دورية أكاديمية

Ethical Challenges for Plastic Surgery in Treating Internationally Adopted Children With Cleft Lip and Palate.

التفاصيل البيبلوغرافية
العنوان: Ethical Challenges for Plastic Surgery in Treating Internationally Adopted Children With Cleft Lip and Palate.
المؤلفون: Sahlsten Schölin J; Department of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg.; Department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital., Hansson E; Department of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg.; Department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital., Rizell S; Clinic of Orthodontics, Gothenburg.; Västra Götaland Region., Lindberg J; Unit of Medical Ethics, Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund.; Department of Internal Medicine, Skåne University Hospital, Malmo., Sandman L; Department of Health, Medicine and Caring Sciences, National Centre for Priorities in Health, Linköping University, Linköping.; Västra Götaland Region.; Borås University, Borås, Sweden.
المصدر: The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jul-Aug 01; Vol. 35 (5), pp. 1425-1431. Date of Electronic Publication: 2024 Jun 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Burlington, Ont. : B.C. Decker, c1990-
مواضيع طبية MeSH: Cleft Lip*/surgery , Cleft Palate*/surgery , Child, Adopted* , Plastic Surgery Procedures*/ethics, Humans ; Child ; Adoption ; Sweden ; Personal Autonomy ; Parents/psychology ; Beneficence ; Surgery, Plastic/ethics ; China
مستخلص: A large number of children with cleft lip and palate (CLP) were adopted to Sweden in the last decade, mainly from China. Most of the children arrived with unoperated palates and at later ages than earlier years. This article aims to present an overview of ethical challenges within the practice of international adoption of children with CLP from the perspective of plastic surgery in a welfare health care system. An overview of CLP treatment is presented, followed by a normative discussion and ethical analysis using the 4 principles of Beauchamp and Childress: non-maleficence, beneficence, autonomy, and justice. The following themes and subthemes were analyzed: the search for normality and the potential challenge of being adopted and having CLP-treatment autonomy of the child and future preferences, adoptive parents' expectations of plastic surgery, the journey of the adoptee and the adoptive parents; and general issues-reconstructive possibilities and consequences of CLP in the country of origin, information to the adoptive parents, health care needs, and reconstructive possibilities for children with CLP in the receiving country. Clinical implications are discussed, and suggestions for future research are provided.
Competing Interests: The authors report no conflicts of interest. The authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)
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تواريخ الأحداث: Date Created: 20240604 Date Completed: 20240723 Latest Revision: 20240723
رمز التحديث: 20240723
DOI: 10.1097/SCS.0000000000010364
PMID: 38832691
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3732
DOI:10.1097/SCS.0000000000010364