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[Integrated treatment of cleft lip and palate. Organization of a treatment team].
Cir Pediatr. 1999 Jan; 12(1):4-10.CP

Abstract

OBJECTIVE

Collect the team experience in the treatment of children with cleft lip and palate, indicating the evolution of the team composition, advantages and improvement aspects, trying to transmit the need of team treatment.

METHOD

The Bilbao cleft palate team was created in 1983, since then a cleft palate clinic, a parents group and a unit of velopharyngeal function has been developed. At present the team is composed by: pediatric reconstructor surgeon, speech therapist, orthodontist, dentist, pediatrician, ENT, maxillofacial surgeon, dismorphologyst, geneticist, nursing.

RESULTS

One of the achievements has been the data unification, obtaining speech cephalometrics, photographic dental casts and video images with prospective view. At this time 403 cleft lip and palate children have been intervened, being essential the transdisciplinar team approach between surgeon, speech therapist and orthodontist. The importance of the team coordinator is pointed. The results of an audit of the two stage cleft palate closure in complete unilateral cleft lip and palate have obligated us to vary our surgical policy. The unresolved aspects are the lack of multidisciplinary team recognition at official level and the non existence of orthodontist in staff, without cost coverage of this treatment by public health system.

CONCLUSIONS

In our experience the team treatment of cleft lip and palate has resulted in improvement of the clinic results, treatment protocols and training.

Authors+Show Affiliations

Servicio de Cirugía Infantil, Hospital de Cruces, Baracaldo, Vizcaya.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Research Support, Non-U.S. Gov't
Review

Language

spa

PubMed ID

10198542

Citation

Sánchez-Ruiz, I, et al. "[Integrated Treatment of Cleft Lip and Palate. Organization of a Treatment Team]." Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, vol. 12, no. 1, 1999, pp. 4-10.
Sánchez-Ruiz I, González Landa G, Pérez González V, et al. [Integrated treatment of cleft lip and palate. Organization of a treatment team]. Cir Pediatr. 1999;12(1):4-10.
Sánchez-Ruiz, I., González Landa, G., Pérez González, V., Díez Rodríguez, R., López-Cedrún, J. L., Miró Viar, J., García Miñaur, S., de Celis Vara, R., & Sánchez Fernández, L. (1999). [Integrated treatment of cleft lip and palate. Organization of a treatment team]. Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 12(1), 4-10.
Sánchez-Ruiz I, et al. [Integrated Treatment of Cleft Lip and Palate. Organization of a Treatment Team]. Cir Pediatr. 1999;12(1):4-10. PubMed PMID: 10198542.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Integrated treatment of cleft lip and palate. Organization of a treatment team]. AU - Sánchez-Ruiz,I, AU - González Landa,G, AU - Pérez González,V, AU - Díez Rodríguez,R, AU - López-Cedrún,J L, AU - Miró Viar,J, AU - García Miñaur,S, AU - de Celis Vara,R, AU - Sánchez Fernández,L, PY - 1999/4/13/pubmed PY - 1999/4/13/medline PY - 1999/4/13/entrez SP - 4 EP - 10 JF - Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica JO - Cir Pediatr VL - 12 IS - 1 N2 - OBJECTIVE: Collect the team experience in the treatment of children with cleft lip and palate, indicating the evolution of the team composition, advantages and improvement aspects, trying to transmit the need of team treatment. METHOD: The Bilbao cleft palate team was created in 1983, since then a cleft palate clinic, a parents group and a unit of velopharyngeal function has been developed. At present the team is composed by: pediatric reconstructor surgeon, speech therapist, orthodontist, dentist, pediatrician, ENT, maxillofacial surgeon, dismorphologyst, geneticist, nursing. RESULTS: One of the achievements has been the data unification, obtaining speech cephalometrics, photographic dental casts and video images with prospective view. At this time 403 cleft lip and palate children have been intervened, being essential the transdisciplinar team approach between surgeon, speech therapist and orthodontist. The importance of the team coordinator is pointed. The results of an audit of the two stage cleft palate closure in complete unilateral cleft lip and palate have obligated us to vary our surgical policy. The unresolved aspects are the lack of multidisciplinary team recognition at official level and the non existence of orthodontist in staff, without cost coverage of this treatment by public health system. CONCLUSIONS: In our experience the team treatment of cleft lip and palate has resulted in improvement of the clinic results, treatment protocols and training. SN - 0214-1221 UR - https://www.unboundmedicine.com/medline/citation/10198542/[Integrated_treatment_of_cleft_lip_and_palate__Organization_of_a_treatment_team]_ L2 - http://www.diseaseinfosearch.org/result/1672 DB - PRIME DP - Unbound Medicine ER -