{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:15:45Z","timestamp":1787890545223,"version":"build-2784847793"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The frequency of humanitarian surgical mission trips has grown over recent decades. Unfortunately, research on patient outcomes from these trips has not increased proportionately. We aim to analyze the safety and efficacy of surgeries in a low\u2010 and middle\u2010income country missions\u2010based surgery center in Guatemala City, Guatemala,\u00a0and identify factors that influence surgical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Guatemalan surgery center is called the Moore Center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pediatric patients underwent otolaryngology surgery between 2017 and 2019. All patients required follow up. We analyzed the effect of patient, surgical, and geographic factors on follow up and complications with univariate and multivariate analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u00a0A total of 1094 otolaryngologic surgeries were performed between 2017 to 2019, which comprised 37.4% adenotonsillectomies, 26.8% cleft lip (CL)\/cleft palate (CP) repairs, 13.6% otologic, and 20% \u201cother\u201d surgeries. Patients traveled on average 88\u2009km to the center (\u00b1164\u2009km). Eighty\u2010nine percent attended their first follow up and 55% attended their second. The 11% who missed their first follow up lived farther from the center (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and had a higher ASA classification (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) than the 89% who did attend. Sixty\u2010nine (6.3%) patients had 1 or more complications. CL\/CP surgery was associated with more complications than other procedures (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Of 416 tonsillectomies, 4 patients (1%) had a bleeding episode with 2 requiring reoperation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This surgical center models effective surgical care in low\u2010resource areas. Complications and follow\u2010up length vary by diagnosis. Areas to improve include retaining complex patients for follow up and reducing complications for CL\/CP repair.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.432","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T05:44:45Z","timestamp":1689745485000},"page":"252-259","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric Otolaryngology Short\u2010Term Mission Outcomes at a Surgical Mission Hospital in Guatemala"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7609-737X","authenticated-orcid":false,"given":"Kelsey","family":"Richard","sequence":"first","affiliation":[{"name":"Medical Doctorate Program Vanderbilt University School of Medicine Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosangela","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Centro Quirugico Pediatrico Moore 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