| Description |
1 online resource (587 pages) : illustrations (some color) |
| Contents |
Intro -- Foreword -- Foreword -- Preface -- Acknowledgments -- Contents -- Case Studies in Cleft Surgery -- About the Editors -- Editor -- Illustrator -- Section Editors -- Contributors -- Part I: Introduction to Global Cleft Care -- 1: Introduction: A Paradigm Shift in Global Cleft Care -- Five Forces Shaping Global Cleft Care -- Surgery as Public Health -- Locally Delivered Cleft Care -- Focus on Achieving Great Patient Outcomes -- Innovation Borne of Low-Resource Settings -- The Conundrum of Evidence-Based Medicine -- References -- 2: Burden of Cleft Disease and Opportunity for Impact |
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Introduction -- Defining Cleft Conditions -- The Burden of Cleft Disease -- Epidemiology -- Outcomes for Cleft Patients -- Economics of Cleft Care -- Approaches to Cleft Care -- Defining Adequate Cleft Care -- Methods of Reaching Untreated or Undertreated Patients -- The Potential Impact of Cleft Care -- References -- 3: Patient Barriers to Care -- Introduction -- Availability of Care (Supply) -- Workforce -- Infrastructure -- Affordability and Acceptability of Surgical Care (Demand) -- Affordability -- Acceptability -- Conclusion -- References -- 4: Innovations in Reaching Patients |
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Introduction -- Design Thinking -- Examples from the Field -- Cleft Lip and Palate -- Patient Accompaniment: Partners in Health and Operation Smile Honduras -- Problem Statement -- Program Overview -- Why It Works -- Enhancing the Patient Experience: Operation Smile, Madagascar -- Problem Statement -- Program Overview -- Why It Works -- Primary Care -- Nuka System of Care: Southcentral Foundation, Alaska, United States -- Problem Statement -- Program Overview -- Why It Works -- Community Health Workers: Last Mile Health, Liberia -- Problem Statement -- Program Overview -- Why it Works |
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Infectious Disease -- Community-Based Surveillance System: CORE Group Polio Project, South Sudan -- Problem Statement -- Program Overview -- Why It Works -- Conclusion & Key Takeaways -- References -- Part II: Patient and Cleft Assessment -- 5: Patterns, Anatomy, and Classification of Clefts -- Introduction -- Epidemiology -- Patterns of Cleft Lip and Palate -- Syndromic Clefts -- Racial and Ethnic Epidemiologic Variations -- Embryology -- The Gene-Environment Interplay -- Facial Development -- Clefts as Failure of Fusion Events -- Cleft-Related Anatomy |
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Nose: Tip, Alae, Columella, Nasal Sill, Paranasal Muscles -- Palate -- Classification -- Severity Classification -- Patterns -- Unilateral Cleft Lip and Palate (UCLPA): Main Features -- Bilateral Cleft Lip and Palate (BCLPA): Main Features -- Cleft Palate: Main Features -- References -- 6: Early Nutrition, Feeding and Management of Infants with an Oral Cleft -- Introduction -- Feeding Guidance for Patients with Cleft Lip/Palate -- Normal Feeding -- Feeding Duration and Amounts -- Initial Feeding Assessment -- Specific Feeding Problems of Infants with CL+/− P -- Cleft Lip |
| Summary |
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 |
| Notes |
Includes index |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Print version record |
| Subject |
Cleft lip -- Surgery
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Cleft palate -- Surgery
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Poor children -- Medical care
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Children.
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Cleft Lip -- surgery
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Cleft Palate -- surgery
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Child
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Developing Countries
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children (people by age group)
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Children
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Cleft lip -- Surgery
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Cleft palate -- Surgery
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Poor children -- Medical care
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Fissura labial.
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Cirurgia maxil·lofacial.
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Persones desfavorides.
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| Genre/Form |
Electronic books
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Llibres electrònics.
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| Form |
Electronic book
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| Author |
Swanson, Jordan W., editor
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Low, David W., illustrator
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| ISBN |
9783030591052 |
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3030591050 |
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3030591042 |
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9783030591045 |
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