{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T02:24:35Z","timestamp":1764555875678,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,11,3]],"date-time":"2017-11-03T00:00:00Z","timestamp":1509667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"JSPS KAKENHI","award":["JP15K20549"],"award-info":[{"award-number":["JP15K20549"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Congenital Anomalies"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Cleft lip and\/or palate (CL\/P) is a common birth defect of complex etiology. CL\/P surgery is generally performed in infancy to allow for improvements in esthetics, suckling, and speech disorders as quickly as possible. We have engaged in activities such as free\u2010of\u2010charge surgery for CL\/P a total of 12 times from 2001 to 2016 in Lao People's Democratic Republic (Laos). The United Nations has designated Laos as a Least Developed Country; it is one of the poorest countries in Asia. We have carried out our activities for a long time, primarily in CL\/P patients who cannot undergo surgery for financial reasons, and we have performed CL\/P\u2010related surgeries for 283 patients up to 2016. When we began our activities in 2001, the mean age at first cheiloplasty was 11.6\u2009years, which dropped over time until 2016 when the mean age was 1.8\u2009years. A linear regression analysis showed a significant difference between the age at first lip plasty and the year of first operation (\u03b2\u2009=\u2009\u22120.35; <jats:italic>P\u2009&lt;<\/jats:italic>\u20090.001). This was likely an effect of continuing to train local medical staff in surgical techniques and donating surgical tools and facilities over a period of 16\u2009years while building a good relationship with local staff. However, the healthcare system in Laos is an obstacle to some patients who still cannot undergo CL\/P surgery in infancy for financial reasons. We therefore need to support Laos to provide treatment on their own as we continue to carry out our activities for CL\/P patients.<\/jats:p>","DOI":"10.1111\/cga.12255","type":"journal-article","created":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T13:26:48Z","timestamp":1506432408000},"page":"112-116","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes of an international volunteer surgical project for patients with cleft lip and\/or cleft palate: A mission in developing Laos"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0462-6874","authenticated-orcid":false,"given":"Takahiro","family":"Goto","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhide","family":"Nishihara","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinpei","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tessho","family":"Maruyama","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Sunakawa","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery Okinawa Red Cross Hospital  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagato","family":"Natsume","sequence":"additional","affiliation":[{"name":"Division of Research and Treatment for Oral and Maxillofacial Cogenital Anomalies, School of Dentistry Aichi\u2010gakuin University  Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Arasaki","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cga.12133"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000000883"},{"volume-title":"The World Fact Book","year":"2015","author":"Central Intelligence Agency (CIA)","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-167"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/12-270"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.172566"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-4520.2008.00204.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003038"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp048157"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-010-0132-6"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.2000.0539"},{"key":"e_1_2_7_13_1","first-page":"S51","article-title":"Study of care for patients with cleft lip\/palate (CLP) in Lao People's Democratic Republic","volume":"94","author":"Pradubwong S","year":"2011","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001656"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-4520.2003.tb01015.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-120"},{"key":"e_1_2_7_17_1","unstructured":"World Bank2015. Lao PDR Overview.http:\/\/www.worldbank.org\/en\/country\/lao\/overview#1. 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