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.

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.

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

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.

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.

Comprehensive and fully up to date, Dr. Peter Neligan’s six-volume masterwork, Plastic Surgery, 5th Edition, remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, it features new, full-color clinical photos, procedural videos, and lectures across all six volumes. Bonus material online includes additional text, images, and over 200 procedural videos that help you improve your mastery of the latest techniques. Easily find the answers you need with an organization that features separate volumes covering Principles • Aesthetic • Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery • Lower Extremity, Trunk and Burns • Breast • and Hand and Upper Extremity. Each easily readable, individual volume is a standalone comprehensive text full of salient and applicable anatomy and techniques. Key procedures include gender affirmation management and surgery, microsurgery and surgery for lymphedema, aesthetic facial surgery, aesthetic body surgery, and the education, training and practice of plastic surgery. New digital video preface by Dr. Neligan addresses the changes across all six volumes. New treatment and decision-making algorithms added to chapters where applicable. New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures. Four new international experts join the editorial team, and lead editor Peter C. Neligan creates a cohesive tone throughout the chapters and content across all six volumes. Evidence-based advice from a diverse collection of experts allows you to apply the very latest advances in every area of plastic surgery and ensure optimal outcomes. Purchase only the volumes you need or own the entire set, with the ability to search across all six volumes online!

This book encompasses diagnostic, treatment and prevention of bad results and complications associated with cleft lip and palate surgery. Illustrated by more than 200 images and based on a 25 years’ experience of the editor, the work includes the whole spectrum of complications based on case studies, as well as management and prevention protocols. Divided in nine didactic parts, the chapters present complications related to anesthesia, lip asymmetry, scar disorders, postoperative dehiscence, secondary nose deformities besides dentoeskeletal sequels. Atlas of Non-Desirable Outcomes in Cleft Lip and Palate Surgery will benefit plastic surgeons, pediatric surgeons, otolaryngologists, maxillofacial surgeons, head and neck surgeons, dentists and anesthesiologists.