dc.contributor.author | Abebe, Solomon | |
dc.date.accessioned | 2013-05-23T07:05:14Z | |
dc.date.available | 2013-05-23T07:05:14Z | |
dc.date.issued | 1989 | |
dc.identifier.citation | Degree of Master of Medicine (surgery) | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24617 | |
dc.description | A dissertation presented as part of the requirements
for the Degree of Master of Medicine (surgery)
University of Nairobi. | en |
dc.description.abstract | We carried out a study to establish the presentation
of patients with cleft lip (CL) and/or (+-) cleft
palate (CP) at K.N.H. and find out the factors
affecting their receiving early surgical management.
Attempt was also made to see if any associated
factors exist in the causation of such deformities.
198 patients were reviewed over a period of one
year. 42% had CL, 53% CL+CP, and 6% CPo The M:F
ratio was 1.24:1 for CL, 1.22:1 for CL+CP, and
1:2.67 for CPo The left side was more affected
in both CL and CL+CP with 55% and 65% occurence
respectively. 85% were complete clefts.
17% in CL +- CP and 25% in CP cases knew a close
relative with ,similar problems. The risk of being
affected increased with the numerical birth order
of the sibling. An association was found between
anti epileptic drugs and the occurence of CL deformity.
Most patients were operated upon at a delayed age.
Ignorance, delayed referal, and the availability
of bed were among the major reasons for this.
Recommendations are glven for improvements ln the
management of these patients. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Presentation of cleft lip and/or palate at Kenyatta National Hospital, Nairobi, Kenya | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Surgery,University of Nairobi | en |