Global Cleft Care In Low Resource Settings

Cleft lip and palate represents the most common congenital facial anomaly. Congenital anomalies are one of the top 10 causes of disability and suffering in many low and middle income countries (LMICs.) Further, an estimated 30% of the global burden of disease is treated primarily through surgery, and among surgical conditions, treating clefts conveys disproportionately large benefit relative to cost because suffering can be halted at a young age and deliver a lifetime of health. Over the last 50 years, cleft care has advanced in low-resource settings through international surgical missions and the efforts of sparse local providers. While exciting anecdotes of impact abound from these efforts, recent studies have identified a complication rate that often exceeds 50% and there is concern about the sustainability of foreign volunteer missions. This book serves as a thorough resource for providing medical and surgical care of cleft lip and palate deformities in low-resource settings, geared to the context of those settings. The content is consensus-based and evidence-based, with emphasis on treatment that is appropriate to a low-resource context and how this differs from that in higher-resource environments. It is authored by recognized cleft experts in close partnership with providers who practice in low-resource settings. It is heavily pictorially based through illustrative figures, photos and diagrams, to be facile for those who speak English as a second language. Following the introduction, Complete Cleft Care in Low-Resource Settings has six main sections: patient workup, surgical treatment, comprehensive care, educational innovation, care delivery models, and finally a series of illustrative case studies. Uniquely, the book’s breadth encompasses cleft care comprehensively, but does so through a practical “how to” format with many “from the field” examples of what has worked.

Packed with original color illustrations and videos, Interdisciplinary Cleft Care: Global Perspectives draws from the rich national and international relationships between the Global Smile Foundation and world experts in cleft care to provide comprehensive, clear, and user-friendly content for all cleft care professionals. This text is designed to be an inclusive resource that addresses the educational needs of all cleft care providers, from novice learners looking to develop their area’s first multidisciplinary cleft team to seasoned specialists looking to improve their outcomes. While most other educational cleft care books on treatments and techniques are relevant in high-resource settings, they may not be applicable in low and middle-income countries where orofacial clefting is most common. Interdisciplinary Cleft Care: Global Perspectives details multiple treatment modalities and surgical techniques that can be applied in low, medium, and high-resource settings alike for all key challenges in cleft care. This book has a team-based framework with chapters that address pertinent topics in cleft care by national and international authorities on the subject from plastic surgery, facial plastic surgery, pediatric otolaryngology, oral maxillofacial surgery, speech-language pathology, dentistry, orthodontics, psychology, and more. This text also brings attention to special topics often ill addressed in traditional cleft care resources, including psychosocial issues, safety and preparedness in low-resource settings, and guidance for building a multidisciplinary cleft care team where needed. The book includes access to 60 high-quality surgical videos to support the techniques reviewed in the chapters.

Highly Commended, BMA Medical Book Awards 2015In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public

The aim of this book is to discuss cleft lip and palate deformities in a comprehensive way, presenting it from the basics to the most clinically and surgically relevant issues. First, the basic concepts of embryology and pathogenesis of the facial deformities will be discussed. Special attention will be paid to the genetics underlying this condition. Following that, basic principles of surgical treatment through the most recent advances in the field will be presented, along with most important evidences from the literature and the personal experience of the editors and authors. Cleft Lip and Palate Treatment presents the state of the art and advances in the field and is intended to serve as a comprehensive guide for a broad audience. All the specialties involved in the comprehensive care of these craniofacial deformities will be presented in this book.

In Designing Strategies for Cleft Lip and Palate Care it was aimed to link the epidemiology from different areas in the world with the interspecialty surgical care and the future genetic research projects. The objective is to concisely discuss the methodology of interspecialty care and stimulate future ideas for prophylactically managing or preventing such deformities. I am confident that one day the surgical interventions that bombard the patients from the day of newborn delivery and throughout the years of youth should be significantly decreased based on the genetic prophylactic intervention, probably.

Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Few books have been published before with details on preoperative planning, markings and performance of primary surgical techniques to correct the cleft lip and palate deformity. This information is commonly required by surgeons. Scientific papers, conferences, and video clips of these surgical procedures are limited in details about how to address this common disease. This book provides a comprehensive overview of surgery for the correction of primary cleft lip and palate, including planning, selecting the most suitable techniques, markings, performing operative techniques, and preoperative care. Unlike other literature on the topic, which focuses on surgical techniques, this operative atlas (with detailed illustrations) covers the entire spectrum of this congenital deformity: classification of cleft lip and palate, management protocols, unilateral cleft lip surgery, bilateral cleft lip surgery, cleft palate surgery, post operative care and case studies. It will be a unique and valuable resource for surgeons treating this common condition.

Globally there is a burden of approximately 1, 70,000 new cases of cleft lip and palate every year, yet there is no single comprehensive resource on this problem. This surgical atlas fills the gap in the knowledge of appropriately handling cleft palate cases; from Primary repair to management of palatal fistula. This pictorial resource has been compiled and edited by an expert who operates one of the highest cleft lip and palate correction programs in the world and his team has performed more than 44,000 surgeries, restoring Smile and good speech to thousands of patients across the globe. It covers all variants and different types of cleft palate cases, including both primary cases as well as in previously operated cases. It starts with an in-depth elaboration on anatomy, physiology, and pathology of the (normal) palate and cleft palate, moving towards classification and identification of different types of palatal fistula and their management with the help of clear flow charts and simple algorithms, enabling better diagnosis and decision making. With over 1500 high definition colored images and hand-drawn sketches, this atlas provides a detailed description of diagnosis, problems and the management of each and every type of cleft palate and palatal fistulae. . The underlying objective of such surgeries is to best restore a barrier between the nasal and oral cavities. and better speech production, which is highlighted amply in each chapter. This atlas is a valuable resource for all plastic surgeons, pediatric surgeons, maxillofacial surgeons, ENT surgeons and other medical professionals involved in cleft lip and palate surgeries.