Article:
Age of individuals undergoing cleft lip and cleft palate surgeries in Nepal

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorRai, Shankar Man
dc.contributor.authorNakarmi, Kiran
dc.contributor.authorBasnet, Surendra
dc.contributor.authorShakya, Pramila
dc.contributor.authorNagarkoti, Krishna
dc.contributor.authorGhartimagar, Mangal
dc.contributor.authorKarki, Bishal
dc.contributor.authorHirachan, Suzita
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
dc.date.accessioned2026-10-12T06:46:14Z
dc.date.available2026-10-12T06:46:14Z
dc.date.issued2013
dc.description.abstractAbstract Introduction: Timely repair of cleft lip and palate maximises the benefits of surgery. Developing countries have large number of adults with unrepaired clefts. The impact of a cleft program can be determined by observing the trends of lower age at surgery. Public Health Concern Trust, Nepal has been providing a comprehensive nationwide cleft service since 1999. This study was conducted to see any change in the age at surgery. Methods: A retrospective cross sectional study was conducted to analyse the data of all the individuals’ age at primary cleft surgery from July 1999 to June 2010. Mean and median age of individuals as well as the proportion of individuals operated on at the right age in different years were calculated and compared. Results: The median age for cleft lip surgery decreased from 100 to 24 months. Similarly the median age for cleft palate surgery decreased from 70 to 28 months. Proportion of surgeries carried out in the recommended age also increased. A change in the policy of the program reaching out to more remote areas and removing the age barrier for surgery resulted in older adults receiving surgery and increased median age especially for cleft palate repairs. Conclusions: A nationwide cleft program for a decade had a small impact on age at surgery. There are still many individuals who are missing the ideal age for surgery. The program needs to reach more remote areas. This information will be useful for governmental as well as non-governmental organizations working in the area of clefts. Keywords: Age; Cleft lip; Cleft palate; Nepal.
dc.identifier.doihttps://doi.org/10.31729/jnma.2432
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8103
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectAge
dc.subjectCleft lip
dc.subjectCleft palate
dc.subjectNepal
dc.titleAge of individuals undergoing cleft lip and cleft palate surgeries in Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage595
oaire.citation.startPage591
relation.isJournalIssueOfPublication8d841c1c-a325-4c44-832d-306937ec270c
relation.isJournalIssueOfPublication.latestForDiscovery8d841c1c-a325-4c44-832d-306937ec270c
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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