Abstract
Background: Complete and comprehensive management of a #cleft patient goes beyond surgical repairs. However, certain challenges may
limit total #rehabilitation. This study intends to highlight specific
challenges to optimal care for #Orofacialcleft patients in the West
African subregion
and to suggest possible solution.
Methods: This is a cross sectional study carried out at two
tertiary hospitals in Nigeria from January 2012 to December 2014. Cleft
lip/palate
patients were recruited from regular surgical outpatient clinics and
during special surgical outreaches organized by the cleft teams of these
hospitals. Consent was obtained from all participants (i.e. self or
parental consent). In order to execute an inquiry into the challenges to
effective
care, a comprehensive preformed was drawn to elicit and record patients’
and parents’ bio-data, relevant history and clinical information as
well as patients’ perceived #treatment needs and desired treatment
outcomes. Separate inquiries were made to determine the professional
group composition of the multidisciplinary cleft team in each hospital,
available cleft care services in each hospital, and the treatment
protocols
observed by each cleft team. The data gathered were analyzed to
determine the challenges to optimal care for the cleft patient.
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