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Preoperative quality of life of patients with cleft lip and palate in Nigeria: a multicentre cross-sectional pilot study
A. I. Michael, Adeola A. Olusanya, C. Okoli, Bardi Martins, A. Akintayo, Ijeoma Onwuagha
Introduction the objective of this study was to determine the quality of life (QoL) of the patient with a cleft lip or palate scheduled for surgery. Methods this analytic multicenter cross-sectional study involved six participating Smile Train Partn…
Introduction the objective of this study was to determine the quality of life (QoL) of the patient with a cleft lip or palate scheduled for surgery. Methods this analytic multicenter cross-sectional study involved six participating Smile Train Partner Hospitals from five geopolitical zones of the country and three major ethnic groups. Patients with cleft lip or cleft palate aged between 8 to 29 years scheduled for repair were recruited. The main outcome measure was quality of life scores as measured by cleft Q. Results thirty-four (females 18, males 16) patients were scheduled for surgery of either cleft lip n=7 (20.6%) or cleft palate n=27 (79.4). Patients scheduled for primary surgeries were more than those for secondary surgeries, 23 (68.7%) vs 10 (30.3%). Of the QoL scales, the speech distress score was the least (56.0 ± 22.6) and the psychological score highest (73.9 ± 15.8). All QoL mean scores except the psychological score fell below normative cleft Q scores. The psychological scores in males (80.9 ± 16.2) were significantly higher than in females (67.7 ± 12.9, p=0.01). Patients for lip repair had lower psychological scores than those for palatal repair (median=59 vs 73, p=0.01). Patients for palate repair demonstrated significantly lower speech function and distress scores than those for lip repair (p=0.01, p<0.01 respectively). Conclusion most of the QoL measures in patients with cleft lip and palate in this study fell below normative values. Gender and cleft type affect the quality of life. A larger study is recommended to establish national normative data.
Published in
The Pan African Medical Journal
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