Cleft Lip and Palate Surgery in Kumasi, Ghana

Donkor, Peter; Bankas, Daniel; Agbenorku, Pius; Plange‐Rhule, Gyikua; Ansah, Samuel Kodjo

doi:10.1097/01.scs.0000246504.09593.e4

Cited by 38 publications

(42 citation statements)

References 8 publications

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“…Other African authors have also documented this observation. 13,14 The incidence of critical events in general paediatric anaesthesia is documented to be 8.6% in infants which improves to 2.1% in older patients with a statistically significant difference in children < 10 kg. 2 Murat 11 reiterated that intraoperative adverse events were more likely in infants < 12 months.…”

Section: Discussionmentioning

confidence: 99%

Airway and respiratory complications in children undergoing cleft lip and palate repair

Desalu¹,

Adeyemo²,

Akintimoye³

et al. 2011

Ghana Medical Journal

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Section: Discussionmentioning

confidence: 99%

Airway and respiratory complications in children undergoing cleft lip and palate repair

Desalu¹,

Adeyemo²,

Akintimoye³

et al. 2011

Ghana Medical Journal

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“…Unfortunately, late presentation of patients with cleft deformities in developing countries is still very common. 2,3,6,7 For the purpose of this study, only patients who were aged six years or older were included. It is acknowledged that patients younger than six years who presented later than the recommended age of surgical repair (3-18 months) were also commonly seen in the studied environment.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The potential reasons for this are many, including distance to health care, limited access to specialized health care, unavailability of health care services, lack of awareness of treatment availability, cultural beliefs, superstition, and lack of money or time. 2,3,6,7 Clinical, Cosmetic …”

Section: Introductionmentioning

confidence: 99%

Cleft deformities in adults and children aged over six years in Nigeria: Reasons for late presentation and management challenges

Adeyemo¹

2009

CCIDEN

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Abstract:In developing countries, untreated cleft lips and palates are found with increasing frequency and patients often present to the surgeon far past the optimal time for closure of the cleft deformities. A prospective study was conducted between March 2007 and September 2009, to identify the reasons and treatment challenges of delayed presentation of cleft lip and palate deformities at the Lagos University Teaching Hospital, Nigeria. Out of a total of 150 patients with cleft defects during the period, 43 (28.7%) were adults and children aged over six years. The mean age of these patients at the time of presentation was 17.3 years. The most common reasons for late presentation were lack of money (56.7%), lack of health care services nearby (18.4%), and lack of awareness of treatment availability (13.3%). Common challenges in these patients included surgical, orthodontic, speech, anesthetic, and psychological. Although adult clefts were significantly enlarged in three dimensions the anatomic landmarks were easier to discern than in an infant. However, extensive soft tissue dissection in adult cleft lip repair resulted in significant postoperative edema. Closure of wide palatal cleft often required the use of adjunct intraoral flaps. Despite late presentation, surgical outcome of these patients was satisfactory and comparable to cleft repair in infants.

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“…La moyenne d'âge au moment de l'intervention était comparable à celle retrouvée par plusieurs auteurs africains [3][4][5].…”

Section: Discussionunclassified

Aspects épidémiologiques, cliniques et thérapeutiques des fentes unilatérales du palais primaire : présentation de 98 observations

Diop

Niang

Touré

et al. 2011

Med Buccale Chir Buccale

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Cheiloplasty using the Millard technique and two flaps palatoplasty were 87.5% and 12.5% of the surgical procedures respectively. The duration of hospitalization varied from 24 to 48 hours depending on the type of intervention. Cleft lip nasal deformities warranting revision was observed in 65% of cases.Les fentes unilatérales du palais primaire (FP1) sont des malformations congénitales de la face situées en avant du foramen incisif. Elles résultent d'un défaut de coalescence des bourgeons de la face survenant au cours du premier trimestre de la vie intra-utérine. Elles peuvent être associées ou non à une fente du palais secondaire (FP2). Ces malformations

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Cleft Lip and Palate Surgery in Kumasi, Ghana

Cited by 38 publications

References 8 publications

Airway and respiratory complications in children undergoing cleft lip and palate repair

Airway and respiratory complications in children undergoing cleft lip and palate repair

Cleft deformities in adults and children aged over six years in Nigeria: Reasons for late presentation and management challenges

Aspects épidémiologiques, cliniques et thérapeutiques des fentes unilatérales du palais primaire : présentation de 98 observations

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