Transformative care and remarkable outcomes: illuminating cleft lip and palate management at a premier university center in Saudi Arabia.

Autor: Mortada, Hatan, Alsuhaim, Abdulaziz, Alghuligah, Abdulaziz, Alosaimi, Khalid, Alrobaiea, Saad, Arab, Khalid, Kattan, Abdullah
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Zdroj: European Journal of Plastic Surgery; 5/8/2024, Vol. 47 Issue 1, p1-13, 13p
Abstrakt: Background: Cleft lip and palate are common congenital anomalies that require comprehensive management to optimize clinical outcomes. This study aims to investigate the management approaches and epidemiological characteristics of non-syndromic and syndromic cleft lip and palate patients at a university center in Saudi Arabia. Methods: A retrospective chart review was conducted at a university medical center in Riyadh, Saudi Arabia. The study period spanned from May 2015 to August 2021, during which clinical data of cleft lip and palate patients admitted to the hospital were collected. The purpose of this review was to analyze the clinical outcomes and epidemiological characteristics of these patients. Results: The study included 210 patients with cleft lip and palate. Most cases were observed in patients aged 0–30 months. Male patients accounted for 58.1%. Prenatal, natal, and postnatal events were common. A positive family history of cleft lip and/or palate was reported in 28.6%, and consanguinity in 46.7%. Comorbidities included congenital heart disease, hearing problems, dental issues, and facial growth abnormalities. Cleft types were associated with age, gender, ethnicity, and comorbidities. Maternal factors showed no significant differences, except for obesity. Complications were less likely in patients with syndromes and higher treatment satisfaction. Longer hospital stays and additional treatments predicted complications. Conclusions: The findings of this study revealed that cleft lip was the most common type of cleft observed, with patients receiving early treatment and having shorter hospital stays. However, patients who underwent cleft lip correction and management reported lower satisfaction with their quality of life. Level of Evidence: Level IV, risk / prognostic study [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index