Epidemiological patterns of patients managed for cleft lip and palate during free outreach camps at a peripheral hospital in Kenya

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Epidemiological patterns of patients managed for cleft lip and palate during free outreach camps at a peripheral hospital in Kenya


JournalJournal of Cleft Lip Palate and Craniofacial Anomalies
Article typeJournal research article – Clinical research
Publication date – Jan – 2021
Authors – Gathariki Mukami, Muoki Angela, Nang’ole Ferdinand Wanjala
KeywordsCleft lip, Cleft Palate, county referral facility, free cleft outreach camp
Open access – Yes
SpecialityHealth policy, Maxillofacial and oral surgery, Plastic surgery
World region Eastern Africa
Country: Kenya
Language – English
Submitted to the One Surgery Index on January 29, 2021 at 6:34 am
Abstract:

Context: Clefts involving lip and palate are the most common craniofacial anomalies. The prevalence varies widely according to various factors. There is a paucity of epidemiological data on cleft deformities in African populations. Aims: The aim was to determine the epidemiological patterns of patients managed for cleft lip and palate during free outreach camps in Kenya and subsequently compare it with other studies done nationally, regionally, and internationally. Design: Prospective Cohort Study. Subjects and Methods: This was a prospective cohort study. Data were collected during five cleft surgery outreach camps held at Kitale County Referral Hospital in Trans-Nzoia County, Kenya, between January 2016 and January 2018. Statistical Analysis Used: The study was statistically analyzed by the Statistical Package for the Social Sciences Windows version 21 software for descriptive characteristics. Results: A total of 84 patients were reviewed, of which 74 underwent surgical management. The study population included nine different Counties in Kenya (with one patient from Uganda) and were reported to have traveled between 3 and 450 km. The age range was from 5 weeks to 35 years with patients below 2 years of age making up the majority (58.3%). There was a male preponderance (61.9%). The most common cleft deformities were cleft lip (46.4%), cleft lip and palate (34.6%), and cleft palate (15.5%). Unilateral clefts were commonly left-sided (62%). Sex distribution varied with clinical diagnosis, and familial and syndromic association was rare. Conclusions: More initiative programs are recommended to address the unmet medical and surgical needs of the cleft deformities in various parts of the region.

OSI Number – 20902

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