Outcome of the Project: Treatment and Care for Patients with Cleft Lip/Palate in Republic of the Union of Myanmar
Pradubwong S, MSN1, Punyavong P, MD2, Sinkueakoolkit A, MD3, Wittayapairoch P, MD3, Prakrankamanant D, RN3, Pongjanyakul S, RN3, Sittisomwong S, DDS, FRCDT(OMFS)4, Pisek P, DDS, MSc, FRCDS, M Orth RCSEd, PhD3, Manosudprasit A, DDS, MS, PhD4, Chobchuen R, MSN1, Augsornwan D, MPH1, Sroyhin W, ME1, Prathanee B, PhD5, Chowchuen B, MD, MBA2
Affiliation : 1 Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand 2 Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand 3 Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand 4 Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand 5 Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
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.
Materials and Methods : 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 to 25 August
2017. Response data from the questionnaires were analyzed by statistic, percentage, average, and content analysis.
Results : 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 (x = 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.
Keywords : Cleft lip/palate, University of Dental Medicine Mandalay, Republic of the Union of Myanmar, Tawanchai Center
