Olasoji Hector Oladapo, Hassan Abubakar, Adeyemo Wasiu L
Cleft Palate Craniofac J. 2011 Mar;48(2):150-5. doi: 10.1597/08-184. Epub 2010 Feb 17.
A national survey was conducted to obtain an overall view of the current management of children with cleft lip and/or palate in Nigeria.
Questionnaires were sent to 44 identified cleft surgeons in all teaching and specialist hospitals in Nigeria.
A total of 38 respondents returned completed questionnaires. The findings are as follows: (1) a majority of the surgeons (68.4%) are "low-volume operators," undertaking 10 or fewer new cleft repairs annually; (2) 86.8% of the surgeons repair cleft lip at 3 to 4 months of age, and the most common (71%) unilateral cleft lip repair method is the rotation-advancement technique; (3) 50% of the surgeons use straight line repair for bilateral cleft lip; (4) a majority (79%) of the respondents close the soft and hard palates as a single procedure; 47.3% of respondents use the von Langenbeck technique, 21.1% use the double-opposing Z-plasty and 21.1%, the palatal pushback; (5) in the management of protruding premaxilla, 52.6% of the respondents choose adhesive tape; (6) procedures such as alveolar bone grafting, rhinoplasty, and surgical treatment for velopharyngeal incompetence are rarely done as part of cleft management; and (7) the interdisciplinary team approach is practiced by 21% of respondents.
Issues are raised regarding the current organization of cleft services. We hope the findings of this study will provide preliminary information needed for the eventual establishment of standard cleft management for children with cleft lip and palate deformity in Nigeria.
开展一项全国性调查，以全面了解尼日利亚唇腭裂患儿当前的治疗管理情况。
向尼日利亚所有教学医院和专科医院中确定的44位腭裂外科医生发送问卷。
共有38名受访者返回了完整的问卷。调查结果如下：（1）大多数外科医生（68.4%）是“低手术量操作者”，每年进行10例或更少的新腭裂修复手术；（2）86.8%的外科医生在患儿3至4个月大时修复唇裂，最常用的单侧唇裂修复方法（71%）是旋转推进技术；（3）50%的外科医生采用直线法修复双侧唇裂；（4）大多数受访者（79%）将软腭和硬腭作为一个整体进行修复；47.3%的受访者采用冯·朗根贝克技术，21.1%采用双反向Z成形术，21.1%采用腭后推术；（5）在处理前颌突出问题时，52.6%的受访者选择使用胶带；（6）诸如牙槽骨植骨、鼻整形术和腭咽闭合不全手术治疗等操作很少作为腭裂治疗的一部分进行；（7）21%的受访者采用跨学科团队治疗方法。
提出了关于当前腭裂服务组织的问题。我们希望本研究结果能为最终在尼日利亚建立唇腭裂畸形患儿标准腭裂治疗管理提供所需的初步信息。
