Cleft Surgery: Outreach not Over-reach

Abstract

Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is hightly attractive. Medical missions offer the framework for medical personnel to deliver their skills in a location where need outstrips supply, and it all seems a perfect fit. However despite good intentions medical teams visiting foreign lands to provide services can end in disappointment or even disaster for all concerned. Unfortunately no 'try before you buy' is possible for a surgeon considering joining these missions, and the step to participate requires substantial commitment. Hence, the decision to become involved with this type of work warrants consideration of issues beyond those usually faced in day-to-day practice in the developed world. This article provides some background, and ‘food for thought’ to enhance the likelihood that the experience will enjoyable and beneficial for all concerned - a 'stay out of trouble guide'.