Modern Plastic Surgery, 2016, 6, 27-32 http://www.scirp.org/journal/mps ISSN Online: 2164-5280 ISSN Print: 2164-5213 DOI: 10.4236/mps.2016.64005 September 29, 2016 Adult Cleft Lip Repair under Local Anaesthesia: The Ghana Experience Solomon Obiri-Yeboah 1,2 , Micheal Yeliborah 1 , Alexander Oti Acheampong 1,2 , Samuel Kodjo Ansah 1 , John H. Grant 3 , Peter Donkor 1,2 1 Kwame Nkrumah University of Science and Technology, Kumasi, Ghana 2 Komfo Anokye Teaching Hospital, Kumasi, Ghana 3 University of Alabama at Birmingham, Alabama Children’s Hospital, Birmingham, AL, USA Abstract Background: Unlike developed countries where adult primary cleft lip and palate cases are barely nonexistent, developing countries still have a backlog of adults with unrepaired cleft lip and palate. Method: A retrospective review of adult/adolescent cleft lip repair under local anesthesia was performed between 2012 and 2015. Re- sults: Fifty six (56) adolescent and adults were seen comprising 35 females and 21 males. Forty two patients presented with unrepaired unilateral cleft lip of which only 6 were complete; 4 were unrepaired bilateral cleft lip and 10 were revisions. The low- est age was 13 years (two patients) and the highest age was 66 years (one patient). The mean weight was 54 kg. The mean anaesthetic time including waiting time was 12.94 minutes and mean operation time was 56.52 minutes. Majority of the patients were discharged same day except for five who needed to stay overnight because of distance from their home. There were no reported early postoperative complications and wound healing was uneventful for all the patients. Conclusion: Cleft lip repair in adults under local anesthesia is safe, effective and less expensive. A modification in technique with minimal dissection and efficiency is essential in such cases. Keywords Adult, Adolescent, Cleft Lip, Local Anaesthesia 1. Background Cleft lip and palate is among the most common congenital malformations with com- plex multifactorial etiology including both genetic and environmental factors [1]. Although numerous techniques and protocols are employed in the repair of this condition, the surgical literature is consistent in recommending early repair, typically How to cite this paper: Obiri-Yeboah, S., Yeliborah, M., Acheampong, A.O., Ansah, S.K., Grant, J.H. and Donkor, P. (2016) Adult Cleft Lip Repair under Local Anaesthesia: The Ghana Experience. Modern Plastic Sur- gery, 6, 27-32. http://dx.doi.org/10.4236/mps.2016.64005 Received: August 30, 2016 Accepted: September 26, 2016 Published: September 29, 2016 Copyright © 2016 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access