Congenital heart defects in orofacial cleft: A prospective cohort study

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dc.contributor.authorErinoso, O.A.
dc.contributor.authorJames, O.
dc.contributor.authorSokunbi, O.J.
dc.contributor.authorAdamson, O.O.
dc.contributor.authorAdekunle, A.A.
dc.contributor.authorAgbogidi, F.O.
dc.contributor.authorOgunlewe, A.O.
dc.contributor.authorEkure, E.N.
dc.contributor.authorAdeyemo, W.L.
dc.contributor.authorLadeinde, A.L.
dc.contributor.authorOgunlewe, M.O.
dc.date.accessioned2021-07-29T10:16:28Z
dc.date.available2021-07-29T10:16:28Z
dc.date.issued2021-07-27
dc.descriptionScholarly articlesen_US
dc.description.abstractBackground: Congenital heart defects (CHDs) are one of the most common associated anomalies in patients with an orofacial cleft (OFC). However, few studies have shown the association between cleft type and CHDs in our population. This study aimed to assess the prevalence of CHDs in a cohort of OFC patients at a tertiary health facility in Nigeria, as well as assess the risk of CHD by OFC type. Materials and Methods: This was a prospective study design. Patients with an OFC were consecutively enrolled at a single OFC treatment facility. All subjects were assessed by a paediatric cardiologist and had echocardiography done. They were categorised based on the presence of CHDs, as well as the OFC phenotypic type (cleft lip and/or alveolus, cleft lip and palate and cleft palate only). Statistical analysis was done using STATA version 14 (College Station, Texas), and significance was set at P < 0.05. Results: A total of 150 subjects enrolled in the study over a period of 2 years(2018–2020). The median age of subjects was 6 months(interquartile range: 2–24), and 54.7% were female. The prevalence of CHDs in the subjects reviewed was 30.7%. Based on the severity of CHDs, the majority presented with simple defects(95.6%). Overall, the most common presentation was patent foramen ovale (12.7%), followed by septal defects (8.0%). There was no significant association between cleft type and the odds of a CHD. Conclusion: The study reports a relatively high prevalence of CHDs in patients with OFC; however, there was no association between the risk of CHD by cleft type. Although a majority of CHDs may pose a low operative risk, cardiac evaluation is recommended for all cases of OFC to aid the identification of potentially high‑risk cases. Keywords: Cleft lip and palate, cleft lip, cleft palate, congenital heart defects, non-syndromic clefts, syndromic cleftsen_US
dc.description.sponsorshipCentral Research Committee (CRC) University of Lagosen_US
dc.identifier.citationErinoso OA, James O, Shokunbi OJ, Adamson OO, Adekunle AA, Agbogidi FO, Ogunlewe AO, Ekure EN, Adeyemo WL, Ladeinde AL, Ogunlewe MO. Congenital heart defects in orofacial cleft: A prospective cohort study. Afr J Paed Surg 2021;18:219-223.en_US
dc.identifier.otherDOI: 10.4103/ajps.AJPS_159_20
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/9506
dc.language.isoenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.subjectCleft palateen_US
dc.subjectCleft lipen_US
dc.subjectOrofacial cleftsen_US
dc.subjectCongenital heart defectsen_US
dc.subjectResearch Subject Categories::ODONTOLOGYen_US
dc.titleCongenital heart defects in orofacial cleft: A prospective cohort studyen_US
dc.typeArticleen_US
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