James O, Sabo V Y, Adamson O O, Otoghile B, Adekunle A A, Adeyemo W L, Ladeinde A L, Ogunlewe M O
Department of Oral and Maxillofacial Surgery, College of Medicine, 98002University of Lagos, Lagos, Nigeria.
Department of Oral and Maxillofacial Surgery, 291389Lagos University Teaching Hospital, Lagos, Nigeria.
Cleft Palate Craniofac J. 2023 Feb;60(2):133-141. doi: 10.1177/10556656211055012. Epub 2021 Nov 17.
This study reviews the craniofacial clefts that presented at a Nigerian tertiary health facility, highlighting our experience with the pattern of presentation and surgical care of these patients. A retrospective review of the smile train database and medical records of all individuals who had been diagnosed with any of the Tessier craniofacial clefts and managed between 1st January 2007 and 31st December 2020 was done. The data were presented as numbers and percentages of cases. The cleft clinic of a tertiary health facility and a major cleft referral center in South-West Nigeria. Forty-five patients with craniofacial clefts were managed over the study period. 15.6% had associated syndromes, 2.2% had a family history of similar craniofacial cleft and 11% had a history of a possible teratogen. There were 21 (46.7%) middle clefts, 14(31.1%) lateral clefts and 10(22.2%) oblique clefts. The most common type of cleft was Tessier 0 while the Tessier 6 was the least common type. The median age at surgery was 10 months for male and 5months for female subjects, 15.3% complication rate was found in this study. Four patients had revision surgeries to correct residual deformities in this study. The diverse presentations and occurrence of the rare craniofacial clefts present complex aesthetic and functional problems that require individualized often multidisciplinary care. The execution of a properly planned treatment will reduce complications and the need for revision surgeries.
本研究回顾了在尼日利亚一家三级医疗机构出现的颅面裂，突出了我们在这些患者的表现模式和手术治疗方面的经验。对微笑列车数据库以及2007年1月1日至2020年12月31日期间所有被诊断患有任何一种泰西埃颅面裂并接受治疗的个体的病历进行了回顾性研究。数据以病例数和百分比呈现。该研究来自尼日利亚西南部一家三级医疗机构的腭裂诊所和一个主要的腭裂转诊中心。在研究期间，对45例颅面裂患者进行了治疗。15.6%的患者伴有综合征，2.2%的患者有类似颅面裂的家族史，11%的患者有可能的致畸物接触史。有21例（46.7%）为中央裂，14例（31.1%）为侧裂，10例（22.2%）为斜裂。最常见的腭裂类型是泰西埃0型，而泰西埃6型是最不常见的类型。男性患者手术的中位年龄为10个月，女性患者为5个月，本研究发现并发症发生率为15.3%。在本研究中，有4例患者接受了修复手术以纠正残留畸形。罕见颅面裂的多样表现和发生带来了复杂的美学和功能问题，需要个体化的、通常是多学科的护理。执行精心规划的治疗将减少并发症和修复手术的需求。
