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Changing Face of Cleft Care: Specialized Centers in Developing Countries

Raposo-Amaral, Cassio Eduardo MD; Raposo-Amaral, Cesar Augusto MD

Journal of Craniofacial Surgery: January 2012 - Volume 23 - Issue 1 - p 206–209
doi: 10.1097/SCS.0b013e318241ae70
Scientific Foundations

The organization and management of specialized cleft lip and palate centers in developing countries are challenging because of the lack of financial resources devoted to the national health care system. The treatment of cleft lip and palate is of low priority for health care and budgets; however, gradual progress is possible. As an example of how care might be improved in the developing world, we suggest guidelines to strengthen the local cleft lip and palate centers in Brazil based on the ideal geographic distribution of cleft centers around the country, to achieve the following objectives: first, avoid patient’s migration; second, facilitate patient’s adherence; third, focus on a global and continuous multidisciplinary treatment; and fourth, avoid indiscriminate opening of nonprepared cleft lip and palate centers in our country. This ideal scenario would put the cleft lip and palate health attention on the right path in Brazil.

From the SOBRAPAR: Institute of Plastic and Craniofacial Plastic Surgery, Campinas, São Paulo, Brazil.

Received March 30, 2011.

Accepted for publication July 27, 2011.

Address correspondence and reprint requests to Cassio Eduardo Raposo-Amaral, MD, Hospital de Crânio e Face-SOBRAPAR: Av. Adolpho Lutz, 100 Campinas, São Paulo, Brazil Caixa Postal 6028; E-mail:

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD