DOI: 10.36347/sjams.2017.v05i04.004

Pages: 1221-1223

This study reports the results of operations performed on cleft palate with or without cleft lip of 52 patients underwent longneck procedure during the period of one and half years from June 2013 – Jan 2015 in Omdurman Teaching Hospital at Plastic and Reconstructive unit . The main objective of this study is cleft palate survey and to determine predisposing factors, complications and outcome of repair. Among them there were 27 females and 25 males, age range from 24 days to 33 years. There were 44 patients associated with cleft lip, 4 patients have cleft palate alone, 2 patients have congenital heart disease, one has neurological disorder and another has tongue tie. Common presentation is difficulty in feeding. Most patients 94% presented before first year. Maternal use of folic acid has strong relation to cleft palate. Approximately half of patients from middle Sudan .we follow the patients for 6 months for complications and outcome of repair, symptoms will improve after early repair than late repair, senior trainee has better outcome than junior trainee. Fistula is common complication over all age group. Most patients repaired one time. family satisfaction very excellent .in conclusion early repair before first year has better outcome and less complications than late repair, Speech disorder is long term complication occur mainly if delay the repair after first year . The study recommends maternal use of folic acid and early repair before first year.