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Orthognathic surgery significantly improves outcomes for cleft lip and/or palate patients by correcting facial structure and function. This study offers a roadmap for establishing these vital programs in low- and middle-income countries.

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Area of Science:

  • Craniofacial surgery
  • Patient outcomes
  • Global health equity

Background:

  • Cleft lip and/or palate (CLP) management extends beyond primary surgeries, requiring interventions aligned with craniofacial development.
  • Orthognathic surgery is a critical, late-stage intervention for CLP patients, addressing midfacial deficiencies.
  • Up to 70% of CLP patients in high-income countries may require orthognathic surgery, highlighting its importance.

Purpose of the Study:

  • To provide a streamlined roadmap for establishing orthognathic surgery programs in low- and middle-income countries (LMICs).
  • To demonstrate the positive impact of orthognathic surgery on patient outcomes in CLP care.
  • To empower locoregional healthcare providers in LMICs through enhanced surgical capabilities.

Main Methods:

  • The study outlines a strategic approach to program development, focusing on consolidating essential components.
  • It emphasizes the integration of orthognathic surgery within existing cleft care timelines.
  • The roadmap is designed for resource-conscious implementation in LMIC settings.

Main Results:

  • Orthognathic surgery offers substantial benefits, including improved mastication, speech, breathing, and psychosocial well-being.
  • Successful program deployment indicates a high-functioning CLP team, comparable to high-income country standards.
  • The study highlights the feasibility of resource-efficient program establishment.

Conclusions:

  • Establishing orthognathic surgery programs in LMICs is crucial for comprehensive CLP care and achieving outcomes on par with high-income countries.
  • These programs significantly enhance patient function and psychosocial domains.
  • The proposed roadmap facilitates the sustainable integration of advanced surgical care in underserved regions.