Underreporting, Prevalence, and Epidemiological Trends of Orofacial Clefts in the Brazilian Amazon Region.

Autor:	Souza Martins Rocha C; Department of Craniofacial Surgery, Fundação Santa Casa de Misericórdia do Pará, Belém, PA, Brazil., de Souza Rocha F; Department of Craniofacial Surgery, Fundação Santa Casa de Misericórdia do Pará, Belém, PA, Brazil., Gerk A; Harvard Medical School, Program in Global Surgery and Social Change, Boston, MA.; Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Lopes Salomão S; Faculty of Medicine, Institute of Medical Education (IDOMED), Rio de Janeiro, RJ., Kim A; Faculty of Medicine, Centro Universitário São Camilo, São Paulo, SP., Telles L; Hospital for Rehabilitation of Craniofacial Anomalies, Graduate Program in Rehabilitation Sciences, Bauru., Laus Pereira Lima B; Faculty of Medicine, São Francisco University, Bragança Paulista, São Paulo., Melo de Carvalho M; Department of Craniofacial Surgery, Fundação Santa Casa de Misericórdia do Pará, Belém, PA, Brazil., Alonso N; Department of Surgery, University of São Paulo, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Nov 06. Date of Electronic Publication: 2024 Nov 06.
DOI:	10.1097/SCS.0000000000010825
Abstrakt:	Cleft lip and palate are the most common congenital anomalies of the cranial segment worldwide. Particularly in low-income and middle-income countries, these conditions are associated with increased morbidity and mortality, socioeconomic challenges, and considerable psychological and social integration difficulties for affected individuals. This study aims to evaluate the epidemiological profile of patients with these conditions treated at a newly established specialized center in the Brazilian Amazonian Region. Data were extracted from medical records at a Reference Service for Clefts and Craniofacial Anomalies in the north of Brazil, covering the period from 2016 to 2020. These were compared with data from the official epidemiological health portal of the Brazilian Ministry of Health. The study recorded a total of 852 patients, with males comprising 54.4%. The predominant type of cleft was the transforaminal cleft, which accounted for 69.4% of cases, followed by postforamen clefts at 17.3%. The left side was more frequently affected in 63% of the cases. The primary surgical intervention performed was cheiloplasty, representing 39.5% of all procedures. Notably, 52% of the patients were from the interior regions of the state. The 2019 DataSUS data indicated a prevalence of cleft lip and palate in the State of Pará of 4.26 per 10,000 live births. However, data from this single specialized hospital showed a higher prevalence of 7.58 per 10,000 live births. These results may reflect underreporting of the number of cases reported in national official data sets. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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