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FIMA Year Book 2010-2011 - Federation of Islamic Medical ...

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<strong>FIMA</strong> SaveSmile<br />

Parvaiz Malik *<br />

<strong>FIMA</strong> SaveSmile<br />

Parvaiz Malik *<br />

Abstract:<br />

Several African countries, including Sudan, have marked incidence <strong>of</strong> various types <strong>of</strong> or<strong>of</strong>acial birth<br />

defects, with significant lack <strong>of</strong> qualified surgeons and healthcare teams, to minimize the overall<br />

management burden. While these congenital anomalies are not life threatening, they have significant<br />

implications on nutritional, speech, psychosocial and low self-esteem aspects <strong>of</strong> human development.<br />

Within relief activities <strong>of</strong> the <strong>Federation</strong> <strong>of</strong> <strong>Islamic</strong> <strong>Medical</strong> Associations (<strong>FIMA</strong>), this correctable<br />

problem was discussed. It was decided to pioneer a project <strong>of</strong> programmed surgical correction by<br />

volunteering qualified surgical teams in needy developing countries, especially in Africa, with special<br />

attention to train local surgeons in an effort to widen this activity by local hands.<br />

This presentation outlines the initial steps implemented, primarily in Sudan.<br />

Key words: Cleft lip/palate, Or<strong>of</strong>acial defects, <strong>FIMA</strong> relief, SaveSmile.<br />

Background:<br />

Cleft lip/palate is one <strong>of</strong> the world’s most common<br />

congenital malformations and happens in one out<br />

<strong>of</strong> 500-700 children born across the globe 1,2 . Its<br />

onset is very early in pregnancy and is a result <strong>of</strong><br />

failure <strong>of</strong> mesenchymal migration to unite one or<br />

both <strong>of</strong> the maxillary prominences with the medial<br />

nasal prominences, resulting in a unilateral or<br />

bilateral cleft <strong>of</strong> the lip, respectively 2,3 . It occurs<br />

more commonly in males and is caused by genetic<br />

and environmental factors 2-4 . It can be associated<br />

with other anomalies 4 .<br />

A recent consortium <strong>of</strong> scientists supported by<br />

National Institute <strong>of</strong> Health, identified two human<br />

genes that, when inherited in a slightly altered<br />

form, may play a role in cleft lip/palate 5 .<br />

These two genes are called MAFB and ABCA4.<br />

Cleft lip/palate can be unilateral or bilateral,<br />

complete or incomplete.<br />

Objective:<br />

The main objective <strong>of</strong> this article is to introduce a<br />

new project launched by the <strong>Federation</strong> <strong>of</strong> <strong>Islamic</strong><br />

<strong>Medical</strong> Associations (<strong>FIMA</strong>), called <strong>FIMA</strong><br />

SaveSmile. The project will implement the task <strong>of</strong><br />

coordinating cleft lip/palate surgeries performed<br />

by IMA’s surgeons, identifying the locations for<br />

the camps, facilitate communications with the host<br />

country through local IMA’s and record the data<br />

<strong>of</strong> its activities.<br />

*Dr. Parvaiz Malik<br />

Plastic Surgeon, Princeton NJ, USA<br />

President <strong>FIMA</strong> 2009-2013<br />

E-mail: pmalikmd@gmail.com<br />

<strong>FIMA</strong> <strong>Year</strong><strong>Book</strong> <strong>2010</strong>-<strong>2011</strong><br />

95

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