Oral and Maxillofacial Surgery in Low-Income and Middle-Income Countries

Lee, Jessica S.; Roser, Steven M.; Aziz, Shahid R.

doi:10.1016/j.coms.2020.04.001

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…Orthodontics is also very limited because of the cost of services and the lack of practitioners. The management of this pathology in precarious situations must be pragmatic [21], controlled by the efficiency and the reliability of the realized gestures (because in case of failure of the intervention, it is almost impossible for the patients to be able to profit from a second displacement for a re-intervention). The intervention should therefore reduce to the strict minimum, the total number of operations per individual.…”

Section: Discussionmentioning

confidence: 99%

Naso-Labio-Palatine Clefts: Humanitarian Care in Togo

Adam¹,

Sama²,

Foma³

et al. 2021

OJST

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Introduction: The management of nasolabial-palatal clefts in precarious environments is one of the topics most addressed by many humanitarian missions, especially in Africa and Asia. The aim of our study was to propose a humanitarian and not expensive care to the patients presenting with facial clefts during the fairgrounds in disadvantaged areas. Patients and Method: We carried out a prospective study on 32 patients who were operated with very limited means during the mobile clinics inside Togo during the year 2013. These patients were followed over a period of one year after their surgery. Included in our series were native patients with facial clefts, who had no means of managing their condition, and who therefore needed humanitarian support. We have reported the clinical history of some patients to illustrate our results. Results: Our study included 32 children, including 15 boys and 17 girls, with a sex ratio of around 1. The average age of patients was 5 years, with extremes of 6 months and 13 years. We performed 13 clefts (including 12 unilateral clefts and 1 bilateral cleft), 17 clefts palate (including 12 unilateral clefts and 5 bilateral clefts), and 2 velar clefts. We described the clinical history of a few patients in this humanitarian setting and showed the surgical results obtained.

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Section: Discussionmentioning

confidence: 99%

Naso-Labio-Palatine Clefts: Humanitarian Care in Togo

Adam¹,

Sama²,

Foma³

et al. 2021

OJST

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“…The LCGS, along with the World Bank Disease Control Priorities Project and the World Health Organization Global Initiative for Emergency and Essential Surgical Care, have advocated for enhanced education and training in global health and global surgery as a way of increasing workforce capacity 6,7 . Numerous groups have called for the inclusion of formal global surgery education in the training of an OMS, starting in dental school and continuing through residency 5,8 . These authors have cited the growing national interest among United States (US)‐based surgical residents to participate in global surgery electives during their residency training and willingness to form student‐led working groups such as the Global Surgery Student Alliance 9–11 .…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Numerous groups have called for the inclusion of formal global surgery education in the training of an OMS, starting in dental school and continuing through residency. 5,8 These authors have cited the growing national interest among United States (US)based surgical residents to participate in global surgery electives during their residency training and willingness to form student-led working groups such as the Global Surgery Student Alliance. [9][10][11] Although OMSs value participation in humanitarian-based missions during residency training, 12 there is a paucity of data examining interest in global surgery rotations among OMS residents in the US.…”

Section: Introductionmentioning

confidence: 99%

Interest in global surgery rotations among oral and maxillofacial surgical residents in the United States

Harris,

Guntaka,

Niedziela

et al. 2023

Journal of Dental Education

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PurposeThis study sought to assess interest in global surgery rotations among current United States (US)‐based oral and maxillofacial surgery (OMS) residents.MethodsAn anonymous 23‐question survey was distributed to 633 current OMS residents in the US to examine resident interest in global surgery rotations during residency. The primary outcome variable was resident interest in participating in global OMS rotations during residency training, whereas the primary predictor variable was the presence of residency faculty involved in global OMS work. Descriptive statistics were calculated for all study variables and univariate/multivariate logistic regression analyses were conducted to identify predictors of interest in global OMS rotations.ResultsA total of 120 residents with an average age of 30.4 ± 3.2 years responded to the survey. At present, 22 (18.5%) residents stated that their residency programs offer some sort of global OMS rotation and 21 (95.5%) of these claimed they were willing to participate in global OMS rotations at their residency program. Out of the residents who stated their program did not offer a global OMS rotation, 86 (87.8%) respondents stated they would be interested in adding a dedicated global OMS rotation to their residency curriculum. The presence of OMS residency faculty involved in global OMS work (p = 0.030) and a resident's willingness to dedicate vacation time to participate in a global surgery rotation (p = 0.005) were associated with increased interest in a global surgery rotation.ConclusionThe majority of respondents would welcome a dedicated global OMS rotation during their residency training.

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“…However, the treatment of orofacial clefts remains a challenging issue for many low- and middle-income countries (LMICs). The burden of care for individuals with CL/P is disproportionally immense in LMIC stemming from a lack of patient awareness and insufficient health infrastructure (Gadkaree et al, 2019; Lee et al, 2020). A study based on 2000 surveys distributed to global outreach plastic surgeons and healthcare providers revealed the most common barriers to care were patient travel costs (61%) and patient awareness (54%) (Massenburg et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Global Cleft Lip and Palate Outreach: A Google Trends Analysis

Weissman

Reddy

Shah

et al. 2021

The Cleft Palate Craniofacial Journal

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Understanding patient awareness of cleft lip and/or palate (CL/P) and evaluating demand for necessary procedures may serve to better target future efforts in global outreach. We utilized internet search query data from Google Trends for the terms: “cleft lip,” “cleft palate,” “cleft lip and palate,” “cleft surgery,” and “cleft repair” from January 2004 to January 2021. Relative search volumes (RSV) recorded for the top 5 highest displaying countries and top 3 available regions within those countries were compared against global outreach by Operation Smile and Smile Train, as measured by the number of patients treated. World Health Organization (WHO) indicators were used to validate the RSV values for each country and better understand the current infrastructure and need for cleft care in those countries. Globally, there was an increase in RSV for the terms “cleft lip,” “cleft palate,” “cleft repair,” and “cleft surgery” between 2004 and 2021. For “cleft lip,” the countries with the highest displaying RSVs included: Ghana (100%), Zimbabwe (97%), Nepal (78%), the Philippines (64%), and Kenya (52%). Countries with high RSVs and moderate to high WHO indicators included Ghana, Kenya, India, Nigeria, and Zimbabwe. Countries with high RSVs and poor WHO indicators included Nepal and Pakistan. Some countries had specific regions with high search demand that are not currently targeted for global outreach. Using Google Trends’ data may help find more feasible locations and targeted care for efforts in global outreach with better patient awareness and turnout where demand for CL/P is increasing.

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Oral and Maxillofacial Surgery in Low-Income and Middle-Income Countries

Cited by 9 publications

References 23 publications

Naso-Labio-Palatine Clefts: Humanitarian Care in Togo

Naso-Labio-Palatine Clefts: Humanitarian Care in Togo

Interest in global surgery rotations among oral and maxillofacial surgical residents in the United States

Global Cleft Lip and Palate Outreach: A Google Trends Analysis

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