title: A review of cleft lip and palate management: Experience of a Nigerian Teaching Hospital.
abstract: BACKGROUND
  Cleft lip (CL) and palate (CLP) management is multidisciplinary. A cleft team was formed in a Nigerian Tertiary Hospital to address the health needs of cleft patients in the centre.
  
  
  OBJECTIVE
  This paper aims at documenting the Aminu Kano Teaching Hospital (AKTH) management protocol for orofacial clefts and also to review our experience with CLP surgeries performed at AKTH since our partnering with Smile Train.
  
  
  METHODS
  A retrospective review of all the cleft patients surgically treated from January 2006 to December 2014 under Smile Train sponsorship was undertaken. A descriptive narrative of the cleft team protocol was also given.
  
  
  RESULTS
  One hundred and fifty-five patients (80 males, 75 females) had surgical repairs of either the lip or palate. CL patients were 83 (53.55%), while CLP patients were 45 (29.03%) and isolated cleft palate patients were 27 (17.42%).
  
  
  CONCLUSIONS
  The inclusion of various specialities in the cleft team is highly desirable. Poverty level amongst our patients frequently limits our management to surgical treatment sponsored by the Smile Train, despite the presence of other residual problems.
authors.forename: Akinwale Adeyemi
authors.initials: AA
authors.lastname: Efunkoya
authors.forename: Kelvin Uchenna
authors.initials: KU
authors.lastname: Omeje
authors.forename: Ibiyinka Olushola
authors.initials: IO
authors.lastname: Amole
authors.affiliation: Department of Dental Surgery, Maxillofacial Unit, University of Calabar Teaching Hospital, Calabar, Nigeria.
authors.forename: Otasowie Daniel
authors.initials: OD
authors.lastname: Osunde
authors.forename: Izegboya Olohitae
authors.initials: IO
authors.lastname: Akpasa
mesh_terms: D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D019468:Disease Management; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D009549:Nigeria; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies