Associated anomalies in cleft lip and palate: Analysis of 811 consecutive patients

Introduction: Clefts are common birth defects and may be associated with oro-facial congenital anomalies. It has not been established if specific types of anomalies are frequently related with clefts, or which organ is most commonly affected. This study aimed to assess the prevalence of associated anomalies in consecutive cleft lip and palate patients treated at two referral centres in Northern Nigeria.Methods: Cleft lip and palate at two referral hospitals in Northern Nigeria from January 2012 to December 2015 were studied. Data were analysed using Statistical Package for Social Sciences (SPSS) version 16.Results: A total of 811 cleft lip and palate patients were managed. Fifty-five percent (447) were male and 45% (364) were female while 71% (578) were children and 29% (233) were adults. The prevalence of associated anomalies was 11.5%. The most common associated anomaly among cleft patients was facial anomaly (64% of cleft patients). Associated anomalies were most prevalent in patients with isolated cleft palate. Hypertelorism was the commonest type of facial anomaly recorded.Conclusion: Our study showed a low incidence of associated anomalies with a higher incidence in isolated cleft palate cases

Augmentation of craniofacial defects using alloplastic material / Técnica de aumento para la reparación de defectos craneofaciales usando materiales aloplásticos

BACKGROUND: Alloplastic materials are increasingly being used in augmentation of craniofacial defects because of its ready availability, good aesthetic outcome and absence of donor site morbidity. This paper highlights experience in the use of heat-cured acrylic in augmentation cranioplasty. SUBJECTS AND METHOD: The management of three patients with anterior skull defect who presented at the Dental and Maxillofacial Surgery Clinic of the Aminu Kano Teaching Hospital over a five-year period is presented. RESULTS: There was good aesthetic outcome in all the patients and no complications were recorded. CONCLUSION: Augmentation of craniofacial defects using customized prefabricated heat-cured acrylic provides patients with a durable, stable and structural repair ofcraniofacial defects with good aesthetic outcome.

ANTECEDENTES: Los materiales aloplásticos son usados cada vez más en la técnica de aumento para la reparación de defectos craneofaciales, debido a su disponibilidad inmediata, buen resultado estético y ausencia de morbosidad del sitio donante. Este trabajo destaca nuestra experiencia en el uso de acrílico curado por calor en las técnicas de aumento en la craneoplastia. SUJETOS Y MÉTODOS: Se describe el tratamiento de tres pacientes con defectos del cráneo anterior, que asistieron a la Clínica de Cirugía Maxilofacial y Dental del Hospital Docente Aminu Kano por un período de más de cinco años. RESULTADOS: Hubo un buen resultado estético en todos los pacientes y no se reportaron complicaciones. CONCLUSIÓN: La técnica de aumentación para los defectos craneofaciales, utilizando acrílico prefabricado curado con calor, proporciona a los pacientes una reparación duradera, estable y estructural de los defectos craneofaciales con buen resultado estético.