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Study shows failure of cleft operations

01 May 1998

Most cleft lip and palate operations are less than completely successful, a damning report has revealed. Less than half the children could speak clearly after the operation, two out of five had poor dental bite and less than a third had good lip appearance.

The specialist units performing this delicate operation were also criticised. Of the 57 such units in the UK, only six to eight provided good to excellent care, and the overall results were five to 12 times poorer than in the six European centres examined.

The study, by the government funded Clinical Standards Advisory Group, discovered rivalry between plastic surgeons and maxillofacial specialists about who should carry out the operations. The result was that the surgeon was usually poorly trained, with very little experience (BMJ, 1998; 316: 723).

Small units: no improvement - Your chances of survival, or receiving any better treatment, are no better in one of the larger, specialist units beginning to crop up. ...

Glass Houses: Cancer specialist attacks alternative therapies - Everyone knows the old saying 'People in glass houses shouldn't throw stones', everyone, that is, except Prof Jonathan Waxman, a cancer specialist at...

Stents: 25 years on and specialists learn that lifestyle changes are just as effective - The stent has become part of the standard toolkit for the heart specialist. It’s a crude, but effective, device for ‘propping up’ arteries that may c...

Cholesterol drug no better than placebo-specialist - Pravastatin, the cholesterol lowering drug, is no better than placebo, a leading heart specialist has concluded. For every case of heart attack the d...

Ms Carole Wan (Harley Street Stress Management Specialists LTD) - PracticeName Harley Street Stress Management Specialists LTD Discipline Hypnotherapy Address1 8 Balmoral Crescent Address2 Dronfield Woodho...

Caesarean operations - The cutting edge? - Question: When is an operation not an operation? Answer: When it's a section. ...

Emergency care: - It's so bad that it kills a third of patients - The health service is seriously overstretched. Patients with chronic conditions that require routine care tend to get the worst of it, so perhaps the...

Breastfeeding: lip service only - Despite all the recent findings that underline the benefits of breast milk, health professionals seem to be paying little more than lip service to bre...

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