Management of Cleft Lip and Palate in the Developing World (eBook)

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2008 | 1. Auflage
240 Seiten
Wiley (Verlag)
978-0-470-51816-8 (ISBN)

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This book explores the complex issues surrounding the management of cleft lip and palate in the Developing World, and aims to raise the profile of a condition commonly considered to be of only cosmetic importance in countries where infant and child mortality rates are high. It provides information and guidelines to three groups: those in the Developing World setting up programmes of cleft lip and palate care, and clinicians from developed countries delivering care in that context, as well as clinicians in the Developing World itself. The book is multidisciplinary, demonstrating the role of every member of the team, not just the surgeon, and includes contributions from charity organisations which support these cleft lip and palate programmes. Each area of clinical practice is covered, comparing typical care in developed countries with that in the Developing World, and contains practical suggestions as to how the gap may be narrowed.


Management of Cleft Lip and Palate in the Developing World is an important resource for anyone having ­- or planning to have - a commitment to develop services in that environment and to clinicians in the Developing World faced with large numbers of cleft lip and palate patients and limited resources of materials and manpower.

Dr Michael Mars, Lead Consultant Orthodontist, Maxillofacial and Dental Department, Great Ormond Street Hospital for Children NHS Trust, London, UK.

Dr Alex Habel, Consultant Paediatrician, Great Ormond Street Hospital for Children NHS Trust, London, UK.

Dr Debbie Sell, Head of Speech and Language Therapy Dept, Great Ormond Street Hospital for Children NHS Trust, London, UK.


This book explores the complex issues surrounding the management of cleft lip and palate in the Developing World, and aims to raise the profile of a condition commonly considered to be of only cosmetic importance in countries where infant and child mortality rates are high. It provides information and guidelines to three groups: those in the Developing World setting up programmes of cleft lip and palate care, and clinicians from developed countries delivering care in that context, as well as clinicians in the Developing World itself. The book is multidisciplinary, demonstrating the role of every member of the team, not just the surgeon, and includes contributions from charity organisations which support these cleft lip and palate programmes. Each area of clinical practice is covered, comparing typical care in developed countries with that in the Developing World, and contains practical suggestions as to how the gap may be narrowed. Management of Cleft Lip and Palate in the Developing World is an important resource for anyone having - or planning to have - a commitment to develop services in that environment and to clinicians in the Developing World faced with large numbers of cleft lip and palate patients and limited resources of materials and manpower.

Dr Michael Mars, Lead Consultant Orthodontist, Maxillofacial and Dental Department, Great Ormond Street Hospital for Children NHS Trust, London, UK. Dr Alex Habel, Consultant Paediatrician, Great Ormond Street Hospital for Children NHS Trust, London, UK. Dr Debbie Sell, Head of Speech and Language Therapy Dept, Great Ormond Street Hospital for Children NHS Trust, London, UK.

Management of Cleft Lip and Palate in the Developing World 3
Contents 7
List of Contributors 9
Foreword 13
Introduction 15
Part I SURGERY AND ANAESTHESIA 19
1 Exporting Plastic Surgical Care to Developing Countries 21
2 So You Want to Help in a Less Developed Country? 37
3 Challenges for Cleft Care in the Developing and the Developed World 45
4 Cleft Lip and Palate Management in the Developing World: Primary and Secondary Surgery and Its Delivery 51
5 Anaesthesia for Cleft Lip and Palate Surgery in the Developing World 63
Part II APPROACHES TO ORGANIZATION 71
6 Operation Smile 73
7 Rotaplast International: A Study in Medical Volunteerism 83
8 Logistics and Nursing Issues 95
9 The Sri Lankan Cleft Lip and Palate Project 109
Part III FACIAL GROWTH RESEARCH 127
10 Facial Growth in Cleft Lip and Palate Subjects 129
Part IV MEDICAL MANAGEMENT, DISABILITY, PSYCHOLOGICAL AND SOCIAL ASPECTS 139
11 Paediatric Care in Developing Countries: An Integrated (Holistic) Approach 141
12 Disability, Culture and Cleft Lip and Palate 159
13 Psychological and Social Aspects of CL/P in the Developing World, Including Implications of Late Surgery or No Surgery 173
14 The Background, Establishment and Function of a Parents/Patients Support Group in Sri Lanka 187
Part V SPEECH AND AUDIOLOGY 191
15 Speech in the Unoperated or Late Operated Cleft Lip and Palate Patient 193
16 Speech Therapy Delivery and Cleft Lip and Palate in the Developing World 207
17 ENT and Audiology Care for Cleft Palate Patients in the Developing World 217
Index 229

"This was an interesting book to read." (International Journal of Therapy and Rehabilitation, August 2008)

Erscheint lt. Verlag 15.4.2008
Sprache englisch
Themenwelt Medizin / Pharmazie Gesundheitsfachberufe
Medizin / Pharmazie Medizinische Fachgebiete
Medizin / Pharmazie Zahnmedizin
Schlagworte Gesundheits- u. Sozialwesen • Health & Social Care • Speech therapy • Sprachtherapie
ISBN-10 0-470-51816-2 / 0470518162
ISBN-13 978-0-470-51816-8 / 9780470518168
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