We thank the authors of the letter entitled "Five decades of orofacial cleft management and research in Brazil"1 for their comments on our article regarding short-term surgical missions for the management of orofacial clefts (OFCs) in South America2. It was certainly not our intention to minimize the efforts of the Brazilian cleft team; we are truly glad for the advancements they have made since 1967. We agree that there is a need to increase national efforts in South America and international collaborative support to provide specialized care for patients with OFCs.
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