Adeosun O Olalekan, Ogah Stephen Agbomhekhe
Department of Dental and Maxillofacial Surgery, Federal Medical Centre, Lokoja, Nigeria.
Department of Surgery, Ear, Nose and Throat Division, Federal Medical Centre, Lokoja, Nigeria.
Niger Med J. 2017 Jan-Feb;58(1):21-25. doi: 10.4103/0300-1652.218415.
Craniofacial clefts are congenital anomalies which pose a management challenge to cleft surgeons, especially in developing countries. The aim of this study is to share our experience regarding the management of these atypical facial clefts.
This prospective study was carried out from May 2009 to May 2014 at Federal Medical Centre, Nguru, Nigeria. Diagnosis was based on clinical examination and Tessier classification was used to describe these clefts.
A total of seven patients with rare facial clefts were seen. There were four cases of midline clefts, two cases of bilateral clefts, and one case of multiple facial clefts. All cases were surgically treated, except one case of premaxillary agenesis type holoprosencephaly.
To achieve an optimal management of patients with rare facial cleft, a well-equipped craniofacial center must be established which is still lacking in low-resource centers.
颅面裂是先天性畸形,给腭裂外科医生带来了治疗挑战,尤其是在发展中国家。本研究的目的是分享我们对这些非典型面部裂隙治疗的经验。
这项前瞻性研究于2009年5月至2014年5月在尼日利亚恩古鲁联邦医疗中心进行。诊断基于临床检查,并采用泰西埃分类法描述这些裂隙。
共诊治了7例罕见面部裂隙患者。其中中线裂4例,双侧裂2例,多发面部裂1例。除1例前上颌发育不全型全前脑畸形外,所有病例均接受了手术治疗。
为了对罕见面部裂隙患者进行最佳治疗,必须建立设备完善的颅面中心,而资源匮乏的中心仍然缺乏这种设施。