J Med Assoc Thai 2019; 102 (6):18

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Outcome of the project: treatment and care for patients with cleft lip/palate in Republic of the Union of Myanmar
Pradubwong S , Punyavong P , Sinkueakoolkit A , Wittayapairoch P , Prakrankamanant D , Pongjanyakul S , Sittisomwong S , Pisek P , Manosudprasit A , Chobchuen R , Augsornwan D , Chowchuen B Mail

Background: In developing countries, the treatment approaches for patients with cleft lip/palate mostly on surgery but lack connection or referral integrated care. Therefore, in 2017, the Tawanchai Center established a network of cooperation with medical institutions in the Mekong sub-region with the Republic of the Union of Myanmar to develop comprehensive care.

Objective: To evaluate the outcomes of the project in surgery, anesthesia induction, nursing care, nursing coordination, and speech training for patients with cleft lip/palate of the care team of the Republic of the Union of Myanmar.

Material & Method: A questionnaire survey study was conducted to determine the outcomes of treatment and care project for patient with cleft lip/palate at University of Dental Medicine Mandalay, Republic of the Union of Myanmar during 22-25 August 2017.  Response data from the questionnaires were analyzed by statistic, percentage, average, and content analysis.

Result: Fifty members of interdisciplinary team from five institutions attended the workshop 42 (84%) replied the questionnaire. Twenty-three of these were females (58.40%) and twenty-five of these were oral-maxillofacial surgeons (61%). Overall satisfaction of the attendance was high (x̄ = 3.68). There were 21 patients with cleft lip/palate attended the workshop. Four of the patients attended speech and language training and 17 patients underwent surgery with satisfied outcomes.

Conclusion: The interdisciplinary team who attended this workshop gained experiences and had opportunity to exchange ideas about surgical techniques, anesthesia induction, pre-post ops care, nursing coordination, and planning for speech and language assessment. Patients, who underwent surgery safely, were satisfied with their facial outcomes. The attendees were willing to develop comprehensive cleft care.  


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