Team approach concept in management of oro-facial clefts: a survey of Nigerian practitioners

Akinmoladun, VI; Obimakinde, Obitade Sunday

doi:10.1186/1746-160x-5-11

Cited by 12 publications

(21 citation statements)

References 9 publications

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“…This then limits our ability to estimate functional outcomes and provide evidence based holistic care for the families. This gap in expertise has been reported by previous studies (Akinmoladun and Obimakinde et al, 2009; Butali and Adeyemo, 2011). Furthermore, the sociologists and psychologists are also not included in the management of these families leaving them to cater for their own social and psychological problems, which has direct impacts on the entire outcome and integration into the society.…”

Section: Discussionsupporting

confidence: 76%

Prevalence of Orofacial Clefts in Nigeria

Butali

Adeyemo

Mossey

et al. 2014

The Cleft Palate Craniofacial Journal

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Orofacial clefts (OFC) are the most common malformations of the head and neck. In Africa, OFC is under-ascertained with little or no surveillance system in most parts for clefts and other birth defects. A Nigerian craniofacial anomalies study “NigeriaCRAN” was established in 2006 to support cleft research specifically for epidemiological studies, treatment outcomes and; studies into etiology and prevention. We pooled data from seven of the largest Smile Train treatment centers in the six geopolitical zones in Nigeria. Data from September 2006 to June 2011 were analyzed and clefts compared between sides and gender using the Fisher’s exact test. A total of 2197 cases were identified during the study period with an estimated prevalence rate of 0.5/1000. Of the total number of OFC, 53.3% are males and 47%.7 are females. There was a significant difference (p=0.0001) between unilateral left clefts and unilateral right clefts and; significant difference (p=0.0001) between bilateral clefts and either clefts on the left or right side. A significant gender difference (p=0.03) with more females than males was also observed for CP. A total of 103 (4.7 %) associated anomalies were identified, nine syndromic cleft cases and 10.4 % of the total number of clefts individuals have an affected relative. The significant difference between unilateral clefts and gender differences in the proportion of cleft palate only are consistent with the literature. The present study emphasizes the need for birth defects registries in developing countries in order to estimate the exact prevalence of birth defects including OFC.

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Section: Discussionsupporting

confidence: 76%

Prevalence of Orofacial Clefts in Nigeria

Butali

Adeyemo

Mossey

et al. 2014

The Cleft Palate Craniofacial Journal

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“…Because cleft care is in evolution in Nigeria, [26] adult patients are likely to diminish significantly [2,9] as the level of awareness increases and the availability of affordable cleft care is assured.…”

Section: Discussionmentioning

confidence: 99%

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

2012

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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.

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“…Acredita-se ser de etiologia multifatorial e decorrente de fatores genéticos e ambientais 3 , podendo ser considerados como fatores de risco casos em que a mãe apresenta epilepsia, uso de anti-inflamató-rios durante a gestação, poluição, hereditariedade e exposição à radiação ionizante 4 . A incidência média é de 1:700 nascimentos no mundo 5 . Os portadores de fissura palatina geralmente apresentam dificuldade na alimentação logo após o nascimento 6 .…”

Section: Introductionunclassified

Utilização de tomografia computadorizada de feixe cônico para identificação de fissuras palatinas: relato de caso clínico

Fernandes

Cardoso²,

Greco³

et al. 2017

Rev. da Fac. de Odontologia, UPF

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A tomografia computadorizada de feixe cônico (Cone Beam) vem favorecendo o diagnóstico por imagem em diversas especialidades odontológicas. Porém, devemos saber exatamente quais são as suas indicações e vantagens frente aos exames radiográficos convencionais. Os pacientes com fissuras palatinas necessitam de intervenção cirúrgica de acordo com o tipo e grau de sua fenda palatina para reabilitação estética e funcional. Paciente I. L. S. S., sexo feminino, 14 anos de idade, foi submetida a alguns exames radiográficos e tomográficos para dar continuidade ao seu tratamento cirúrgico-reabilitador associado a sua fissura palatina. Em todos os exames realizados foi possível identificar e avaliar tal anomalia, mas foi por meio da tomografia computadorizada cone beam e suas reconstruções tridmensionais que foi possível observar toda extensão e profundidade das fendas, garantindo a realização de um planejamento cirúrgico de enxerto ósseo, com critérios bem estabelecidos.

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Team approach concept in management of oro-facial clefts: a survey of Nigerian practitioners

Cited by 12 publications

References 9 publications

Prevalence of Orofacial Clefts in Nigeria

Prevalence of Orofacial Clefts in Nigeria

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

Utilização de tomografia computadorizada de feixe cônico para identificação de fissuras palatinas: relato de caso clínico

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