Journal article
Management of Orofacial Cleft in Nigeria - A Retrospective Study
Annals of maxillofacial surgery, Vol.10(2), pp.434-438
07/2020
DOI: 10.4103/ams.ams_104_20
PMCID: PMC7943976
PMID: 33708591
Abstract
Orofacial clefts (OFCs) are among the most common craniofacial developmental abnormalities worldwide and a significant cause of childhood morbidity and mortality. This study aimed to identify patterns of patient presentation, treatment approaches, and changes in our overall cleft care service between 2007 and 2019.
A retrospective review of patients managed at a tertiary health facility in Nigeria of all OFC cases operated between 2007 and 2019 was done using the postintervention data retrieved from the Smile Train database. Data of all OFC cases operated within the period were analyzed using the Statistical Package for the Social Sciences. Descriptive statistics were performed using the Statistical Package for the Social Sciences version 20.0.
A total number of 740 OFC surgeries were performed in 565 patients, consisting of 269 females (48.2%) and 289 males (51.8%). The majority (63%) of the patients presented before the age of 2 years. Thirty-seven percent presented with cleft lip and alveolus, 27.1% with cleft palate only, and 36.7% with cleft lip, alveolus, and palate. Primary cleft lip repair was the most performed surgery (n = 320, 43.2%), the mean age at repair was 2.1 years. Since 2017, additional services such as speech therapy, mixed dentition orthodontics, and nutritional support were added to services provided to our cleft patients. Fifteen patients have undergone speech assessment and three have completed speech treatment. Eight patients have undergone mixed dentition stage orthodontic treatment.
Our services have evolved from simply providing surgical care to comprehensive care with a multidisciplinary team approach and provision of a wide range of services including nutritional counseling, pediatric care, orthodontic services, and speech therapy. We believe these will improve the overall well-being of our patients while we continue to improve on services based on clinical research outcomes.
Details
- Title: Subtitle
- Management of Orofacial Cleft in Nigeria - A Retrospective Study
- Creators
- Olutayo James - University of LagosAdegbayi Adeola Adekunle - Lagos University Teaching HospitalOlawale Olatubosun Adamson - University of LagosOlushola Failat Agbogidi - Lagos University Teaching HospitalWasiu Lanre Adeyemo - University of LagosAzeez Butali - University of IowaAkinola L Ladeinde - University of LagosMobolanle Olugbemiga Ogunlewe - University of Lagos
- Resource Type
- Journal article
- Publication Details
- Annals of maxillofacial surgery, Vol.10(2), pp.434-438
- DOI
- 10.4103/ams.ams_104_20
- PMID
- 33708591
- PMCID
- PMC7943976
- NLM abbreviation
- Ann Maxillofac Surg
- ISSN
- 2231-0746
- eISSN
- 2249-3816
- Language
- English
- Date published
- 07/2020
- Academic Unit
- Oral Pathology, Radiology and Medicine; Stead Family Department of Pediatrics; Craniofacial Anomalies Research Center; Dental Research
- Record Identifier
- 9984353837802771
Metrics
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