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Improved Early Cleft Lip and Palate Complications at a Surgery Specialty Center in the Developing World

Eugene Park1, Gaurav Deshpande2, Bjorn Schonmeyr3

  • 11 Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|March 27, 2018
PubMed

Insights

Transitioning cleft care from surgical missions to a permanent center in India significantly reduced complication rates for cleft lip and palate repairs, improving patient outcomes.

Area of Science:

  • Plastic Surgery
  • Global Health
  • Pediatric Surgery

Background:

  • Cleft lip and palate repair are common surgical procedures.
  • Developing regions often rely on mission-based care, which may have variable outcomes.
  • Establishing permanent centers can potentially improve the quality and consistency of care.

Purpose of the Study:

  • To evaluate complication rates of cleft lip and palate repairs during the shift from mission-based care to a permanent center in India.
  • To compare outcomes between surgical missions and a dedicated cleft care center.

Main Methods:

  • Retrospective review of 3419 cleft lip repairs and 1728 cleft palate repairs.
  • Data collected from surgical missions and the Guwahati Comprehensive Cleft Care Center (GCCCC) between December 2010 and February 2014.
  • Comparison of overall complication rates between care models.

Main Results:

  • Cleft lip repair complication rates decreased from 13.2% (mission 1) to 4.0% (GCCCC).
  • Cleft palate repair complication rates decreased from 28.0% (mission 1) to 15.8% (GCCCC).
  • Permanent center-based surgeons had lower cleft palate repair complication rates than visiting surgeons (7.2% vs. >15.8%, P < .05).

Conclusions:

  • Transitioning to a permanent facility-based model for cleft care delivery in developing regions can lead to reduced complication rates.
  • A dedicated center offers a more consistent and potentially safer approach to cleft repair.
  • This shift improves the standard of care for patients with cleft lip and palate.
Abstract

Keywords:
lip formsoft palatesurgical complications

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