Background: The true incidence of Craniofacial cleft (CFC) is unknown because of their scarcity and because of the difficulty in recognizing sometimes subtle physical findings in mild malformations. Craniofacial anomalies in the African population are reported infrequently. Aim: To contribute to the general literature on rare CFC in Uganda and Africa. Methods: we conducted a retrospective search of patient data over the period 2005 to May 2017 in the unit of plastic surgery of CoRSU (Comprehensive Rehabilitation Service in Uganda) hospital, a tertiary hospital in Uganda. Patient with a diagnosis of CFC were picked out. Sixty-six patient's files with clinical diagnosis of CFC including their clinical photographs were found. Frequency data was generated and a frequency distribution table with the observed data was constructed. Results: Sex distribution showed no significant difference between male and female (1:1,2);the age on admission ranged from 1 day to 83 years; according to the laterality of the cleft, unilateral CFC (left or right side) are more common than midline clefts (Tessier 0; 14; 0,14;30); however, according to the clinical type, Tessier cleft (TC) 0 is the most common TC in our series and is associated with holoprosencephaly. Fifty percent of CFC in our series are syndromic. TC 7 are common in male and have a bilateral predilection. Conclusion: CFC are a rare set of malformations for which there is a paucity of literature. There is a need to conduct a study with a larger series including CT-Scan in order to analyze more accurate clinical diagnosis. Keywords: Craniofacial, Cleft, Tessier, Uganda Résumé Contexte: L'incidence réelle de la fente craniofaciale est inconnue en raison de sa rareté et de la difficulté à reconnaître des signes physiques parfois subtils lors de malformations légères. Les anomalies craniofaciales dans la population africaine sont rarement rapportées. But: Contribuer à la littérature générale sur les fentes craniofaciales rares en Ouganda et en Afrique. Méthodes: nous avons effectué une recherche rétrospective des données des patients sur la période 2005 à Mai 2017 dans l'unité de chirurgie plastique de l'hôpital CoRSU (Comprehensive Rehabilitation Service in Uganda), un hôpital tertiaire en Ouganda. Les patients avec un diagnostic de fente craniofaciale ont été sélectionnés. Soixante-six dossiers de patients avec un diagnostic clinique de fente craniofaciale, y compris leurs photographies cliniques ont été trouvés. Des données de fréquence ont été générées et des tableaux de distribution de fréquence avec les données observées ont été construits. Résultats: Les fentes craniofaciales constituent une malformation rare. La distribution par sexe n'a pas montré de différence significative entre les hommes et les femmes (1: 1,2), l'âge à l'admission variait de 1 jour à 83 ans; selon la latéralité de la fente, les fentes craniofaciales unilatérales (côté gauche ou droit) sont plus fréquentes que les fentes médianes (Tessier 0;14; 0,14; 30); cependant, selon le type clinique ...
Introduction: This study aimed to report fractures complications observed after traditional treatment in Bukavu. Patients and Method: This is a cross-sectional, multicentered and prospective study of a series of 73 cases of fracture complications after traditional treatment collected from 5 hospitals: University clinics of Bukavu; Skyborne Hospital Center, CIRIRI Hospital, Medicure Hospital and Panzi Hospital, from January 1st to December 31st, 2019. Data were collected on a survey form filled by patients and analyzed using Epi Info software 7.2 version. Results: The patients average age was 33.21 ± 18.08 years (range: 4 -74 years) with a sex ratio of 1.7. The group of 21-30 years old was the most affected with 21 patients (28.77%). The traffic accident was the main etiology 42 (57.53%) followed by the fall from a high place with 14 patients (19.18%). Closed fractures represented 44 cases (60.27%). The femur was more affected 18 (24, 66%). The use of traditional medicine was justified by: more effective than modern treatment 26 (35.62%), less expensive 23 (31.51%), socio-cultural beliefs 9 (12.33%) and other reasons 4 (5.48%). 39 patients (53.42%) were coming from urban areas. The complications observed were: 21 skin necrosis (28.77%), 19 vicious calluses (26.03%), 9 non-union (12.33 %), 8 infections (10.96%), 6 limb shortening (8, 22%), 5 gangrene / ischemia (6.85%), 3 joint stiffness (4.11%) and 2 delayed consolidation (2.74%). The modern treatment of these complications was based on osteosynthesis associated with an osteotomy or corticoperiosteal decortication-bone graft 28 (38.36%), skin graft 16 (21.92%) and 23 patients (31.50%) refused modern treatment despite the complication. Conclusion: The fractures traditional treatment based mainly on trial and error, practiced with inadequate means and measures without respecting the fractures treatment principles is a real source of complications that can lead to disabling disabilities.
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