Oral and Maxillofacial Surgery
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Topic: Facial Anthropometric Measurement Among Nigerians Affected By Cleft .
A child with cleft lip and/or palate suffers substantial functional morbidity such as restricted maxillofacial growth, difficulties in feeding, speech and auditory anomalies, and also psychosocial disturbance. Comprehensive management of patients affected with nonsyndromic CL/P requires a multidisciplinary approach to providing reasonable facial aesthetic, integrity of the primary and secondary palate, normal speech and hearing, improvement of dental, skeletal and occlusal relationships, and psychosocial status. Anthropometry is a useful tool for the assessment of head and face morphology, providing quantitative indications about the structures and regions that differ from the norm among different races and ethnic groups. It should be highlighted that each racial and ethnic group possesses its own specific facial characteristics that change by age. Basic data from face and cranium analysis helps clinician in classification, diagnosis, and treatment of patients with craniofacial anomalies. Measurement of facial anthropometric parameters in cleft patients was first evaluated by Peyton and Ritchie. So far facial soft tissue appearance of patients with CL/ P has been evaluated by means of various qualitative and quantitative measurement methods
|1.||FMCDS (FELLOW AND MEMBER COLLEGE OF DENTAL SURGERY)||NATIONAL POSTGRADUATE MEDICAL COLLEGE||2008|
TO ACCESS THE RISK FACTORS OF CLEFT LIP AND PALATE IN THE NIGERIAN POPULATION
The aetiology of cleft is multifactorial .It is usually an interaction between genetic predisposition and specific environmental factors .Clefting can also be caused by chromosomal differences in individuals born with genetic syndromes.Some risk factors that can increase the likelywood of cleft lip exposure to certain environmental substances such as tobacco and alcohol ,prescfription drugs .and illegal drugs
Oral clefts (OCs) are a heterogeneous and important group of congenital defects with prevalence of 1:600-1,000 among newborns. It includes syndromic and non-syndromic cleft lip (CL), cleft palate (CP) and cleft lip and palate (CLP). OCs are an etiologically heterogeneous group. Approximately 70% of the cases are isolated (non-syndromic) with etiologic complexity, involving several genetic and environmental risk factors, following a multifactorial threshold model of inheritance. In this situation, familial recurrence is often present and family history should be investigated.
Considering the potential for prevention at the population and individual levels, this article intends to access the risk factors and peculiarities of the management of OCs.
ADESINA OLUWAFEMI is a Senior Lecturer at the Department of Oral and Maxillofacial Surgery
ADESINA has a FMCDS in FELLOW AND MEMBER COLLEGE OF DENTAL SURGERY from NATIONAL POSTGRADUATE MEDICAL COLLEGE