Pattern of cleft lip and palate deformities and associated anomalies in a selected Nigerian population

Eigbobo, JO; Akadiri, OA

doi:10.4314/njpsur.v7i2.69873

Cited by 10 publications

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“…The pattern of distribution of CL/P anomaly in this study differs from European and Asian studies as CP appears to be the most common for European studies followed by the CLP, while CLP is the most common for the Asian studies followed by CL [20][21][22][23][24][25][26][27] . However, our findings were similar to other African countries but appear to be in increasing agreement with other Nigerian studies as the sample size of these Nigerian studies increased 1,2,28,29 (Table 3).…”

Section: Discussionsupporting

confidence: 92%

“…Gender distribution by some Nigerian studies either reported slightly higher occurrence of CL/P in men or an equal distribution between the gender 2,9,16,17,31,32 , while some other authors, Olasoji et al 30 in 2002 and Omo-Aghoja et al 18 in 2010, reported higher occurrence in women which was similar to our findings. The female preponderance noted in the gender distribution among the three types of CL/P was more so in the CP anomaly which is similar to European studies and some Nigerian studies 2,32 . The female gender being favoured in our study is in contrast to the study of Manyama et al 1 of Kenya in which the male gender was generally favoured.…”

Section: Discussionsupporting

confidence: 90%

“…Congenital cleft anomalies in the craniofacial region are one of the commonest congenital anomalies recorded in literature [1][2][3][4] . CL/P anomaly is the most common congenital malformation of the head and neck; it accounts for 65% of all head and neck anomalies [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

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Distribution and morphological pattern of clefts in the craniofacial region seen in a sub‐Saharan tertiary hospital

et al. 2014

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Aim: Clefts in the craniofacial region are one of the commonest congenital anomalies recorded in literature. The incidence varies globally with racial differences observed. In Nigeria, the evaluation of the absolute incidence of oral clefts is a challenge as births and deaths are not adequately registered. Especially lacking is the relative prevalence of rare craniofacial clefts to the more common cleft lip and palate anomaly. This study aims to document the pattern of distribution of craniofacial clefts, including cleft lip and palate anomaly, rare craniofacial clefts, unusual presentation of some of these anomalies, as well as other abnormalities noted in affected cleft patients seen at our centre. Material and methods: Information on age, gender, weight at presentation, type of cleft anomaly, other abnormalities, as well as affected relatives were extracted from the clinic records of the Cleft

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

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Distribution and morphological pattern of clefts in the craniofacial region seen in a sub‐Saharan tertiary hospital

et al. 2014

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“…Cette prévalence varie en fonction des groupes ethniques ; la prévalence la plus basse étant rapportée chez les Afro-américains (environ 0,5%) [ 2 , 3 ] et les Caucasiens (environ 1%) [ 1 ], et la plus élevée chez les natifs américains (environ 3,5%) et les Asiatiques (environ 1,7%) [ 4 – 6 ]. En Afrique subsaharienne, les études menées respectivement au Nigeria et en Ethiopie par Eigbobo et Mekonem rapportent des prévalences respectives de 0,4% et 1,49% [ 7 , 8 ]. Une étude menée à Lubumbashi sur les malformations congénitales rapporte une fréquence des FLP de 0,65% [ 9 ].…”

Section: Introductionunclassified

Fentes labiopalatines dans la province du Katanga en République Démocratique du Congo: Aspects épidémiologiques, anatomocliniques et thérapeutiques

Sangwa¹,

Mukuku²,

Tshisuz³

et al. 2014

Pan Afr Med J

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Les fentes labiopalatines sont les malformations les plus rencontrées de la sphère orofaciale. L'objectif est de décrire le profil épidémiologique, anatomoclinique et thérapeutique des fentes labiopalatines observées dans la province minière du Katanga au sud-est de la République Démocratique du Congo. Il s'agit d'une étude transversale réalisée dans quatre institutions hospitalières de la province du Katanga dans des districts sanitaires différents (Hôpital Jason Sendwe à Lubumbashi, Hôpital Gécamines Panda à Likasi, Hôpital Gécamines du personnel à Kolwezi, Hôpital General de référence de Kamina) et qui a porté sur 154 cas de fentes labiopalatines enregistrés au cours de la période allant du 1er mai 2010 au 30 septembre 2012. L'âge moyen de consultation était de 11,8 ans et une prédominance masculine (55,2%) était notée. Un pic était noté chez les deux premiers nés de la famille (55,8%). Nous avons enregistré 20,7% des cas de consanguinité dont 54,2% de premier degré. La fréquence des différents types de fentes labiopalatines diminue au fur à mesure que la fente s'étend de la lèvre supérieure au palais en passant par l'alvéole : 72% (labiales), 21,4% (labiopalatines) et 7,7% (palatines). Les variétés unilatérales sont plus fréquentes (76,7%) que les bilatérales (16,1%). Dans les formes unilatérales, le côté gauche est plus concerné (47,1%) par rapport au côté droit (38,6%). L'évaluation de la gravité selon Anastassov montre que 50,6% de nos patients étaient de degré moyen et 16,2% étaient à un degré sévère. Les malformations associées ont été retrouvées dans 5% des cas et elles sont à prédominance squelettique. C'est la technique de Millard qui a été la plus pratiquée (72/130). Les résultats étaient excellents dans 71,5% contre 1,5% de mauvais. Le séjour d'hospitalisation était de 3 jours et le taux de complications post opératoire était de 2,98%.

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“…In the spectrum of congenital orofacial anomalies, cleft lip and palate remain the most common5. The reconstruction of lip defects involves both extraoral and transoral incisions, and primary closure of the surgical wound with suture materials is an essential step in this process678.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures

Alawode

Adeyemi

James

et al. 2018

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThe aim of the study was to compare wound healing complications following the use of either absorbable or non-absorbable sutures for skin closure in cleft lip repair.Materials and MethodsThis was a randomized controlled trial conducted at the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria. Sixty subjects who required either primary or secondary cleft lip repair and satisfied all the inclusion criteria were recruited and randomized into two groups (Vicryl group or Nylon group). The surgical wounds in all subjects were examined on 3rd, 7th, and 14th postoperative days (POD) for presence or absence of tissue reactivity, wound dehiscence, and local wound infection.ResultsHemorrhage, tissue reactivity, wound dehiscence, and local wound infection were identified as wound healing complications following cleft lip repair. The incidence of postoperative wound healing complications on POD3 was 33.3%. Tissue reactivity was more common throughout the evaluation period with the use of an absorbable (Vicryl) suture compared to a non-absorbable (Nylon) suture, although the difference was statistically significant only on POD7 (P=0.002). There were no significant differences in the incidences of wound dehiscence and infection between the two groups throughout the observation period.ConclusionThere were no statistically significant differences in the incidences of wound dehiscence and surgical site wound infection following the use of either Vicryl or Nylon for skin closure during cleft lip repair. However, more cases of tissue reactivity were recorded in the Vicryl group than in the Nylon group on POD7. Particular attention must be paid to detect the occurrence of wound healing complications, most especially tissue reactivity, whenever a Vicryl suture is used for skin closure in cleft lip repair.

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Pattern of cleft lip and palate deformities and associated anomalies in a selected Nigerian population

Cited by 10 publications

References 0 publications

Distribution and morphological pattern of clefts in the craniofacial region seen in a sub‐Saharan tertiary hospital

Distribution and morphological pattern of clefts in the craniofacial region seen in a sub‐Saharan tertiary hospital

Fentes labiopalatines dans la province du Katanga en République Démocratique du Congo: Aspects épidémiologiques, anatomocliniques et thérapeutiques

A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures

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