The Charles Pinto Centre for Cleft lip, Palate and Craniofacial Anomalies

These conditions negatively affect the very core of one's personality, the physical & psychological trauma involved, is beyond explanation. This department is an internationally accepted center of excellence, which is very often visited by Plastic Surgeons from all over the globe. The credit of origin & existence goes to Dr. H.S. Adenwala who has successfully corrected about 16,000 such patients - a world record. Since the management has given top priority to alleviate the agony of this category of patients, the procedure is FREE OF COST which attracts poor people, not only from Kerala, but also from other parts of India.

Head of the Department:Dr. H.S. Adenwalla.
Consultant:Dr. Varun Menon P, MDS, F.P.F.A (USA),FIBCSOMS. Fellow international board of certification for specialist in oral and maxillofacial surgery.
Consultant Reconstructive Surgeons:Dr. P.V. Narayanan
Dr. Vasant Radhakrishnan
Dr. M. Pasupathy
Consultant Maxillofacial Surgeon:Dr. Philip Mathew
Consultant OrthodontistDr. Jayakrishna Varma
Consultant Paediatricians:Dr. Sunny George
Dr. Sarojam P
Consultant Cardiologist:Dr. T. Govindan Unni
Dr. Manoj Ravi
Consultant ENT Surgeons:Dr. Mariam Thomas
Speech Pathologist:Ms. Elizabath Saju
Speech Therapist:Mr. Anish Babu
Consultant Psychiatrist:Dr.James Antony
CounsellorsRev. Sr. Ancy (MSM)
Mrs. Frigi Rajeev
Secretary:Mr. Venugopalan Nair

About the Department:

This department provides comprehensive care for patients with congenital clefts of the lip, palate and complex facial clefts. This is probably the only Department of its kind that is dedicated solely to the care of cleft deformities. It has been in existence at the Jubilee Mission Medical College & Research Institute for more than 53 years, and a total of more than 16,000 cleft surgeries have been performed at this Centre.

The Saga of the Cleft Patients:

The care of the cleft patient begins soon after birth. Counselling the patients about feeding, explaining to them the nature of the deformity, allaying fears and misconceptions start soon after birth at our out-patients clinic. The cleft lip and palate child requires surgery for the cleft lip at about 6 months, repair of the cleft palate at around 1 year, improvement of minor deformities of the nose at 5½ - 6 years, Alveolar bone graft for proper eruption of the teeth at 7 years, surgically bringing the upper jaw forward for gross deficiency of growth after 16 years with orthognathic surgery.

Partnership with Smile Train:

Smile Train is a charitable organization based in New York, USA, that helps in funding for the treatment of Cleft Patients. Partner hospital are meticulously screened for proper safety protocol, infrastructure and skills of the treating surgeons and anaesthetists. The Charles Pinto Centre was the first to be inspected and accepted as a partner in India by Smile Train.

Services Rendered:

  • SURGICAL TREATMENT - includes surgery for primary correction of unilateral and bilateral cleft lips, primary repair of cleft palate, secondary correction of the lip and nose, alveolar bone grafts, Maxillary distraction, orthognathic surgery includes LeForte osteotomies, secondary surgery for Velopharyngeal incompetence including Pharyngoplasty. These surgeries are available FREE OF CHARGE to the patients under the Smile Train Scheme.
  • NON-SURGICAL SERVICES:
    • Orthodontics: A state of the art department has been developed that will soon be providing modern facilities like nasoalveolar moulding for Pre-surgical orthodontics.
    • Speech and Language Therapy: There is a full-fledged speech and language therapy department with a well-trained Speech Pathologist Ms. Elizabeth Saju.

Facilities:

Four Operation Theatres equipped with modern anaesthetic equipment are available for cleft-related surgeries:
  • Nasoendoscopy and Videofluroscopy to assess the state of the Velocardial Sphinchter mechanism.
  • Nasometry to detect nasality of speech,
  • Dedicated 9 bedded surgical ICU especially for cleft patients.
  • High Dependency Unit for cleft patient. (5 bedded)

Academics:

The department is visited by trainees from all over India and abroad from departments of Plastic Surgery, Paediatric Surgery and Oral and Maxillofacial surgery with trainees coming here for exposure to cleft surgery and to further hone their skills in this specialty.

Publications:

  • National Journals : 9
  • International Journals: 3

Award & Distinctions :

  • Dr. H.S. Adenwalla was awarded the Sushruta Oration in 1999 by the Association of Plastic Surgeons of India.
  • He delivered a guest lecture at the International Cleft Lip and Palate foundation in Zurich, 2000 where he was awarded a citation which reads "in recognition of outstanding contributions in supporting patients with cleft lip and palate and advancing the medical skills in developing countries with deep gratitude and thankfulness".
  • He was awarded the Joseph McCarthy award for Excellence in Medicine and Humanitarian services in November 2006 in New York.
  • Dr. H.S. Adenwalla is Member of the Smile Train Medical Advisory Board (South Asia and New York).
  • He was the 1st President of the Indian Society of Cleft Lip, Palate and Craniofacial Anomalies.
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