A common seen problem in Ecuador is cleft lip and cleft palate. Sometime just cleft palate. This is a genetic problem. The pictures below are one of the children taken by the staff at a different hospital than where I worked.
The child will be seen again in clinic and the healing and transformation will be remarkable.
The next picture is of a patient seen in 2002; she was 31 years old. MME did not exist then. It is difficult to look at but it is the reason for why this team does what it does. This woman never made it to surgery as an infant.
She was evaluated in the preop clinic by Dr Ray Ortega, from Fargo, ND. His plastic surgery team took the challenge.
I met her about four years later and she had barely a scar. This is why we do what we do.