<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922025000300319</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922025000300014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[17 años de atención integral a pacientes con labio y paladar fisurado: experiencia del Hospital Niños de la Mano de María- SECPRE-CP Quito, Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[A 17-year experience in comprehensive cleft lip and palate care: Niños de la Mano de María Hospital-SECPRE-CP, Quito, Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávalos]]></surname>
<given-names><![CDATA[Pablo Dávalos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa]]></surname>
<given-names><![CDATA[Juan Enrique Silvers]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godoy]]></surname>
<given-names><![CDATA[Johnny P. Silvers]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávalos]]></surname>
<given-names><![CDATA[Pablo A. Dávalos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávalos]]></surname>
<given-names><![CDATA[Andrés A. Dávalos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Merlo]]></surname>
<given-names><![CDATA[Sofía Terán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Niños de la Mano de María  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Niños de la Mano de María  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Niños de la Mano de María  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Dávalos Cirugía Plástica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Niños de la Mano de María  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>51</volume>
<numero>3</numero>
<fpage>319</fpage>
<lpage>328</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922025000300319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922025000300319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922025000300319&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El Hospital Niños de la Mano de María (HNMM-SECPRE-CP), fundado en el año 2000 en Quito, Ecuador, es una institución sin fines de lucro especializada en la atención integral de pacientes con fisura labiopalatina. Desde 2008 ha desarrollado un modelo multidisciplinario que combina cirugía plástica, terapia de lenguaje, ortodoncia y seguimiento continuo. El objetivo de este estudio es recordar la creación del centro, describir la experiencia acumulada en 17 años de actividad quirúrgica, analizar la distribución de procedimientos y caracterizar la población atendida.  Material y método. Estudio descriptivo y retrospectivo, basado en la revisión de registros clínicos y quirúrgicos del HNMM-SECPRE-CP correspondientes al período 2008-2025. Analizamos variables demográficas, tipo de procedimiento y distribución por sexo, aplicando criterios de inclusión y exclusión establecidos por el protocolo institucional.  Resultados. En el periodo estudiado se realizaron 624 procedimientos quirúrgicos: queiloplastia (255 casos; 40.87%), palatoplastia (237; 37.98%), queiloplastia secundaria (30; 4.81%), palatoplastia secundaria (14; 2.24%), rinoplastia (33; 5.28%), colgajo faríngeo (40; 6.41%), colgajo de lengua (1; 0.16%) y otros procedimientos (14; 2.24%). La proporción global por sexo fue de un 57.7% de pacientes masculinos y 42.3% femeninos, con edad media de 7 años. La rinoplastia fue el único procedimiento con predominio femenino (51.52%).  Conclusiones. El modelo de atención integral y gratuita implementado por el HNMM-SECPRE-CP ha permitido un abordaje quirúrgico temprano y un seguimiento prolongado, mejorando los resultados funcionales, estéticos y psicosociales de pacientes con fisura labiopalatina. Este enfoque, basado en un equipo multidisciplinario y alianzas sostenibles, constituye una estrategia replicable para países en desarrollo. Nivel de evidencia científica 4c Terapéutico]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Niños de la Mano de María Hospital (HNMM-SECPRE-CP), founded in 2000 in Quito, Ecuador, is a non-profit institution specializing in comprehensive care for cleft lip and palate patients. Since 2008 it has developed a multidisciplinary model integrating plastic surgery, speech therapy, orthodontics, and continuous follow-up. This study aims to remember the creation of the center, describe 17 years of surgical activity, analyze procedure distribution, and characterize the treated population.  Methods. A descriptive, retrospective study was conducted based on the review of medical and surgical records from 2008 to 2025. Demographic variables, type of procedure, and sex distribution were analyzed according to institutional inclusion and exclusion criteria.  Results. A total of 624 surgical procedures were performed in the study period: cheiloplasty (255 cases; 40.87%), palatoplasty (237; 37.98%), secondary cheiloplasty (30; 4.81%), secondary palatoplasty (14; 2.24%), rhinoplasty (33; 5.28%), pharyngeal flap (40; 6.41%), tongue flap (1; 0.16%), and other procedures (14; 2.24%). Overall sex distribution was 57,7% male patients and 42.3% female, with an average age of 7 years. Rhinoplasty was the only procedure with a female predominance (51.52%).  Conclusions. The comprehensive, free-of-charge care model implemented by HNMM-SECPRE-CP has enabled early surgical intervention and prolonged follow-up, improving functional, aesthetic, and psychosocial outcomes in cleft lip and palate patients. This multidisciplinary, partnership-based approach is replicable for developing countries. Level of evidence 4c Therapeutic]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Plastic Surgery]]></kwd>
<kwd lng="en"><![CDATA[Reconstructive Surgery]]></kwd>
<kwd lng="en"><![CDATA[Congenital malformations]]></kwd>
<kwd lng="en"><![CDATA[Cleft lip]]></kwd>
<kwd lng="en"><![CDATA[Cleft palate.]]></kwd>
<kwd lng="es"><![CDATA[Cirugía Plástica]]></kwd>
<kwd lng="es"><![CDATA[Cirugía Reconstructiva]]></kwd>
<kwd lng="es"><![CDATA[Malformaciones congénitas]]></kwd>
<kwd lng="es"><![CDATA[Labio hendido]]></kwd>
<kwd lng="es"><![CDATA[Paladar hendido.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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