Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria

Taiwo, Abdurrazaq Olanrewaju; Micheal, A.; Lanre, Adeyemo Wasiu; Olugbenga, Ogunlewe M; Akin, L.

doi:10.4103/0189-6725.125447

Cited by 50 publications

(53 citation statements)

References 32 publications

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“…This can be further underlined by studies indicating higher palatoplasty complication rates in older patients. [16][17][18] In spite of the lack of improvement in speech and nasal regurgitation, the patients, were in general satisfied with the surgery and felt that their self-confidence had improved. Also, despite the unchanged scores of the SHI-based survey, the majority perceived that their speech indeed had improved after the palatoplasty, when asked directly.…”

Section: Discussionmentioning

confidence: 88%

Speech and Speech-Related Quality of Life After Late Palate Repair

Schönmeyr

Wendby²,

Sharma³

et al. 2015

Journal of Craniofacial Surgery

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Many patients with cleft palate deformities worldwide receive treatment at a later age than is recommended for normal speech to develop. The outcomes after late palate repairs in terms of speech and quality of life (QOL) still remain largely unstudied. In the current study, questionnaires were used to assess the patients' perception of speech and QOL before and after primary palate repair. All of the patients were operated at a cleft center in northeast India and had a cleft palate with a normal lip or with a cleft lip that had been previously repaired. A total of 134 patients (7-35 years) were interviewed preoperatively and 46 patients (7-32 years) were assessed in the postoperative survey. The survey showed that scores based on the speech handicap index, concerning speech and speech-related QOL, did not improve postoperatively. In fact, the questionnaires indicated that the speech became more unpredictable (P < 0.01) and that nasal regurgitation became worse (P < 0.01) for some patients after surgery. A total of 78% of the patients were still satisfied with the surgery and all of the patients reported that their self-confidence had improved after the operation. Thus, the majority of interviewed patients who underwent late primary palate repair were satisfied with the surgery. At the same time, speech and speech-related QOL did not improve according to the speech handicap index-based survey. Speech predictability may even become worse and nasal regurgitation may increase after late palate repair, according to these results.

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Section: Discussionmentioning

confidence: 88%

Speech and Speech-Related Quality of Life After Late Palate Repair

Schönmeyr

Wendby²,

Sharma³

et al. 2015

Journal of Craniofacial Surgery

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“…Notre étude relève un taux de morbidité de 2,9% fait comparable à ceux de Diakité (2,7%) [ 32 ] et de Cronin (3,8%) [ 36 ] mais largement inférieur à ceux de Lees (en Angleterre) [ 37 ] et d'Abdurrazaq (au Nigeria) [ 38 ] qui rapportent respectivement 26,2% et 14,1% de complications. Selon Diah, plusieurs paramètres entrent en jeu pour l'apparition de complications lors de la chirurgie de FLP dont la technique chirurgicale, l'expertise du chirurgien, la largeur de la fente, une mauvaise cicatrisation de la plaie ou une infection du site exploité [ 39 ] mais aussi le degré de sévérité de la FLP.…”

Section: Discussionunclassified

Fentes labiopalatines dans la province du Katanga en République Démocratique du Congo: Aspects épidémiologiques, anatomocliniques et thérapeutiques

Sangwa¹,

Mukuku²,

Tshisuz³

et al. 2014

Pan Afr Med J

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Les fentes labiopalatines sont les malformations les plus rencontrées de la sphère orofaciale. L'objectif est de décrire le profil épidémiologique, anatomoclinique et thérapeutique des fentes labiopalatines observées dans la province minière du Katanga au sud-est de la République Démocratique du Congo. Il s'agit d'une étude transversale réalisée dans quatre institutions hospitalières de la province du Katanga dans des districts sanitaires différents (Hôpital Jason Sendwe à Lubumbashi, Hôpital Gécamines Panda à Likasi, Hôpital Gécamines du personnel à Kolwezi, Hôpital General de référence de Kamina) et qui a porté sur 154 cas de fentes labiopalatines enregistrés au cours de la période allant du 1er mai 2010 au 30 septembre 2012. L'âge moyen de consultation était de 11,8 ans et une prédominance masculine (55,2%) était notée. Un pic était noté chez les deux premiers nés de la famille (55,8%). Nous avons enregistré 20,7% des cas de consanguinité dont 54,2% de premier degré. La fréquence des différents types de fentes labiopalatines diminue au fur à mesure que la fente s'étend de la lèvre supérieure au palais en passant par l'alvéole : 72% (labiales), 21,4% (labiopalatines) et 7,7% (palatines). Les variétés unilatérales sont plus fréquentes (76,7%) que les bilatérales (16,1%). Dans les formes unilatérales, le côté gauche est plus concerné (47,1%) par rapport au côté droit (38,6%). L'évaluation de la gravité selon Anastassov montre que 50,6% de nos patients étaient de degré moyen et 16,2% étaient à un degré sévère. Les malformations associées ont été retrouvées dans 5% des cas et elles sont à prédominance squelettique. C'est la technique de Millard qui a été la plus pratiquée (72/130). Les résultats étaient excellents dans 71,5% contre 1,5% de mauvais. Le séjour d'hospitalisation était de 3 jours et le taux de complications post opératoire était de 2,98%.

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“…There have been several reports focused on late postoperative wound healing complications; however, late complications require a longer period of evaluation postoperatively161920. Hypertrophic scarring and lip notching are usually studied as late postoperative wound healing complications15. The present study evaluated early postoperative surgical wound complications following cleft lip repair.…”

Section: Discussionmentioning

confidence: 97%

“…The most frequently reported postoperative wound healing complications in cleft lip repair include hypertrophic scars, wound dehiscence, local infection, hemorrhage, tissue reactivity, and lip notching151617. Most of these complications occur at different times postoperatively161819.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures

Alawode

Adeyemi

James

et al. 2018

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThe aim of the study was to compare wound healing complications following the use of either absorbable or non-absorbable sutures for skin closure in cleft lip repair.Materials and MethodsThis was a randomized controlled trial conducted at the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria. Sixty subjects who required either primary or secondary cleft lip repair and satisfied all the inclusion criteria were recruited and randomized into two groups (Vicryl group or Nylon group). The surgical wounds in all subjects were examined on 3rd, 7th, and 14th postoperative days (POD) for presence or absence of tissue reactivity, wound dehiscence, and local wound infection.ResultsHemorrhage, tissue reactivity, wound dehiscence, and local wound infection were identified as wound healing complications following cleft lip repair. The incidence of postoperative wound healing complications on POD3 was 33.3%. Tissue reactivity was more common throughout the evaluation period with the use of an absorbable (Vicryl) suture compared to a non-absorbable (Nylon) suture, although the difference was statistically significant only on POD7 (P=0.002). There were no significant differences in the incidences of wound dehiscence and infection between the two groups throughout the observation period.ConclusionThere were no statistically significant differences in the incidences of wound dehiscence and surgical site wound infection following the use of either Vicryl or Nylon for skin closure during cleft lip repair. However, more cases of tissue reactivity were recorded in the Vicryl group than in the Nylon group on POD7. Particular attention must be paid to detect the occurrence of wound healing complications, most especially tissue reactivity, whenever a Vicryl suture is used for skin closure in cleft lip repair.

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Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria

Cited by 50 publications

References 32 publications

Speech and Speech-Related Quality of Life After Late Palate Repair

Speech and Speech-Related Quality of Life After Late Palate Repair

Fentes labiopalatines dans la province du Katanga en République Démocratique du Congo: Aspects épidémiologiques, anatomocliniques et thérapeutiques

A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures

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