The CLEFT

Problems and Solutions by

Around 5000 child born with this deformity every year

Ratio 1/700 live births

Problem??Problem??

Cleft lip and cleft palate represents the second Cleft lip and cleft palate represents the second most frequently occurring congenital anomaly most frequently occurring congenital anomaly

Oral-Facial clefts are

Isolated clefts Syndromic clefts

Two major types of Isolated clefts

Cleft lip/palate 1:700 live births

Isolated cleft palate 1:2500 live birth

Etiology of Cleft lip & Palate

RACIAL • ASIAN AND LATINOS: 1:500

• AFRICANS: 1:1000• EUROPEANS: 1: 700

GENETIC • FAMILIAL INHERITANCE • CHROMOSOMAL ABERRATIONS like trisomy D & E • A CLEFT PARENT WITH AUTOSOMAL DOMINANT GENE

50%

Etiology of Cleft lip & Palate

ENVIORNMENTAL• NUTRITION:- VIT A (excess), FOLIC ACID (deficiency)• DRUGS:- STEROIDS, DYLANTIN, ISOTRETINOIN,

Diazepam THALIDOMIDE• VIRAL INFECTION:- RUBELLA• EXCESSIVE SMOKING & DRINKS in first 2 months of

pregnancy

problems with feeding,

eating, speech and ear disease

Sadness, shame

anxiousnessdepression

Humiliation Social rejectionUnhappy marital

life, Divorce

Lip repair isimportant

Cosmetically

Lip Repair

BEFORE

After

BEFORE &

AFTER

BEFORE & AFTER

2001• Inauguration of Lion Mukhlesur Rahman Plastic Surgery Project (LMRPSP)• 1000+ Surgeries in Center Point Hospital,

Chittagong up to 2004.

2005 • Lion Mukhlesur Rahman Plastic Surgery Hospital established at CLF, Chittagong.• 700+ Surgeries aided by Dutch Bangla Bank Ltd. and Operation Cleft, Australia. 

2009• Smile Train USA came up to aid as $250

per surgery.

2013• LMRPSP renamed as CureCleft project.

Lion Mukhlesur Rahman

Plastic Surgery Hospital

OUR ACTIVITIES WITH PROF. BRIAN CLIVE SOMMERLAD

OUR ACTIVITIES WITHOPERATION CLEFT,AUSTRALIA

OUR ACTIVITIES WITHOPERATION CLEFT,AUSTRALIA

OUR SURGEONS

DR. Mrinal Kanti (Head of Plastic Surgery Dept of CMCH)

DR. AYUB ALI (Head of Plastic Surgery Dept of NITOR)

Dr. Ismat Ara (Head of Mexilo-Fasial Surgery Dept of Dhaka Dental College

OUR SATISFACTION

1000

1375

1921

2324

2713

3121

35073835

4382

4802

2005 2006 2007 2008 2009 2010 2011 2012 20132014 (June)

Yearly Progress

No. of Cleft surgeries

4802

Mission

Cleft free Bangladesh

Bringing Light to Life

“GIVE A SMILE…