if necessary); genetic evaluation and specification of diagnosis;
empiric risk of recurrence of cleft calculated; recommendation of a protocol for
the prevention of a cleft recurrence in the family
- Age 3 months - Repair of Cleft Lip (and placement of ventilation tubes)
- Age 6 months - Pre-Surgical Orthodontics, if Necessary; First Speech Evaluation
- Age 9 months - Speech Therapy Begins
- Age 9-12 months - Repair of Cleft palate (placement of ventilation tubes if not
done at the time of Cleft lip repair)
- Age 1-7 years - Orthodontic Treatment
- Age 7-8 years - Alveolar Bone Graft
- Older than 8 years - Orthodontic Treatment Continues
- Other surgical procedures can be performed in patients with severe clefts as necessary.