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Cleft lip and palate: the Jos experience
K S Orkar1, B T Ugwu, J T Momoh
1Department of Surgery, Jos University Teaching Hospital, P.M.B. 2076, Jos, Nigeria.
East African Medical Journal
|March 15, 2003
Summary
This study on cleft lip/palate in Nigeria found the anomaly was more common on the left and in later siblings. Public awareness can improve early presentation and treatment outcomes.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Medical Genetics
Background:
- Cleft lip and palate (CLP) are common congenital anomalies with significant impact on affected individuals.
- Understanding the epidemiological patterns and treatment outcomes is crucial for improving patient care.
Purpose of the Study:
- To investigate the occurrence patterns of cleft lip/palate.
- To identify factors influencing treatment outcomes in a Nigerian population.
Main Methods:
- A descriptive study was conducted at Jos University Teaching Hospital, Nigeria.
- Data from 107 consecutive patients with CLP, managed between 1991 and 1997, were analyzed.
- The study examined demographic data, anomaly presentation, associated conditions, and treatment outcomes.
Main Results:
- The male/female ratio was 1.1:1, with CLP being 2.4 times more common on the left.
- Cleft lip alone was the most frequent presentation (52%), with higher incidence in 3rd and 4th siblings.
- Complications occurred in 14.9% of patients, but 89% of repairs were satisfactory to parents.
Conclusions:
- The observed low incidence may be due to underreporting, particularly in rural areas.
- Public enlightenment programs are recommended to encourage earlier presentation for better management.
- Addressing associated congenital anomalies and surgical complications is vital for optimal outcomes.
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