Sustainability and Success of Cleft Surgery in Developing Countries: Satisfaction Outcome of 125 Patients Operated in Myanmar

Milena Pejkovic, Martin Gosau Heinrich Schoeneich, K. M. Win, Thiha Wyain, H. Schoeneich, P. Kauffmann, S. Haerteis, L. Prantl, P. Heidekrueger, T. Aung
{"title":"Sustainability and Success of Cleft Surgery in Developing Countries: Satisfaction Outcome of 125 Patients Operated in Myanmar","authors":"Milena Pejkovic, Martin Gosau Heinrich Schoeneich, K. M. Win, Thiha Wyain, H. Schoeneich, P. Kauffmann, S. Haerteis, L. Prantl, P. Heidekrueger, T. Aung","doi":"10.11648/J.IJCOMS.20210702.13","DOIUrl":null,"url":null,"abstract":"Non-syndromic orofacial clefts are significantly linked to socioeconomic status. Because of limited access to proper medical care in rural areas of developing countries charity missions are highly required to mitigate negative outcome, but there is still a lack of data on humanitarian missions’ sustainability and success. A retrospective analysis of 125 patients who underwent cleft surgery during humanitarian missions in Myanmar was performed. Patients’ satisfaction with facial features and function was evaluated pre- and post-surgery. Furthermore, postoperative complications and satisfaction with follow-up care have been analyzed. Between 2008 and 2020 125 patients underwent cleft surgery by the Interplast team. The median patient’s age was 2,58 years (mean=7 years) with a range of 3 months to 54 years. Group 1 (patients with cleft lip only, n=58) was analyzed on satisfaction with facial aspects and significant improvement was found. All 125 patients were evaluated regarding function features like eating or drinking and their post-surgical satisfaction was significantly higher than before surgery. To analyze if hearing and nasal breathing difficulties in patients with cleft palate can be decreased by primary cleft surgery these parameters were analyzed in group 2 (n=67). Group 2 as well reported significant improvement. Even with limited medical infrastructure and later primary surgery than in developed countries, cleft surgeries can be performed successfully and sustainable by integrating local surgeons in charity missions. Patients benefit greatly by these missions and further investigation on humanitarian cleft missions should be conducted.","PeriodicalId":92911,"journal":{"name":"International journal of clinical oral and maxillofacial surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of clinical oral and maxillofacial surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11648/J.IJCOMS.20210702.13","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Non-syndromic orofacial clefts are significantly linked to socioeconomic status. Because of limited access to proper medical care in rural areas of developing countries charity missions are highly required to mitigate negative outcome, but there is still a lack of data on humanitarian missions’ sustainability and success. A retrospective analysis of 125 patients who underwent cleft surgery during humanitarian missions in Myanmar was performed. Patients’ satisfaction with facial features and function was evaluated pre- and post-surgery. Furthermore, postoperative complications and satisfaction with follow-up care have been analyzed. Between 2008 and 2020 125 patients underwent cleft surgery by the Interplast team. The median patient’s age was 2,58 years (mean=7 years) with a range of 3 months to 54 years. Group 1 (patients with cleft lip only, n=58) was analyzed on satisfaction with facial aspects and significant improvement was found. All 125 patients were evaluated regarding function features like eating or drinking and their post-surgical satisfaction was significantly higher than before surgery. To analyze if hearing and nasal breathing difficulties in patients with cleft palate can be decreased by primary cleft surgery these parameters were analyzed in group 2 (n=67). Group 2 as well reported significant improvement. Even with limited medical infrastructure and later primary surgery than in developed countries, cleft surgeries can be performed successfully and sustainable by integrating local surgeons in charity missions. Patients benefit greatly by these missions and further investigation on humanitarian cleft missions should be conducted.
发展中国家腭裂手术的可持续性与成功:缅甸125例腭裂手术患者的满意结果
非综合征性唇腭裂与社会经济地位显著相关。由于发展中国家农村地区获得适当医疗服务的机会有限,因此非常需要慈善特派团来减轻负面后果,但仍然缺乏关于人道主义特派团的可持续性和成功的数据。回顾性分析了125名在缅甸人道主义任务期间接受唇腭裂手术的患者。术前、术后分别评价患者对面部特征和功能的满意度。并对术后并发症及随访满意度进行分析。从2008年到2020年,有125名患者接受了Interplast团队的唇腭裂手术。患者中位年龄为2.58岁(平均7岁),年龄范围为3个月至54岁。组1(仅唇裂患者,n=58)对面部满意度进行分析,发现有明显改善。对125例患者进行饮食等功能特征评估,术后满意度明显高于术前。为了分析腭裂患者的听力和鼻呼吸困难是否可以通过原发性腭裂手术得到缓解,我们对2组(n=67)的这些参数进行了分析。第二组也报告了显著的改善。即使医疗基础设施有限,初级手术也比发达国家晚,通过将当地外科医生纳入慈善使命,唇腭裂手术也可以成功和可持续地进行。患者从这些任务中受益匪浅,应对人道主义裂隙任务进行进一步调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信