Treatment of Pain in Children Operated of Labial and / or Palatine Slit in Mali
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 5
Abstract
Labial and labial-palatine slits are the most frequent congenital cranial-facial malformations, of embryologic origin which affect in a variable way the upper lip, the base of the nose and the future dental arch and/or the soft palate and the palate. Pain is an unpleasant sensory and emotional experience, related to a real or potential tissue lesion or described in term of such a lesion. It was about a cross-sectional, descriptive, multi-centric study of duration of 5 months going from May 1st, 2012 to September 30th, 2012 in the Hospital Complex Mère-Enfant (Mother - Child) Luxembourg and at Hospital du Mali (HM). Our study related to 49 patients. Patients whose weight was lower than 4.5kg and those less than 3 months old were excluded from our study. The data was collected on an individual investigation sheet established according to the goals of the study, the socio-demographic variables and the evaluation Parameter of pain. The typing, the analysis and the text processing were carried out on Microsoft Word and Excel 2010. Approximately 2/3 of the sample was represented by the male sex 65.31% that is a sex ratio of 1.88. The age bracket 7 to 12 was the most represented with 38.78%. The labial-unilateral slit was dominant with 57.14%. The consequences were simple for 95.92 % of the patients. Paracetamol perfusion was used as analgesics for 63.27% of our sample during the operation. The most frequent duration of the treatment was 72H. Infra-orbital anesthesia was not used in 59.18% of the patients. The most frequent duration of hospitalization was 72H with 67%. The management of the DPO is a process essential to the good stability of the intervention and especially in children affected by labial and/or palatine slit, because it prevents them from crying and above all from being agitated with the risk of causing a postoperative failure by releasing of the strings.
Authors and Affiliations
Adama TRAORE, Hamady TRAORE, Baba DIALLO, Nouhoum DIANI, Aboubacar S. T. KANE
Keywords
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