Craniofacial anomalies, although uncommon, can have considerable effects on the individual, their family and society.
- Poole M.D.
Complications in craniofacial surgery.
Br J Plast Surg. 1998; 41: 608-613
- Nicolai J.P.A.
- Grieb N.
- Gruhi L.
- Schwabe K.
- Preisser P.
Interplast: five years of the Cochin project.
Eur J Plast Surg. 1998; 21: 77-81
- Mars M.
- James D.
The Sri Lankan cleft lip and palate project: the unoperated cleft lip and palate.
Cleft Palate Craniofac J. 1990; 27: 3-6
4They carry with them a large morbidity and require a highly specialized, multidisciplinary approach to treatment.
- Whitaker L.A.
- Munro I.R.
- Salyer K.E.
- Jackson I.T.
- Ortiz-Monasterio M.D.
- Marchac D.
Combined report of problems and complications in 793 craniofacial operations.
Plast Reconstr Surg. 1979; 64: 198-203
5Facing the World (FTW), was founded in 2002, to offer facial reconstructive surgery to children with complex, craniofacial anomalies with no prospect of local treatment, from developing countries anywhere in the world.
- Munro I.R.
Orbito-cranio-facial surgery: the team approach.
Plast Reconstr Surg. 1975; 55: 170-176
We present an 8-year audit of the cases treated by FTW, where children are brought from their own countries to the UK for treatment. Patient selection takes place prior to their arrival in the UK by a multidisciplinary team. Specifically the condition has to be correctable to a degree that justifies the risks involved with the surgery, and the disruption to the child and their family.
Since inception, FTW has evaluated more than 300 cases and provided treatment in the UK for over 24 cases from 18 different countries. We present our range of cases and complications. We discuss our complication rate of 28% and mortality rate of 4% (1 case).
Key to the sustainability of FTW is the development of local healthcare infrastructure within the developing countries to facilitate eventual local management of the more straightforward cases and follow up of these patients by well-trained medical staff. By establishing these programs, FTW aims to not only change these children's lives but to raise awareness, and help to expand the global craniofacial network whereby in the future, satellite partners will be present to help manage these conditions locally.
Level of evidence
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- Interplast: five years of the Cochin project.Eur J Plast Surg. 1998; 21: 77-81
- The Sri Lankan cleft lip and palate project: the unoperated cleft lip and palate.Cleft Palate Craniofac J. 1990; 27: 3-6
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Published online: June 18, 2012
© 2012 Published by Elsevier Inc.