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CLEFT LIP, ALVEOLUS AND PALATE IN AFRICAN NATIVES: AN UPDATE ON DEMOGRAPHICS AND MANAGEMENT OUTCOME
O B Akintububo1, E O Ojo2, D D Kokong3
1Oral and Maxillofacial Dept, FEDERAL MEDICAL CENTRE, GOMBE.
African Journal of Medicine and Medical Sciences
|December 29, 2015
Summary
This study analyzed cleft lip, alveolus, and palate (CLAP) cases, finding improved surgical outcomes due to multidisciplinary care and global partnerships. The incidence in African populations may be higher than previously thought.
Area of Science:
- Craniofacial surgery
- Pediatric surgery
- Medical research
Background:
- Craniofacial development is complex; disruptions cause oro-facial clefts.
- Oro-facial clefts are surgically correctable anomalies with varied global demographics.
- Surgical outcomes depend on critical contributing factors.
Purpose of the Study:
- To investigate the demographics and management outcomes of cleft lip, alveolus, and palate (CLAP).
- To identify factors contributing to improved care for CLAP in recent times.
Main Methods:
- A descriptive cohort study was conducted.
- Data was collected from a tertiary health institution over 7 years and 10 months.
- All consecutive patients managed for CLAP were included.
Main Results:
- 149 patients underwent cleft lip, alveolus, and palate repair (incidence 2.1/1000 live births).
- A significant increase in patient numbers was observed in the latter part of the study period.
- High success rate (95.3%) with low complication rate (4.7%) was achieved.
Conclusions:
- The previously documented rarity of CLAP in native African populations may be inaccurate.
- Improved management outcomes are linked to collaborations (e.g., SmileTrain, USA) and a multidisciplinary approach.
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