Omer Sayda TagElsir Elbadawi, Ahmed Osama Murtada, Mahmoud Shadad M, Mohamed Abdelsamie Abdalla, Geregandi Talal Mohammed, HabibAlla Elbadwai Hassan-Mohamed, Bakhiet Mohammed Yousof
Plastic and Reconstructive Surgery Division, Soba University Hospital, Khartoum, Sudan.
Division of Surgery, Plastic Surgery Department, Omdurman Teaching Hospital, Omdurman, Khartoum, Sudan.
JPRAS Open. 2024 Jul 6;41:326-335. doi: 10.1016/j.jpra.2024.06.016. eCollection 2024 Sep.
Cleft lip and palate are the most common congenital craniofacial anomalies. They account for approximately 13% of all congenital anomalies.
To study the presentation of cleft lip and the early results of surgical repair among patients who presented to our centers.
This was a hospital-based prospective cohort study of 72 patients who underwent cleft lip repair in Sudan.
The commonest age group was between 10-18 months. The male-to-female ratio was 2:1, and a family history of cleft lip was found in 2.8% of patients. The cleft lip was complete in 81.9%, incomplete in 12.5%, and hybrid in 5.6% of patients. Associated cleft palate was observed in 54 patients. Associated syndromes were found in 10 patients. The surgery was carried out in most patients at 9 months or less; in 4 patients, it was more than 18 months. Achievement of reasonable lip repair was moderate (50% collectively). High achievement was observed for criteria, such as accurate union (90.3%), and sub-moderate achievement in even vermillion border and cupid's bow (44%), low nose symmetry (30.6%), and quality of scar (18.1%). Early complications were reported at the rate of 13.9%. Patient satisfaction was 59.7%; however, the professionals showed higher satisfaction levels (66.7%). The anthropometric measurements of normal infants were moderately similar to those of the infants who underwent surgery.
The patients with cleft lip showed early presentation, with a predominance of the male gender and left side pattern. The preliminary outcome of cleft lip repair was moderate, with variations in different criteria. Patient and professional satisfaction were above average.
唇腭裂是最常见的先天性颅面畸形。它们约占所有先天性畸形的13%。
研究在我们中心就诊的唇裂患者的表现及手术修复的早期结果。
这是一项基于医院的前瞻性队列研究，对苏丹72例接受唇裂修复的患者进行了研究。
最常见的年龄组为10至18个月。男女比例为2:1，2.8%的患者有唇裂家族史。81.9%的患者为完全性唇裂，12.5%为不完全性唇裂，5.6%为混合型唇裂。54例患者伴有腭裂。10例患者发现有相关综合征。大多数患者在9个月及以下接受手术；4例患者手术时间超过18个月。达到合理唇修复的情况为中等（总体为50%）。在准确愈合等标准方面达到高成就（90.3%），在红唇边缘和丘比特弓均匀度、低鼻对称性和瘢痕质量方面达到中等以下成就（分别为44%、30.6%和18.1%）。早期并发症报告率为13.9%。患者满意度为59.7%；然而，专业人员的满意度更高（66.7%）。正常婴儿的人体测量值与接受手术的婴儿的测量值中等程度相似。
唇裂患者表现较早，男性和左侧模式占主导。唇裂修复的初步结果为中等，不同标准存在差异。患者和专业人员的满意度高于平均水平。
