SRINIVAS GOSLA REDDY Director GSR Institute of Craniofacial Surgery 17-1-383/55, Vinay Nagar Colony, I.S. Sadan Saidabad, Hyderabad, Andhra Pradesh, 500059 INDIA1-2-2 Masago E-mail: drgosla@hotmail.com Professional Background 1993: Bachelor of Dental Surgery, Gulburga University 1996: Master of Dental Surgery, Oral and Maxillofacial Surgery Mangalore University Bachelor of Medicine and Surgery, NTR Health University Publications accepted by journals in 2006 Comparison of Millard Rotational Advancement variant and Pfeifer wavy incision in unilateral cleft defects Accepted for publication in Plastic and Reconstructive Surgery Journal Publications under review Microbiological evaluation of Oro pharyngeal flora in individuals with craniofacial defects Establishment of Cleft Palate and Cleft Lip DNA Repository Incidence of Cleft lip and palate defects in Andhra Pradesh Keynote lectures delivered “Primary Bilateral Cleft Lip Repair”, International Conference of Oral and Maxillofacial Surgeons, Vienna, Austria, August-September 2005 “Primary Unilateral Cleft Lip Repair without nasal dome surgery”, Symposium on Cleft Surgery, Belgian Craniofacial Association, European Craniofacial Association, Bruges, Belgium, October 2005 “Bilateral Cleft Lip Repair” Congress of the Association of Oral and Maxillofacial Surgeons of India, Jaipur, India, November 2005 “At the Receiving End” Cleft 2006, Eastbourne, UK, 2006 “Use of Pfeifer wavy incision on the face” 50th Anniversary of University Hospital, Zurich, Switzerland, 2006 “Evaluation, diagnosis and repair of cleft lip defects and craniofacial clefts” Conference of African Maxillofacial Surgeons, Cairo, Egypt, 2006 Guest lectures delivered “Developing and Standardizing a cleft center for Indian cleft lip and palate patients”, University Hospital, Leipzig, Germany, September 2003. “Reconstruction of Rare Craniofacial Clefts”, University Hospital, Rostok, Germany, October 2003. “Reconstruction of Rare Craniofacial Clefts”, University of Cincinnati, Ohio, USA, September 2004 “Cleft and Craniofacial Surgery”, University Hospital, Innsbruk, Austria, August 2005 “Comparative analysis of unilateral complete cleft lip repair by Millard Rotational Advancement variant and Pfeifer Wavy Incision techniques”, Cleft 2005, Durban, South Africa September 2005 “Two stage palatoplasty is it a good choice?”, Cleft 2005, Durban, South Africa September 2005 “Unilateral Cleft Lip Repair using Afroze Incision”, Cleft 2005, Durban, South Africa September 2005 “Bilateral Cleft Lip Repair using Afroze Incision”, Cleft 2005, Durban, South Africa September 2005 “Reconstruction of Craniofacial Clefts”, Cleft 2005, Durban, South Africa September 2005 Papers presented (International) “Review of 1200 cases of cleft lip and palate surgeries” at the International Congress of Cleft Lip and Palate Surgery, Birmingham, U.K. July 1999 “Symmetrical Lip Index of 120 Cleft lip cases” at Cleft 2000, Zurich, Switzerland. July 2000. “Developing and Standardizing a cleft center for Indian cleft lip and palate patients” at International Congress of Craniofacial Surgeons, Munster, Germany. September 2002 “Incidence of Cleft Lip and Palate defects in the State of Andhra Pradesh” at the International Congress of Cleft Lip and Palate Surgery, Munich Germany, September 2002 “Comparison of Millard Rotational Advancement variant and Pfeifer wavy incision in unilateral cleft lip patients” at the International Congress of Cleft Lip and Palate Surgery, Munich Germany, September 2002 “Reconstruction of rare Craniofacial clefts”, Cleft 2004, Halifax, Canada, June 2004; won the best paper presentation of the Congress Papers presented (National) Malar Augmentation at the 20th Annual Conference of AOMSI, Bangalore, December 1994 Modified surgical approach to Para pharyngeal space tumors at the 21st Annual Conference of AOMSI, Chennai, December 1995 Functional cheiloplasty of 1200 cleft cases- a protocol based analysis at the 26th Annual conference of AOMSI, Bangalore, Jan 2001 Reconstruction of Craniofacial cleft defects using the Pfeifer wavy incision, 5th Asian Congress of Maxillofacial Surgeons, Mumbai, December 2002. Assessing Quality of Life in Patients with Cleft Lip and Palate Prof. Dr. Srinivas Gosla Reddy Dr. Rajgopal R. Reddy, Dr. G. Prasad Reddy Objective The objective of this presentation is to asses the Quality of Life in 1,000 Patients with Cleft Lip and Palate Methods Cleft lip and palate is the most frequent congenital craniofacial deformity (Peterka et al., 2000). The face is a very sensitive region of the face. It is what gives recognition to an individual. Therefore treatment of cleft lip and palate should provide good esthetic and functional (speech and occlusion) results (Jeffery and Boorman, 2001; Marcusson et al., 2002). Facial esthetics is a very important aspect of an individual’s general perception of life especially between the ages of 18 and 30 years (Jacobson, 1984; Harris and Carr, 2001). Cleft treatment is technically demanding because multiple surgeries are required in addition to speech therapy and orthodontics before the desired result can be obtained. The duration of this treatment often lasts till the patient is 20 years of age. The professionals involved in cleft treatment assess post-treatment results based on certain criteria that they are comfortable with. The author feels that this is not enough. The most important feature of cleft treatment should be the difference in the quality of life of the patient before and after each treatment. There has to be a complete shift of attitudes from the cleft care professional feeling he/she has done a good job, to the patient feeling that a good job has been done for him/her. The author has developed an index that involves the patient, his/her parents, friends, peers etc. to measure the acceptance and quality of life of cleft patients. Results Assessing the quality of life for patients has shown that while the cleft surgeons, speech therapists and orthodontists might feel that they have done a good job the patient might be dissatisfied. On the contrary if the treatment plan is properly expressed the patient is more accepting of a less than satisfactory result. Based on the indices the results will be discussed extensively.