Publication:
Impact of Geopolitical Unrest on Surgical Delays and Outcomes in Immigrant Populations With Cleft Lip and Palate

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dc.contributor.authorGÜRAY, ŞEYDA
dc.contributor.authorsGÜRAY Ş., EVİN N., Sifil M. K., YILDIZ K., Güneren E.
dc.date.accessioned2024-10-14T17:14:09Z
dc.date.available2024-10-14T17:14:09Z
dc.date.issued2024-01-01
dc.description.abstractBackground: Geopolitical conflicts in the Middle East have led to mass migrations, with Turkey becoming a major host country. This influx has strained the health care system, particularly regarding specialized care for conditions like cleft lip and palate (CLP). Timely intervention is crucial for optimal outcomes, but cultural, socioeconomic, and logistical barriers often cause delays, impacting physical, functional, and psychosocial development. Methods: This retrospective study analyzed 72 immigrant pediatric CLP patients treated in Turkey between 2012 and 2022. Data on demographics, medical history, surgical interventions, complications, and treatment delays were collected. Surgical timing was compared with American Cleft Palate Craniofacial Association guidelines, and the impact of socioeconomic status on delays was assessed. Results: Seventy-two patients underwent a total of 91 surgical interventions, including 29 cleft lip repairs, 22 cleft palate repairs, 6 pharyngeal flaps, 15 fistula closures, 8 corrections of secondary lip scars and whistling deformities, and 11 alveolar bone graftings. A majority (73.6%) had poor socioeconomic status. The average delays for cleft lip, cleft palate, and alveolar bone grafting surgeries were 5.3±4, 7.3±6.1, and 34.1±23.5 months, respectively, and were significantly longer for patients with poor socioeconomic status (P=0.00502, 0.030741, and 0.041878). The average delay for pharyngeal flap surgery, performed in patients with poor socioeconomic status (except for one), was 43.7±14.1 months. Conclusions: This study highlights the challenges and disparities in CLP care for immigrant children in Turkey due to geopolitical conflict. While surgical complication rates are similar to established data, delays in treatment, especially among those with lower socioeconomic status, are a significant concern. The findings emphasize the need for comprehensive, culturally sensitive care and systemic interventions to improve access and outcomes for this vulnerable population. Key Words: Cleft lip and palate, geopolitical conflict, health care access, immigrant, refugee, socioeconomic status, surgical outcomes, treatment delay, Turkey
dc.identifier.citationGÜRAY Ş., EVİN N., Sifil M. K., YILDIZ K., Güneren E., "Impact of Geopolitical Unrest on Surgical Delays and Outcomes in Immigrant Populations With Cleft Lip and Palate", Journal of Craniofacial Surgery, 2024
dc.identifier.doi10.1097/scs.0000000000010674
dc.identifier.issn1049-2275
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85205502349&origin=inward
dc.identifier.urihttps://hdl.handle.net/11424/298064
dc.language.isoeng
dc.relation.ispartofJournal of Craniofacial Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectKulak Burun Boğaz
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectSurgery Medicine Sciences
dc.subjectOtolaryngology
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (Med)
dc.subjectKlinik Tıp
dc.subjectCerrahi
dc.subjectClinical Medicine (Med)
dc.subjectClinical Medicine
dc.subjectSurgery
dc.subjectOtorhinolaryngology
dc.subjectCleft lip and palate
dc.subjectgeopolitical conflict
dc.subjecthealth care access
dc.subjectimmigrant
dc.subjectrefugee
dc.subjectsocioeconomic status
dc.subjectsurgical outcomes
dc.subjecttreatment delay
dc.subjectTurkey
dc.titleImpact of Geopolitical Unrest on Surgical Delays and Outcomes in Immigrant Populations With Cleft Lip and Palate
dc.typearticle
dspace.entity.typePublication
local.avesis.ide8c9f99e-9eb4-4abb-96d3-4f3ace3e3caf
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication09e5412e-4b24-45c0-bb8e-69b23af79748
relation.isAuthorOfPublication.latestForDiscovery09e5412e-4b24-45c0-bb8e-69b23af79748

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