Successful surgical missions for cleft

Park, Young Wook

doi:10.5125/jkaoms.2018.44.6.249

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…With the dearth of management blueprints and standard provisions for cleft care that have affected the nation since her inception, the country previously benefited from the several visits of international humanitarian surgical missions to locations across the geopolitical zones of the country. Currently, owing to the availability of a handful of maxillofacial and craniofacial reconstructive surgeons with interest in orofacial cleft repair and other key members of the cleft multidisciplinary teams, partnerships between local tertiary institutions, or indigenous small-scale surgical missions like ours and renowned nongovernmental organizations notably SmileTrain and Operation Smile have been established to further assist in the management of the anomaly (Park, 2018). This article seeks to provide a retrospective account of the presentation of adult patients with cleft in our 2 ventures to Minna, Nigeria.…”

Section: Discussionmentioning

confidence: 99%

The Tale of the Unrepaired Cleft—Retrospective Evaluation of Cases Encountered by an Indigenous Mission in a Northern Nigerian Community

Oketade

Bello

Adeoye

2020

The Cleft Palate-Craniofacial Journal

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Objective: This study aims to document the experience of an indigenous surgical mission on the occurrence of unrepaired cleft in 2 visits to Minna, North-Central Nigeria. Design: This retrospective study involved participants with orofacial cleft anomaly at 2 surgical outreaches held in Minna in 2011 and 2017. Baseline data were initially obtained from case files of patients at both programs. Data collected were analyzed employing appropriate statistical tests for continuous and categorical variables. Setting: Two outreach programs in Minna, North-Central Nigeria by Cleft and Facial Deformity Foundation in 2011 and 2017. Results: A total of 117 participants with cleft anomaly were encountered at both surgical outreach programs. The sample prevalence of unrepaired cleft was 61.5% with an overall mean age (standard deviation) of 10 (13.2) years. Most participants presented with unilateral complete cleft lip (70.8%) which was more common on the left side and had no family history of orofacial cleft (54.2%). Information on the surgical program was mostly obtained via friends and relatives in 32.6% and lack of wherewithal to offset the expense of cleft surgery and supportive treatment represented the most common reason for the delay of surgical repair (50%). Conclusion: We found a high proportion of patients with unrepaired cleft in our sample which may mirror happenings in other developing world centers. We advocate continued collaborations between indigenous missions and international funding agencies to further encourage continued repair of unrepaired cleft in developing centers.

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Section: Discussionmentioning

confidence: 99%

The Tale of the Unrepaired Cleft—Retrospective Evaluation of Cases Encountered by an Indigenous Mission in a Northern Nigerian Community

Oketade

Bello

Adeoye

2020

The Cleft Palate-Craniofacial Journal

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“…Cleft lip repair is a one-time, low-risk surgical procedure and lends itself well to surgical missions. 5 Cleft lip and palate is more complex, as the lip is generally repaired first and the palate at a slightly older age. 6 Early cleft repair before speech acquisition is preferred; approximately 20% of patients who undergo cleft palate repair require speech and language therapy.…”

Section: Analytical Frameworkmentioning

confidence: 99%

How Should We Decide Whether and When Some Care Is Better Than No Care?

Koch

Meara

Wall

2019

AMA Journal of Ethics

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This case of cleft lip and palate repair by a surgical mission team is common. Low-risk, single-procedure surgical interventions requiring minimal follow-up with substantial quality of life improvement are well suited for this type of mission. However, cleft repair can also be quite complex and require multiple surgeries and other care over time, postoperative surveillance, and speech therapy. These benefits and burdens prompt us to investigate, from clinical and ethical perspectives, whether and when some surgical care is better than none. We argue that, when performing surgical interventions in low-and middle-income countries, mission teams should consider a systems-based approach that emphasizes collaboration, context, and sustainability. Case JJ was born with a cleft lip and palate. As a result, he has developed problems with oral competence, feeding, speech, and social acceptance-due to his appearance. He is 4 years old and lives in a rural community in Central Africa. JJ's family heard that a group of surgeons from a university in the United States were coming to a nearby town to offer free cleft lip and palate repairs. JJ and his family and siblings traveled an hour to seek care, and JJ's family waited all day to finally see the surgeon and resident physicians who repaired JJ's cleft.

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Successful surgical missions for cleft

Cited by 2 publications

References 10 publications

The Tale of the Unrepaired Cleft—Retrospective Evaluation of Cases Encountered by an Indigenous Mission in a Northern Nigerian Community

The Tale of the Unrepaired Cleft—Retrospective Evaluation of Cases Encountered by an Indigenous Mission in a Northern Nigerian Community

How Should We Decide Whether and When Some Care Is Better Than No Care?

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