Adult Cleft Lip Repair under Local Anaesthesia: The Ghana Experience

作     者：Solomon Obiri-Yeboah Micheal Yeliborah Alexander Oti Acheampong Samuel Kodjo Ansah John H. Grant Peter Donkor Solomon Obiri-Yeboah;Micheal Yeliborah;Alexander Oti Acheampong;Samuel Kodjo Ansah;John H. Grant;Peter Donkor

作者机构：Kwame Nkrumah University of Science and Technology Kumasi Ghana Komfo Anokye Teaching Hospital Kumasi Ghana University of Alabama at Birmingham Alabama Children’s Hospital Birmingham AL USA 

出 版 物：《Modern Plastic Surgery》 (现代整形外科（英文）)

年 卷 期：2016年第6卷第4期

页      面：27-32页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Adult Adolescent Cleft Lip Local Anaesthesia 

摘      要：Background: Unlike developed countries where adult primary cleft lip and palate cases are barely nonexistent, developing countries still have a backlog of adults with unrepaired cleft lip and palate. Method: A retrospective review of adult/adolescent cleft lip repair under local anesthesia was performed between 2012 and 2015. Results: Fifty six (56) adolescent and adults were seen comprising 35 females and 21 males. Forty two patients presented with unrepaired unilateral cleft lip of which only 6 were complete;4 were unrepaired bilateral cleft lip and 10 were revisions. The lowest age was 13 years (two patients) and the highest age was 66 years (one patient). The mean weight was 54 kg. The mean anaesthetic time including waiting time was 12.94 minutes and mean operation time was 56.52 minutes. Majority of the patients were discharged same day except for five who needed to stay overnight because of distance from their home. There were no reported early postoperative complications and wound healing was uneventful for all the patients. Conclusion: Cleft lip repair in adults under local anesthesia is safe, effective and less expensive. A modification in technique with minimal dissection and efficiency is essential in such cases.