ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026
A Comparative Study of Cleft Management in Different Economic Settings: United States Versus Guatemala.
Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ObjectiveTo compare cleft lip and palate management between the USA and Guatemala, focusing on surgical timing, secondary procedures, and multidisciplinary access.DesignMulticenter, retrospective cohort study (2011-2024); nonrandomized, with anonymized clinical and surgical data.SettingVanderbilt University Medical Center (USA) and Moore Pediatric Surgery Center (Guatemala). U.S. care was continuous; care in Guatemala was provided through short-term surgical missions.Patients1693 patients aged 0-21 years with cleft lip and/or palate (790 Guatemala; 903 USA). Patients with Tessier clefts or non-Guatemalan residency (for the Guatemalan cohort) were excluded.InterventionsPrimary and secondary cleft surgeries and multidisciplinary interventions.Main Outcome MeasureAge at primary surgery, cleft type, sex, secondary procedures, palatal fistula, velopharyngeal insufficiency, dental/ear interventions, and sociodemographics (Guatemala).ResultsGuatemalan patients underwent primary cleft lip and palate repairs at significantly older ages (
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