{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:57:12Z","timestamp":1790740632994,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"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":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Clefts of the lip and palate are leading congenital facial anomalies. Underserved patients with these facial differences lack access to medical care, surgical expertise, prenatal care, or psychological support. Moreover, the disease results in significant economic strains on patients and their families. While surgical outreach programs have attempted to fill this void, significant challenges facing international comprehensive cleft care persist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Propose a path toward international sustainable cleft care based on the Global Smile Foundation experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>International sustainable comprehensive cleft care can be achieved by regulating surgical outreach programs. Regulation of these missions would ensure standardized care and encourage stakeholders to cooperate and adequately allocate funding and resources. Capacity building can be achieved through \u201cdiagonal\u201d cleft care delivery models, multidisciplinary workshops, fellowship programs, research and quality assurance, as well as leveraging emerging technologies such as Augmented Reality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>International comprehensive cleft care requires continuous collaborative efforts between visiting and local teams as well as international and national organizations. Standardizing and regulating current practices as well as promoting capacity building initiatives can contribute to sustainable cleft care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620957531","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T05:35:45Z","timestamp":1599802545000},"page":"647-652","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Sustainable Cleft Care: A Comprehensive Model Based on the Global Smile Foundation Experience"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4140-201X","authenticated-orcid":false,"given":"Elsa M.","family":"Chahine","sequence":"first","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2245-2054","authenticated-orcid":false,"given":"Rami S.","family":"Kantar","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Surgery, University of Maryland Medical System, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5418-3568","authenticated-orcid":false,"given":"Serena N.","family":"Kassam","sequence":"additional","affiliation":[{"name":"Dental and Pre-Surgical Division, Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Pediatric Dentistry, New York University College of Dentistry, New York, NY, USA"},{"name":"Division of Pediatric Dentistry, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Department of Pediatric Dentistry, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj M.","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of California Irvine, Irvine, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian H.","family":"Ghotmi","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6698-2439","authenticated-orcid":false,"given":"Anthony G.","family":"Haddad","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Surgery, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama S.","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Otolaryngology, Tufts University School of Medicine, Boston, MA, USA"},{"name":"Otology and Laryngology, Harvard Medical School, Boston, MA, USA"},{"name":"Otolaryngology, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,11]]},"reference":[{"key":"bibr1-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0937-8"},{"key":"bibr2-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001207"},{"key":"bibr3-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2019.03.010"},{"key":"bibr4-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001687"},{"key":"bibr5-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002487"},{"key":"bibr6-1055665620957531","unstructured":"Comprehensive Cleft Care Workshop: Education for Sustainable Cleft Care\n                      . 2018. Accessed June 10, 2020. www.cleftworkshop.org"},{"key":"bibr7-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0198-9"},{"key":"bibr8-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2933"},{"key":"bibr9-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000097680.73556.A3"},{"key":"bibr10-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1597\/07-094.1"},{"key":"bibr11-1055665620957531","unstructured":"Global Smile Foundation\u2014Education\n                      . 2017. Accessed June 5, 2020. https:\/\/gsmile.org\/education\/"},{"key":"bibr12-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318254b2a2"},{"key":"bibr13-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005416"},{"key":"bibr14-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618810574"},{"key":"bibr15-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620944781"},{"issue":"7","key":"bibr16-1055665620957531","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.1097\/SCS.0000000000006862","volume":"31","author":"Kantar RS","year":"2020","journal-title":"J Craniofac Surg"},{"key":"bibr17-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620928779"},{"key":"bibr18-1055665620957531","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.123328"},{"key":"bibr19-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0333-7"},{"key":"bibr20-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003038"},{"key":"bibr21-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2015.09.006"},{"key":"bibr22-1055665620957531","volume-title":"Global Registry and Database on Craniofacial Anomalies","author":"Mossey P","year":"2001"},{"key":"bibr23-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1597\/13-082"},{"key":"bibr24-1055665620957531","first-page":"892437","author":"Patel PB","year":"2012","journal-title":"Plast Surg Int"},{"key":"bibr25-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004374"},{"key":"bibr26-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2516-0"},{"key":"bibr27-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182827776"},{"key":"bibr28-1055665620957531","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007293"},{"key":"bibr29-1055665620957531","unstructured":"World Cleft Coalition\n                      . 2020. Accessed June 5, 2020. www.worldcleftcoalition.org"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620957531","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665620957531","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620957531","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:02Z","timestamp":1777393262000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665620957531"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,11]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1177\/1055665620957531"],"URL":"https:\/\/doi.org\/10.1177\/1055665620957531","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,11]]}}}