Complex rehabilitation of patients with cleft lip and palate at the Kemerovo center of maxillofacial area congenital pathology prevention and treatment in children

Aim. To increase the quality and access of children with a congenital pathology of maxillofacial area living in the Kemerovo region to the dental aid in the specialized center. Methods. Actions for reorganization of structure and activity of the Kemerovo Regional Center of maxillofacial area congenital pathology prevention and treatment in children were developed and an estimation of the efficiency of their introduction was performed using the most relevant indicators of medical, social and economic activity by the comparison of these indicators in two periods: 1999-2003 and 2005-2009. Also the quality of life of over than fifty 15-18 year old patients who have completed the treatment course in the centre was assessed using standard questionnaires. Physical, mental, social and economical well-being was assessed. Results. The structure of the Kemerovo Regional Center of maxillofacial area congenital pathology prevention and treatment in children was improved and the objectives of the Centre were corrected. The system for the patients’ account and monitoring was created, adequate diagnostic, medical and rehabilitation technologies were developed and introduced. Up to 95% of the disabled children are registered in a center’s database within the first months of life, the age of children in whom corrective surgeries (cheiloplasty and palatoplasty) are performed decreased, corrective surgeries in patients 15-18 years of age are completely over in 84.5% of the cases, 2.2% of patients still have physical disability at the age of fifteen, 48.0% of children are completely satisfied by a treatment course, their appearance and social adaptation. Conclusion. The introduction of the proposed measures allowed to provide a high quality healthcare for children with a congenital pathology of maxillofacial area, their early rehabilitation, decrease of physical disability and reduction of the state payments.

specialized center, congenital pathology of maxillofacial area, prevention, treatment, children, complex rehabilitation, healthcare management