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Cleft Palate Treatment in Developing Countries of Africa

  • Fadekemi O. Oginni
  • Wasiu L. Adeyemo
Chapter

Abstract

Cleft lip and palate (CLP) is one of the commonest congenital abnormalities reported in most parts of the world. The diversity and severity of cleft defects influence treatment plans. Beyond a perfect closure of a palatal defect (Fig. 41.5a, b), the subsequent undisturbed midfacial growth and an intelligible speech are major indicators of success. These are influenced largely by the extent of defects, timing of surgery, surgeon’s skill and the technique(s) applied (protocol adopted). An array of protocols have been proposed, adopted and modified globally; yet, controversies have continued to emerge. In most developed countries where teams are accredited, there are standards for cleft care delivery regulating individual practices nationally. Such standards are missing in most developing countries, thus allowing a wide variety of practices within nations and teams. This chapter seeks to explore existing cleft care protocols in some African practices and recommends protocol(s) that would strike the desired balance for excellent treatment outcome, bearing in mind the peculiarities attending cleft care in developing countries.

Keywords

Soft Palate Cleft Palate Hard Palate Cleave Palate Palate Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

CP

Cleft palate may occur in isolation (CP) or in conjunction with cleft lip (CLP) and sometimes as a component of a syndrome.

OFC

Orofacial cleft

PSO

Pre-surgical orthopaedics

CL

Cleft lip

CP

Isolated cleft palate

CLP

Cleft lip and palate

sP

Soft palate

hP

Hard palate

Ant

Anterior

IVV

Intravelar veloplasty

MCC

Maternal care coordination

ANC

Antenatal care

ORL

Otorhinolaryngology

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Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial Surgery, Faculty of DentistryCollege of Health Sciences, Obafemi Awolowo UniversityIle-IfeNigeria
  2. 2.Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, College of MedicineUniversity of LagosLagosNigeria

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