Outcomes of an international volunteer surgical project for patients with cleft lip and/or cleft palate: A mission in developing Laos
Outcomes of an international volunteer surgical project for patients with cleft lip and/or cleft palate: A mission in developing Laos
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针对唇裂和/或腭裂患者的国际志愿者手术项目的成果：老挝发展使命
DOI：
10.1111/cga.12255
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Arasaki Akira
中科院分区：
文献类型：
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作者：
Goto Takahiro;Nishihara Kazuhide;Kataoka Keiichi;Goto Shinpei;Maruyama Tessho;Sunakawa Hajime;Natsume Nagato;Arasaki Akira
唇腭裂（CL/P）是一种常见的出生缺陷，病因复杂。CL/P手术通常在婴儿期进行，以尽快改善美学，哺乳和语言障碍。从2001年到2016年，我们在老挝人民民主共和国（老挝）共开展了12次CL/P免费手术等活动。联合国已指定老挝为最不发达国家;它是亚洲最贫穷的国家之一。我们已经开展了很长一段时间的活动，主要针对因经济原因无法接受手术的CL/P患者，截至2016年，我们已经为283名患者进行了CL/P相关手术。当我们在2001年开始我们的活动时，第一次唇裂整形术的平均年龄为11.6岁，随着时间的推移而下降，直到2016年，平均年龄为1.8岁。线性回归分析显示，第一次唇整形的年龄与第一次手术的年龄之间存在显著差异（β =-0.35;P <0.001）。这可能是16年来继续培训当地医务人员掌握手术技术并捐赠手术工具和设施，同时与当地工作人员建立良好关系的结果。然而，老挝的医疗保健系统对一些由于经济原因仍然无法在婴儿期接受CL/P手术的患者来说是一个障碍。因此，我们需要支持老挝在继续开展CL/P患者活动的同时，自行提供治疗。
Cleft lip and/or palate (CL/P) is a common birth defect of complex etiology. CL/P surgery is generally performed in infancy to allow for improvements in esthetics, suckling, and speech disorders as quickly as possible. We have engaged in activities such as free‐of‐charge surgery for CL/P a total of 12 times from 2001 to 2016 in Lao People's Democratic Republic (Laos). The United Nations has designated Laos as a Least Developed Country; it is one of the poorest countries in Asia. We have carried out our activities for a long time, primarily in CL/P patients who cannot undergo surgery for financial reasons, and we have performed CL/P‐related surgeries for 283 patients up to 2016. When we began our activities in 2001, the mean age at first cheiloplasty was 11.6 years, which dropped over time until 2016 when the mean age was 1.8 years. A linear regression analysis showed a significant difference between the age at first lip plasty and the year of first operation (β = −0.35;P <0.001). This was likely an effect of continuing to train local medical staff in surgical techniques and donating surgical tools and facilities over a period of 16 years while building a good relationship with local staff. However, the healthcare system in Laos is an obstacle to some patients who still cannot undergo CL/P surgery in infancy for financial reasons. We therefore need to support Laos to provide treatment on their own as we continue to carry out our activities for CL/P patients.