{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:40:17Z","timestamp":1777524017668,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"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":[[2026,5]]},"abstract":"<jats:p>There are many barriers patients and families face in low- and middleincome countries (LMICs) to just receive the initial surgical care for their cleft lip and palate (CLP). Cleft lip\/palate care encompasses much more than just the initial primary repairs, especially in the realm of otolaryngology, audiologic health, and speech language pathology. LMICs face many disparities in training and surgical care for secondary cleft surgeries, and addressing these disparities and creating solutions is paramount for the future of CLP patients globally. This editorial aims to highlight these disparities and pave a path forward with solution-based discussions.<\/jats:p>","DOI":"10.1177\/10556656251319649","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T02:12:01Z","timestamp":1740017521000},"page":"1392-1395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Addressing Cleft Care in Low- and Middle-Income Countries Beyond Cleft Lip and Palate with Improvement of Otolaryngology, Audiology, and Speech Services"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9490-3694","authenticated-orcid":false,"given":"Ryan H.","family":"Belcher","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Children's Hospital at Vanderbilt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Clark","sequence":"additional","affiliation":[{"name":"University of Texas at Dallas-AuD Program"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Horne","sequence":"additional","affiliation":[{"name":"Smile Train, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241244976"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003038"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2023.2339"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813505972"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.08.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2024.00395"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.502"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0195-z"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14877"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618810574"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1123"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599821993384"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2024.108973"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241283535"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817703926"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2024-002794"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1597\/03-134.1"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0030_clapci_2.0.co_2"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2012.743036"},{"key":"e_1_3_2_21_2","volume-title":"Africa on the move: A decade of growth of cleft speech therapy and VPI management [Panel presentation]American Cleft Palate Craniofacial Association Annual Meeting","author":"Crowley C","unstructured":"Crowley C, Adjassin E, Olusanya A, Horne S, Obiri-Yeboah S, Kisembo C, Obi N, Ngige J, Mang'Ombe AS, Donkor PP. Africa on the move: A decade of growth of cleft speech therapy and VPI management [Panel presentation]. American Cleft Palate Craniofacial Association Annual Meeting; 2024."},{"key":"e_1_3_2_22_2","unstructured":"World Bank. World development indicators. Accessed October 11 2024. https:\/\/datatopics.worldbank.org\/world-developmentindicators\/."},{"key":"e_1_3_2_23_2","unstructured":"U.S. Bureau of Labor Statistics. Occupational employment and wage statistics. Accessed February 29 2024. https:\/\/www.bls.gov\/oes\/current\/oes291127.htm."},{"key":"e_1_3_2_24_2","unstructured":"United States Census Bureau. Population estimates 2022. Accessed October 11 2024. https:\/\/www.census.gov\/quickfacts\/fact\/table\/US\/PST045222."},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40794-017-0048-y"},{"key":"e_1_3_2_26_2","unstructured":"Smile Train. Speech home practice and parent resources. Accessed December 3 2024. https:\/\/www.smiletrain.org\/patients-families\/speech-resources"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007917"},{"key":"e_1_3_2_28_2","unstructured":"LEADERSproject. Cleft palate therapy word games. Accessed October 11 2024. https:\/\/www.leadersproject.org\/cleft-palatetherapy-word-games\/."},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010298"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251319649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251319649","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251319649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:22:28Z","timestamp":1777393348000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251319649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,19]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/10556656251319649"],"URL":"https:\/\/doi.org\/10.1177\/10556656251319649","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,19]]}}}