The repair of international clefts in the current surgical landscape

Sarah Persing, Anup Patel, James E. Clune, Derek M. Steinbacher, John A. Persing

Research output: Contribution to journalArticlepeer-review


Cleft lip and palate (CLP) constitute a significant global disease burden. There are two general models that exist to deliver cleft care: surgical missions and comprehensive cleft centers (CCC). While surgical missions offer high quality surgical care to patients who would be unlikely to ever receive treatment, they may fail to provide sustainable solutions. The development of CCC is growing in popularity worldwide. CCC are permanent centers that offer a multidisciplinary team approach to the treatment of cleft lip and palate. Operation Smile has adopted the concept of specialized surgical care centers. These centers are shown to be safe, costeffective, and provide sustainable solutions for cleft care. The authors discuss some of the benefits and drawbacks of the classic mission-based model and highlight why there may be a paradigm shift towards CCC.

Original languageEnglish (US)
Pages (from-to)1126-1128
Number of pages3
JournalJournal of Craniofacial Surgery
Issue number4
StatePublished - 2015
Externally publishedYes


  • Cleft
  • global

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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