Multicenter Pattern of Cleft Surgeries and Factors Associated with Late Primary Cleft Surgery in Nigeria.

Autor:	Michael AI; From the Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria., Okoli C; Department of Plastic Surgery, National Orthopaedic Hospital, Enugu, Enugu State, Nigeria., Olusanya AA; Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Nigeria., Akintayo AJ; Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria., Onah II; Department of Plastic Surgery, National Orthopaedic Hospital, Enugu, Enugu State, Nigeria., Yiltok S; Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria., Oluwatosin OM; From the Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 May 14; Vol. 12 (5), pp. e5795. Date of Electronic Publication: 2024 May 14 (Print Publication: 2024).
DOI:	10.1097/GOX.0000000000005795
Abstrakt:	Background: This study aimed to analyze multicenter patterns in cleft deformity surgeries and identify factors associated with the timing of primary cleft repair in Nigeria. Methods: A cross-sectional study of children managed for clefts from January 2009 to December 2020 at three Smile Train partner tertiary institutions situated in the east (Enugu), west (Ibadan), and northern (Jos) parts of the country using a prospectively collected database. Outcomes were the types of surgery performed, yearly volume of surgeries, methods of repair, and time of surgery (early versus late). Results: Of 1043 cleft surgeries, nearly half (45.7%) involved infants (<12 months). Primary repairs of the lip or palate were performed in 83.4% of cases, with 58.4% for lip repairs and 25.1% for palate repairs. The most common cleft lip repair method was a variant of Millard rotation advancement flap. Over the study years, there was a shift from von Langenbeck palatoplasty to methods such as Bardach's palatoplasty and intravelar veloplasty. Patients with bilateral cleft lip defects were significantly more likely ( P < 0.001) to undergo early repairs compared with those with unilateral defects. Late primary cleft lip repairs were significantly ( P < 0.001) more common in Enugu. Conclusions: This study highlights the variability in cleft surgery patterns in Nigeria. Late primary cleft surgeries were associated with less severe cleft lip or cleft palate and were more prevalent in Enugu, Southeastern Nigeria. The findings contribute valuable insights for optimizing surgical approaches and resource allocation in the management of cleft deformities in the region. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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