{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:04:00Z","timestamp":1784289840807,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"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":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Evaluating cleft lip and\/or palate (CLP) surgical outcomes from short-term international surgical outreach in low- and middle-income countries is essential for high-quality care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To quantify reported surgical outcomes and complications on CLP surgery performed during international outreach, as measured by speech results and complications, including wound dehiscence, hemorrhage, and fistula formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A systematic review of PubMed and EMBASE identified full-text English-language studies from 1985 to 2025 describing CLP repair in international outreach. Outcomes were extracted per-patient and per-procedure, including complication rates, speech findings, and patient-reported results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 450 studies screened, 34 met inclusion criteria (26,529 patients; 30,864 procedures). The mean follow-up was 14.2 months (range: 1 week\u201311 years). The pooled complication rate was 3.3% per-procedure (1,015\/30,864) and 3.8% per-patient (1,015\/26,529). Per-procedure complication rates were 2.1% (285\/13,823) for lip and 3.8% (642\/16,745) for palate repair. The most frequent overall complications were wound dehiscence (1.3%; 400\/30,864), hemorrhage (0.4%; 129\/30,864), and infection (0.3%; 102\/30,864). Among cleft palate repairs, palatal fistula (1.6%; 271\/16,745) and flap necrosis (0.5%; 77\/16,745) were most common. Four studies described improved speech, social functioning, and satisfaction postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Short-term CLP surgical outreach demonstrates early complication rates comparable to high-resource settings, although limited follow-up likely underestimates true adverse events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26893614261468215","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T10:07:55Z","timestamp":1784110075000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes and Complications of Cleft Lip and Palate Surgery During International Surgical Outreach: A Systematic Review"],"prefix":"10.1177","author":[{"given":"Abdurrahman","family":"Abdurrob","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3555-8641","authenticated-orcid":false,"given":"Areeb Y.","family":"Shah","sequence":"additional","affiliation":[{"name":"School of Medicine, Saint Louis University, Saint Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M.","family":"Soffer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali R.","family":"Sasani","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander P.","family":"Marston","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of California\u2013Davis Health, Sacramento, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008334"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3637-4"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808101208"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31749-1"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60160-X"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2023.0034"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001176"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_10_1","unstructured":"9.Wells GA Shea B O\u2019Connell D et al. 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