Complex treatment efficiency, analyzed in children with congenital cleft lip and palate, using international classification of functioning

Abstract

Aim. To determine the structure of functional disorders and their dynamic changes in children with congenital cleft lip and palate from the position of International Classification of Functioning.

Materials and methods. The indices, included into International Classification of Functioning, were assessed in 77 children (age range 1 to 6 years) with congenital cleft lip and palate, who received a complex five-stage therapy.

Results. Direct correlation between the type of cleft and the value of disorders in classification constituents “function” and “structure” was revealed. Thus, in patients with bilateral cleft lip and palate, disorders of functions reached 82 %, in children with one-sided cleft lip and palate – 45 %. In children of group I, more marked structural disorders were observed, forming from 24 to 96 %, in children of groups 2 and 3 – from 5 to 49 %. In children with bilateral cleft lip and palate, there were observed more marked abnormalities in the category “activity and participation” (25–95 %) compared to children of groups 2 and 3 (0–24 %).

Conclusions. Application of International Classification of Functioning for children with congenital cleft lip and palate shows a wide range of the assessed functional disorders and the possibility of using it for dynamic analysis of efficiency and treatment.

Keywords

International Classification of Functioning / congenital cleft lip and palate

References

[1] Гвоздёва Ю.В., Царькова О.А., Данилова М.А. Оценка гармоничности профиля лица у детей при различных видах миофункциональных нарушений. Казанский медицинский журнал 2010; 2: 173-176.

[2] Данилова М.А., Мачулина Н.А., Залазаева Е.А. Опыт совместной работы кафедры детской стоматологии и ортодонтии ПГМА и КГАУ «Центр комплексной реабилитации инвалидов». Стоматология детского возраста и профилактика 2013; 1 (44): 70-72.

[3] Международная классификация функционирования, ограничений жизнедеятельности и здоровья. Женева: ВОЗ 2001; 342.

[4] Царькова О.А., Данилова М.А. Оценка результатов комплексного лечения детей с нарушением носового дыхания. Ортодонтия 2007; 3: 83.

[5] Чуйкин С.В., Давлетшин Н.А., Аверьянов С.В., Чуйкин О.С. Врождённая расщелина верхней губы и нёба. Уфа 2011; 6-7.

[6] Шарова Т.В., Симановская Е.Ю. Ортопедический способ устранения врожденного дефекта твердого и мягкого неба у детей с одно- и двусторонней расщелиной. Пермь 1983; 4-5.

[7] Divya N.U., Guru P.R., Raj K.M., Arun K.S. Impact of educational and socioeconomic status of parents on healthcare access in cleft patients. Journal of Cleft Lip Palate and Craniofacial Anomalies 2017; 4: 109-113.

[8] Gkantidis N., Papamanou D.A., Karamolegkou M., Dorotheou D. Esthetic, functional, and everyday life assessment of individuals with cleft lip and/or palate. BioMed Research International 2015; Article ID 510395.

[9] Sri Ram R.M., Subramaniyan B., Roopa N. Studying the impact of cleft of lip and palate among adults using the International Classification of Functioning, Disability and Health framework. Journal of Cleft Lip Palate and Craniofacial Anomalies 2017; 4: 125-137.

[10] Tesch F.C., Oliveira B.H., Leão A. Measuring the impact of oral health problems on children's quality of life: conceptual and methodological issues. Cad Saúde Pública 2007; 23(11): 2555-2564.

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Aleksandrova L.I.