Ethical Challenges for Plastic Surgery in Treating Internationally Adopted Children With Cleft Lip and Palate
(2024) In Journal of Craniofacial Surgery- Abstract
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... (More)
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.
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- author
- Sahlsten Schölin, Johnna ; Hansson, Emma LU ; Rizell, Sara ; Lindberg, Jenny LU and Sandman, Lars
- organization
- publishing date
- 2024-06-04
- type
- Contribution to journal
- publication status
- epub
- subject
- in
- Journal of Craniofacial Surgery
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:38832691
- ISSN
- 1536-3732
- DOI
- 10.1097/SCS.0000000000010364
- language
- English
- LU publication?
- yes
- additional info
- Copyright © 2024 by Mutaz B. Habal, MD.
- id
- ba57668e-4fd8-4568-811b-a1e6558ffb59
- date added to LUP
- 2024-06-05 16:18:15
- date last changed
- 2024-06-19 12:41:01
@article{ba57668e-4fd8-4568-811b-a1e6558ffb59,
abstract = {{<p>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.</p>}},
author = {{Sahlsten Schölin, Johnna and Hansson, Emma and Rizell, Sara and Lindberg, Jenny and Sandman, Lars}},
issn = {{1536-3732}},
language = {{eng}},
month = {{06}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Journal of Craniofacial Surgery}},
title = {{Ethical Challenges for Plastic Surgery in Treating Internationally Adopted Children With Cleft Lip and Palate}},
url = {{http://dx.doi.org/10.1097/SCS.0000000000010364}},
doi = {{10.1097/SCS.0000000000010364}},
year = {{2024}},
}