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Cleft lip and pala­te is one of the most com­mon con­ge­ni­tal mal­for­ma­ti­ons. World­wi­de, it is esti­ma­ted that the­re is an avera­ge of one case per 500 to 600 births. A cleft lip, jaw, or pala­te must always be ope­ra­ted on, usual­ly within the first few months of life. If the con­di­ti­on remains unt­rea­ted and child­ren grow up wit­hout the­ra­py, they beco­me out­si­ders in their envi­ron­ment. Unfort­u­na­te­ly, this is often the case in deve­lo­ping count­ries, as the­re is a lack of spe­cia­lists capa­ble of per­forming the­se com­plex ope­ra­ti­ons.

Pati­ents always suf­fer in two ways: on the one hand, they bear an aes­the­tic flaw on their face and often live in social iso­la­ti­on becau­se of their dif­fe­rence. At least as serious are the func­tion­al dis­or­ders asso­cia­ted with this mal­for­ma­ti­on. Swal­lo­wing and breathing are impai­red, as are ear­ly sound for­ma­ti­on and lan­guage deve­lo­p­ment. Chro­nic midd­le ear infec­tions and asso­cia­ted hea­ring defi­ci­ts fur­ther com­pli­ca­te the pro­cess of lear­ning to speak. In babies, the dis­tur­ban­ces in breathing and food inta­ke can ulti­m­ate­ly beco­me life-threa­tening, as they are often mal­nou­ris­hed or under­nou­ris­hed and thus sus­cep­ti­ble to infec­tions.

Archemed maxillofacial surgery before
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Usual­ly tog­e­ther with the ENT team, an expert in oral, maxillofacial, and pla­s­tic facial sur­gery tra­vels to Eritrea twice a year for ARCHEMED to tre­at pati­ents with facial clefts. Par­ti­cu­lar­ly dif­fi­cult and com­plex cases are assi­gned to him; he can ope­ra­te on up to four child­ren per day. The­se child­ren and their fami­lies are given new per­spec­ti­ves and the chan­ce for a life of health and digni­ty.

Pro­ject Manage­ment

Prof. Dr. Dr. Joa­chim Zöl­ler, Oral and Maxillofacial Sur­ge­on, Colo­gne