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Foundation-Based Cleft Care in Developing Countries.

Rami S Kantar1, Michael J Cammarata1, William J Rifkin1

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Foundation-based cleft care initiatives improve understanding of cleft lip and palate issues in developing nations. The cleft care center model offers more sustainable and cost-effective solutions than surgical missions.

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Area of Science:

  • Global Health
  • Plastic Surgery
  • Public Health

Background:

  • Cleft lip and palate deformities impact 1 in 500-700 births, causing significant morbidity and mortality if untreated.
  • Global disparities limit access to timely and appropriate cleft care, particularly in developing countries.
  • Foundation-based initiatives address the unmet burden of cleft deformities through surgical interventions.

Purpose of the Study:

  • To evaluate the clinical, scientific, educational, and economic impact of foundation-based cleft care initiatives.
  • To analyze the peer-reviewed literature generated by these foundations.
  • To compare different models of cleft care delivery.

Main Methods:

  • A comprehensive literature review was conducted using key search terms.
  • The level of evidence for identified articles was determined.
  • Data were analyzed to assess the impact of various foundation-based cleft care models.

Main Results:

  • 244 articles were reviewed, highlighting contributions to understanding epidemiology, barriers, safety, and outcomes.
  • Foundation initiatives have advanced cleft surgery education internationally and locally.
  • The cleft care center model is more cost-effective and sustainable than the surgical mission model.

Conclusions:

  • Foundation-based cleft care significantly reduces morbidity in developing countries and builds capacity.
  • The surgical mission model can serve as a temporary step towards establishing sustainable cleft care centers.
  • Sustainable cleft care centers are crucial for long-term management and improved patient outcomes.