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Epidemiological profile of clefts lip – palate in Morocco
E-Poster Presentation were complete for 26 patients and incomplete for 2 patients. A cervical lymphadenectomy was carried out among 10 patients. The reconstruction was immediate in 94% by direct closing of the defect in 10 cases, local flaps in 16 cases and distant flaps in 2 cases. Adjuvant radiotherapy was indicated in complement treatment for 5 patients and was palliative for 2 others. The carcinological evolution was marked by two cases of tumourous recurrence after 6 months of treatment. On the functional plan, the microstomia was the most dreaded complication corrected by commissuroplasty in the second time. Conclusions: The therapeutic method consisting of excision and immediate reconstruction can be debatable. These results should bring us to envisage an extemporaneous study of the fragments as well as a temporization for the repair treatment. http://dx.doi.org/10.1016/j.ijom.2015.08.013 Epidemiological profile of clefts lip – palate in Morocco R. Amine 1,∗ , H. Chabbak 2 , M. Diouri 1,2 , N. Bahechar 1,2 , A. Chlihi 1,2 1 2
University of Hassan II, Casablanca, Morocco Ibn-Rochd Hospital, Casablanca, Morocco
Background: The cleft lip and palate (CLP) are among the most common birth defects: 1/1000 births in Morocco. Many studies have been done insulator several risk factors mainly folate deficiency. Methods: In Morocco, the lack of national registers recording the birth defects does not allow us to move forward exact figures about the actual incidence of cleft lip and palate. Through a retrospective study of 324 cases collected at the Plastic Surgery Department CHU Ibn Rochd of Casablanca between January 2012 and December 2014. Findings: It emerged that 58% of cases represented virgin CLP and 42% of cases represented CLP already made. The average age of the first population was 6.1 years (frequent late consultation) and 18 for the second. As for the sex ratio, it is 1.4 women for a man for FLP virgins and 0.51 for those already made (the request for renewal majority of retouching Cheiloplasty). Familial cases accounted for 19 cases and 10 cases in polymalformative frame. Conclusions: The labio-maxillo clefts are very common malformations representing 1 in 1000 births. They can affect maxillofacial growth, phonation, feeding, breathing. Hence the importance of a multidisciplinary approach. http://dx.doi.org/10.1016/j.ijom.2015.08.014 HBA1C and odontogenic infections L. Anand Middlemore Hospital, Auckland, New Zealand There are a significant number of admissions to the Oral and Maxillofacial surgery (OMFS) department at Middlemore Hospital with odontogenic infections requiring intra-venous antibiotics. The catchment area for this hospital has a population with the highest deprivation and lowest health status in New Zealand, with high genetic and environmental propensity for chronic illness and high resource consumption. At present there is no routine testing done for diabetes (type2) during the course of an admission for odontogenic infections. Given the known associations between infection and poor diabetic control, this prospective study will examine the value of
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routinely testing HBA1c in all admitted patients with odontogenic infections. Background: Type II Diabetes is a chronic disease with high prevalence in South Auckland. The diagnosis and ongoing management of TII diabetes is exceptionally important to the community, given the significant proportion of undiagnosed/poorly controlled diabetes. Diabetic screening is paramount to help improve this, and the admission of a patient requiring IV antibiotics for dental/oral infection would be an opportune time to screen. Aim: Routine screening of HBA1c will be done for all patients admitted to the OMFS department at CMDHB with odontogenic infections. Methods: Study design – Prospective Observational. Participants – All adults (>18 yo) admitted under the OMFS department at CMDHB for management of oral/dental infections. Outcomes – HBA1c is the primary outcome. Procedure – For every patient admitted, HBA1c will be added to the routine blood tests done on admission for the patient. This will be done for all patient admitted over the course of 1 year. Findings and conclusions: This study was started in January 2015 and will run through to January 2016. I would like to present my preliminary findings in a poster format for the conference. http://dx.doi.org/10.1016/j.ijom.2015.08.015 Quality of life for patients with ameloblastoma after mandibular resection (a systematic review) S. Anggraini ∗ , C. J.E.M. Universitas Indonesia, Jakarta Pusat, Indonesia Background: Quality of life (QOL) assessment of the patients is more interested recent years. Ameloblastoma requiring surgical resection of the mandible can have negative consequences on patient’s quality of life. Objectives: To report evaluation of the quality of life (QOL) in patients with ameloblastoma using instrument UW-QOL and OHIP-14 questionnaires. Methods: A systemic search of an English written literature was performed using the Scopus electronic database. From keywords ‘quality of life’ AND ‘ameloblastoma’, ‘benign tumour head and neck’; 56 article were identified, but only 7 were considered suitable for review. Findings: 114 ameloblastoma patients was treated by mandibular resection and reconstructed with vascularized free fibular flap graft, nonvascularized iliac crest bone graft, free bone graft, particulate bone cancellous marrow graft and reconstruction plate. Using University of Washington Quality of Life (UW-QOL) for assessment of functional and psychologic QOL and using Oral Hygiene Impact Profil-14 (OHIP-14) for evaluated oral health QOL. Patients with smaller tumours, spontaneous regeneration, males and younger patients seemed to have better QOL scores than with large tumour, no reconstruction and immediate plate reconstruction, females and older patients, mandibular resection involving para symphysis and symphysis region. UW QOL outcomes showed that facial appearance, chewing process, daily activity, donor site appearance and function were domains that most frequently chosen by the patients as important issues. Conclusions: Assessment of QOL in ameloblastoma patients become important for optimum care. http://dx.doi.org/10.1016/j.ijom.2015.08.016
University of Hassan II, Casablanca, Morocco Ibn-Rochd Hospital, Casablanca, Morocco
Background: The cleft lip and palate (CLP) are among the most common birth defects: 1/1000 births in Morocco. Many studies have been done insulator several risk factors mainly folate deficiency. Methods: In Morocco, the lack of national registers recording the birth defects does not allow us to move forward exact figures about the actual incidence of cleft lip and palate. Through a retrospective study of 324 cases collected at the Plastic Surgery Department CHU Ibn Rochd of Casablanca between January 2012 and December 2014. Findings: It emerged that 58% of cases represented virgin CLP and 42% of cases represented CLP already made. The average age of the first population was 6.1 years (frequent late consultation) and 18 for the second. As for the sex ratio, it is 1.4 women for a man for FLP virgins and 0.51 for those already made (the request for renewal majority of retouching Cheiloplasty). Familial cases accounted for 19 cases and 10 cases in polymalformative frame. Conclusions: The labio-maxillo clefts are very common malformations representing 1 in 1000 births. They can affect maxillofacial growth, phonation, feeding, breathing. Hence the importance of a multidisciplinary approach. http://dx.doi.org/10.1016/j.ijom.2015.08.014 HBA1C and odontogenic infections L. Anand Middlemore Hospital, Auckland, New Zealand There are a significant number of admissions to the Oral and Maxillofacial surgery (OMFS) department at Middlemore Hospital with odontogenic infections requiring intra-venous antibiotics. The catchment area for this hospital has a population with the highest deprivation and lowest health status in New Zealand, with high genetic and environmental propensity for chronic illness and high resource consumption. At present there is no routine testing done for diabetes (type2) during the course of an admission for odontogenic infections. Given the known associations between infection and poor diabetic control, this prospective study will examine the value of
e187
routinely testing HBA1c in all admitted patients with odontogenic infections. Background: Type II Diabetes is a chronic disease with high prevalence in South Auckland. The diagnosis and ongoing management of TII diabetes is exceptionally important to the community, given the significant proportion of undiagnosed/poorly controlled diabetes. Diabetic screening is paramount to help improve this, and the admission of a patient requiring IV antibiotics for dental/oral infection would be an opportune time to screen. Aim: Routine screening of HBA1c will be done for all patients admitted to the OMFS department at CMDHB with odontogenic infections. Methods: Study design – Prospective Observational. Participants – All adults (>18 yo) admitted under the OMFS department at CMDHB for management of oral/dental infections. Outcomes – HBA1c is the primary outcome. Procedure – For every patient admitted, HBA1c will be added to the routine blood tests done on admission for the patient. This will be done for all patient admitted over the course of 1 year. Findings and conclusions: This study was started in January 2015 and will run through to January 2016. I would like to present my preliminary findings in a poster format for the conference. http://dx.doi.org/10.1016/j.ijom.2015.08.015 Quality of life for patients with ameloblastoma after mandibular resection (a systematic review) S. Anggraini ∗ , C. J.E.M. Universitas Indonesia, Jakarta Pusat, Indonesia Background: Quality of life (QOL) assessment of the patients is more interested recent years. Ameloblastoma requiring surgical resection of the mandible can have negative consequences on patient’s quality of life. Objectives: To report evaluation of the quality of life (QOL) in patients with ameloblastoma using instrument UW-QOL and OHIP-14 questionnaires. Methods: A systemic search of an English written literature was performed using the Scopus electronic database. From keywords ‘quality of life’ AND ‘ameloblastoma’, ‘benign tumour head and neck’; 56 article were identified, but only 7 were considered suitable for review. Findings: 114 ameloblastoma patients was treated by mandibular resection and reconstructed with vascularized free fibular flap graft, nonvascularized iliac crest bone graft, free bone graft, particulate bone cancellous marrow graft and reconstruction plate. Using University of Washington Quality of Life (UW-QOL) for assessment of functional and psychologic QOL and using Oral Hygiene Impact Profil-14 (OHIP-14) for evaluated oral health QOL. Patients with smaller tumours, spontaneous regeneration, males and younger patients seemed to have better QOL scores than with large tumour, no reconstruction and immediate plate reconstruction, females and older patients, mandibular resection involving para symphysis and symphysis region. UW QOL outcomes showed that facial appearance, chewing process, daily activity, donor site appearance and function were domains that most frequently chosen by the patients as important issues. Conclusions: Assessment of QOL in ameloblastoma patients become important for optimum care. http://dx.doi.org/10.1016/j.ijom.2015.08.016