Cleft lip and palate in nigerian children and adults: A comparative study

Adekeye, E.O.; Lavery, K.M.

doi:10.1016/0266-4356(85)90023-3

Cited by 29 publications

(30 citation statements)

References 8 publications

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“…[35,36] It is widely accepted that the repair of cleft lip should be done in early infancy (aged 10-12 weeks) and cleft palate repair should be done before speech development (before 18 months of age). [37,38] Reports of early timely surgical closure of the cleft lip suggest that there are improved cosmetic, psychosocial adjustment, and better quality of life in cleft patient. [33,35,36] Early timely closure of cleft palate has demonstrated improved speech outcome, while late palate closure, although conferring better maxillary growth, has shown poor speech outcome.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria

Taiwo

Micheal

Lanre

et al. 2013

Afr J Paediatr Surg

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The fact that 25.7% of those treated were aged >1 year suggests a continued need to enlighten the public on the availability of cleft lip and palate expertise and treatment. Although an overall good treatment outcome was demonstrated in this study, the nasal score was poorer than the lip score. Complication rate of about 14% following surgical repair is consistent with previous reports in the literature.

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Section: Discussionmentioning

confidence: 99%

Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria

Taiwo

Micheal

Lanre

et al. 2013

Afr J Paediatr Surg

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“…Prior attempts to acquire large amounts of data regarding orofacial clefting in Africa have been limited. Stigma surrounding facial clefting, a predominance of unrecorded home births, challenges to record-keeping with underreporting especially of patients with cleft palates [29], poor healthcare infrastructure, increased mortality of children with clefts [35,36], and shortages of research funding and resources [37,38] have affected the ability to perform epidemiological research across the continent [39]. …”

Section: Discussionmentioning

confidence: 99%

Ten-year experience of more than 35,000 orofacial clefts in Africa

et al. 2015

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BackgroundSurgical correction of orofacial clefts greatly mitigates negative outcomes. However, access to reconstructive surgery is limited in developing countries. The present study reviews epidemiological data from a single charitable organization, Smile Train, with a database of surgical cases from 33 African countries from 2001–2011.MethodsDemographic and clinical patient data were collected from questionnaires completed by the participating surgeons. These data were recorded in Excel, analyzed using SPSS and compared with previously reported data.ResultsQuestionnaires were completed for 36,384 patients by 389 African surgeons. The distribution of clefts was: 34.44% clefts of the lip (CL), 58.87% clefts of the lip and palate (CLP), and 6.69% clefts of the palate only (CP). The male to female ratio was 1.46:1, and the unilateral: bilateral ratio 2.93:1, with left-sided predominance 1.69:1. Associated anomalies were found in 4.18% of patients. The most frequent surgeries included primary lip/nose repairs, unilateral (68.36%) and bilateral (11.84%). There was seasonal variation in the frequency of oral cleft births with the highest in January and lowest by December. The average age at surgery was 9.34 years and increased in countries with lower gross domestic products. The average hospital stay was 4.5 days. The reported complication rate was 1.92%.ConclusionsWith the exception of cleft palates, results follow trends of worldwide epidemiologic reports of 25% CL, 50% CLP, and 25% CP, 2:1 unilateral:bilateral and left:right ratios, and male predominance. Fewer than expected patients, especially females, presented with isolated cleft palates, suggesting that limitations in economic resources and cultural aesthetics of the obvious lip deformity may outweigh functional concerns and access to treatment for females. A fewer than expected associated anomalies suggests either true ethnic variation, or that more severely-affected patients are not presenting for treatment. The epidemiology of orofacial clefting in Africa has been difficult to assess due to the diversity of the continent and the considerable variation among study designs. The large sample size of the data collected provides a basis for further study of the epidemiology of orofacial clefting in Africa.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-015-0328-5) contains supplementary material, which is available to authorized users.

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“…[4] In recent years there has been a move towards earlier surgical repair during neonatal [5] and early infant period. [6] Many studies [7][8][9] have been carried out on the epidemiology, aetiology and surgical management of cleft lip and palate, but none made any reference to the anaesthetic problems in our environment. The purpose of this study is to highlight the anaesthetic problems associated with surgical repair of cleft lip and palate in our hospitals.…”

Section: Introductionmentioning

confidence: 99%