Management of Congenital Malformations of the Face in the GbèkèRegion (Côte d’Ivoire)

作     者：Eric Kouassi Zegbeh-N’Guessan Rokiatou Kone Pornan Issa Jules Berete Ernest Martial Djemi Affoué Ba Diane Marina Amenou Tuo Karna Drissa Grébéret Emmanuel Crezoit Eric Kouassi Zegbeh-N’Guessan;Rokiatou Kone;Pornan Issa Jules Berete;Ernest Martial Djemi;Affoué Ba Diane Marina Amenou;Tuo Karna Drissa;Grébéret Emmanuel Crezoit

作者机构：Department of Odontology and Maxillofacial Surgery Bouaké University Hospital Bouaké Cô te d’Ivoire Department of Stomatology and Maxillofacial Surgery Bamako University Hospital National Center of Odonto-Stomatology Bamako Mali 

出 版 物：《Open Journal of Stomatology》 (口腔学期刊（英文）)

年 卷 期：2022年第12卷第5期

页      面：166-174页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Congenital Malformation Face 

摘      要：Background: Congenital malformations of the face are relatively frequent in the Gbèke region (Côte d’Ivoire). Objectives: Identify the epidemiological aspects, describe the management method, distinguish the anatomical-clinical aspects and identify the therapeutic methods and their results. Material and methods: A retrospective and descriptive study was carried out over a period of 8 years (2012-2019) in the Odontostomatology and Maxillofacial Surgery Department of the University Hospital Centre (Bouaké) and in the “Jean Baptiste Vatelot religious hospital of Bouaké. The study concerned patients whose congenital malformations of the face had undergone primary surgery. Results: 439 patients were collected, i.e. an annual frequency of 54.88 cases per year. The sex ratio was 1.07 and the mean age was 6.82 years (range 5 months to 48 years). There were 434 (98.86%) cleft lips and palates and 5 (1.14%) Tessier’s clefts. Among the cleft lip and palate, there were 214 (49.31%) cleft lip, 127 (29.26%) cleft palate and 93 (21.43%) combined cleft lip and cleft palate. Surgical treatments numbered 532 and included 293 (55.08%) cheiloplasties, 113 (21.24%) pushback uranostaphyloraphies and 90 (16.92%) double flap palatoplasties. Complications were noted in 43 cases. Conclusion: Congenital malformations of the face were managed relatively late in the Gbèkè region with satisfactory results. Ante-natal diagnosis, early psychotherapy and a better screening system should allow an improvement of the management.