The Pattern and Profile of Orofacial Clefts in Somaliland: A Review of 40 Consecutive Cleft Lip and Palate Surgical Camps.

Autor:	Rhodes IJ; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Alston CC; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Zhang A; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Arbuiso S; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Medina SJ; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Liao M; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY., Ng JJ; Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA., Romeo D; Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA., Dahir S; Division of Plastic Surgery, Edna Adan University Hospital, Hargeisa, Somaliland., Rhodes WR; Division of Plastic Surgery, Edna Adan University Hospital, Hargeisa, Somaliland., Otterburn DM; Division of Plastic Surgery, New York-Presbyterian Weill Cornell Medical Center, New York, NY.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jun 03. Date of Electronic Publication: 2024 Jun 03.
DOI:	10.1097/SCS.0000000000010340
Abstrakt:	Introduction: Somaliland is an autonomously run country that is not internationally recognized. As such, it has been largely excluded by global health development programs despite being the world's fourth poorest country. The purpose of this study was to provide the first known description of the pattern and clinical profile of patients with cleft lip and palate from this nation. Methods: The authors performed a retrospective chart review on all patients who received cleft lip and palate repair by a single surgeon in 40 separate surgical camps at Edna Adan University Hospital in Hargeisa, Somaliland, between 2011 and 2024. Information regarding patient age, sex, cleft etiology, surgical management, and home location was retrieved. Descriptive statistical analysis was performed. Results: A total of 767 patients (495 male, 64.5%) received 787 surgical procedures. The average age of primary surgery was 73.7 months. The most common chief complaint was left cleft lip with cleft palate (316, 41.2%). Males received primary surgery 19.2 months later than did females (73.7 and 54.6 mo, respectively, P<0.001). Patients residing in Hargeisa received their initial procedure an average of 17.8 months younger than those who lived elsewhere in Somaliland (62.9 and 80.7 mo, respectively, P=0.004). Conclusions: In this severely economically depressed region, patients received treatment at ages that lagged far beyond recommended guidelines. Our finding of earlier treatment for females than males is rare in the literature and likely relates to cultural sex expectations. Patients from rural locations were especially vulnerable to receiving delayed treatment. Further efforts to decrease the burden of craniofacial deformities in Somaliland should be pursued in earnest. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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