Adolescent and adult cleft lip and palate, in Ile-Ife, Nigeria

Abstract

Introduction: Congenital cleft lip and palate (CLP) defects usually present in childhood, especially in places with available and affordable care. In Nigeria, their incidence is low but late presentation in Adult life have been reported. This article aims at reviewing adolescent and adult CLP patients in our center, with the advent of free and available care, and to document the patterns and management outcomes of these patients as an addition to existing literature on the subject of adult CLP. Materials and Methods: A retrospective review of adolescent and adult CLP patients managed from May 2006 to April 2010. Demographic data as well as clinical information were retrieved from the hospital records and include the type of cleft deformity, surgical intervention prior to presentation, the type of surgery performed and postoperative outcomes. Some pertinent clinical photos were also reviewed. Results: Adolescent and adults constituted 24% of the 137 patients, their age ranged from 13 to 76 years, with a mean, median and modal age of 28, 22 and 20 years respectively. Unilateral cleft of primary palate was commonest with female preponderance. Most never had surgery, others desired revision surgery or secondary procedures. The outcomes were satisfactory in the 37 procedures performed on 33 patients. Conclusion: A relatively high ratio of adolescent and adult clefts is observed. Most of them have never had surgical intervention. Some had failed surgical intervention prior to presentation. Satisfactory outcomes were achieved despite late intervention but failed initial intervention was associated with poorer outcomes.

Population Prevalence and Trends of Oral Clefts in Colombia: Analysis by Departments

“…29,30 However, the reports are limited for population older than 10 years old. 4,16 The upward trend of CL/P prevalence in Colombia highlights departments located in the south-eastern region of the country such as Guaviare, Guainía and Vaupés, and Antioquia and Vichada in other regions, which indicates a constant increment in birth prevalence in these areas. Whereas departments such as Chocó, San Andrés, and Guajira (marginal departments with high influence of afro, raizal, and indigenous communities, respectively) show an atypical downward trend.…”

“…The statistics on these pathologies are mainly at birth and the magnitude in advanced ages, despite being explored, it is not completely clear. Limited studies in the world shows the institutional monitoring of population with CL/P over one year 4,5 and even belated attentions 6 ; with incidents close to 1 per thousand, while in Latin American region is trendy the exclusive report of CL/P birth prevalence, as the case of the Latin American collaborative study of congenital malformations, which reports incidence in the region of 1.5 per 1000 live births. 7 In a similar way, at local level the studies in Colombia follows the same tendency only birth report.…”

Corrective Rhinoplasty Post Herbal Induced Ulceration: A Case Report

“…The patient needed to be very understanding and patient to allow proper debridement and healing before repair to achieve good and acceptable results without complications as in this case. The viscoelastic property of the skin enables the repair in this patient to be carried out without recourse to a flap from any other source 3,5 . Rhinoplasty for whatever reason can be performed in our environment for the benefit of the patient with adequate patient education and enlightenment.…”

“…Corrective Rhinoplasty has been performed on patients who have had cleft lip and palate repair in order to correct the airway compromise and to also reposition the alar cartilage 5 . It is also undertaken as a revision procedure during or after the formal healing following a normal Rhinoplasty procedure 1,2 .…”

Reduction mammoplasty for macromastia: Our experience using the inferior pedicle with inverted-T skin resection

“…Breast reduction surgeries are not commonly done in our environment as demonstrated by the very few articles that have been published over the years from Nigeria. [ 12 13 14 15 16 17 ] The aim of this study is to present the outcome of our experience in the surgical management of macromastia using the inferior pedicle with an inverted-T skin resection approach. In addition to this, the very purpose of this article is to advocate for the creation of awareness that breast reduction is not just a cosmetic procedure but also a reconstructive procedure that addresses the health challenges associated with macromastia and to show that breast reduction procedures are available in our environment.…”