{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:07:39Z","timestamp":1784153259140,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T00:00:00Z","timestamp":1522022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate complication rates following cleft lip and cleft palate repairs during the transition from mission-based care to center-based care in a developing region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Design:<\/jats:title>\n                    <jats:p>We performed a retrospective review of 3419 patients who underwent cleft lip repair and 1728 patients who underwent cleft palate repair in Guwahati, India between December 2010 and February 2014. Of those who underwent cleft lip repair, 654 were treated during a surgical mission and 2765 were treated at a permanent center. Of those who underwent cleft palate repair, 236 were treated during a surgical mission and 1491 were treated at a permanent center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Two large surgical missions to Guwahati, India, and the Guwahati Comprehensive Cleft Care Center (GCCCC) in Assam, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Overall complication rates following cleft lip and cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall complication rates following cleft lip repair were 13.2% for the first mission, 6.7% for the second mission, and 4.0% at GCCCC. Overall complication rates following cleft palate repair were 28.0% for the first mission, 30.0% for the second mission, and 15.8% at GCCCC. Complication rates following cleft palate repair by the subset of surgeons permanently based at GCCCC (7.2%) were lower than visiting surgeons ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings support the notion that transitioning from a mission-based model to a permanent facility-based model of cleft care delivery in the developing world can lead to decreased complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618762881","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T15:16:06Z","timestamp":1522077366000},"page":"1145-1152","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Improved Early Cleft Lip and Palate Complications at a Surgery Specialty Center in the Developing World"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1874-1926","authenticated-orcid":false,"given":"Eugene","family":"Park","sequence":"first","affiliation":[{"name":"Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Maaya Cleft and Craniofacial Unit, MGM Dental College and Hospital, Navi Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjorn","family":"Schonmeyr","sequence":"additional","affiliation":[{"name":"Lund University, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Restrepo","sequence":"additional","affiliation":[{"name":"Operation Smile, Virginia Beach, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Campbell","sequence":"additional","affiliation":[{"name":"Operation Smile, Virginia Beach, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,26]]},"reference":[{"key":"bibr1-1055665618762881","first-page":"15","volume":"12","author":"Adetayo O","year":"2012","journal-title":"Pan Afr Med J"},{"key":"bibr2-1055665618762881","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001324"},{"issue":"3","key":"bibr3-1055665618762881","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1097\/01.prs.0000242496.26367.10","volume":"119","author":"Baran CN","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"bibr4-1055665618762881","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0253-6"},{"key":"bibr5-1055665618762881","doi-asserted-by":"crossref","first-page":"s45","DOI":"10.1016\/S0140-6736(00)92031-2","volume":"356","author":"Bermudez LE","year":"2000","journal-title":"Lancet"},{"issue":"3","key":"bibr6-1055665618762881","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/SAP.0b013e318212f1b7","volume":"67","author":"Bermudez LE","year":"2011","journal-title":"Ann Plast Surg"},{"issue":"9633","key":"bibr7-1055665618762881","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/S0140-6736(08)60924-1","volume":"372","author":"Bickler SW","year":"2008","journal-title":"Lancet"},{"key":"bibr8-1055665618762881","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa012337"},{"issue":"11","key":"bibr9-1055665618762881","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1016\/j.bjps.2011.06.003","volume":"64","author":"Butler DP","year":"2011","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"5","key":"bibr10-1055665618762881","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1097\/SCS.0000000000001209","volume":"25","author":"Campbell A","year":"2014","journal-title":"J Craniofac Surg"},{"key":"bibr11-1055665618762881","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001113"},{"key":"bibr12-1055665618762881","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9525-9"},{"key":"bibr13-1055665618762881","unstructured":"GC4 Facilities. http:\/\/www.youtube.com\/watch?v=lOh1ba2LMYk Published 2011. 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