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Audit of a multidisciplinary approach to the care of children with unilateral and bilateral cleft lip and palate.
Br J Oral Maxillofac Surg. 2001 Jun; 39(3):182-8.BJ

Abstract

Cleft lip and palate affects the child in many ways, particularly appearance, dental arch relationships, growth of the face, and speech development. The key to successful care is management in a multidisciplinary team adhering to a well-designed protocol, and careful audit of results. We present the intermediate outcome audit of 15 patients with complete bilateral and unilateral cleft lip and palate whose condition was managed in a multidisciplinary team according to a strict protocol. We give the results observations of operations of a single surgeon's functional primary surgery over a 6-year period in terms of dental arch relationships, cephalometric analyses, aesthetic assessments, and speech analysis. The results show good early facial growth, with dental arch relationships appropriate for the age and group; we found only minor speech discrepancies, with no patients requiring pharyngoplasty. The results show the importance of multidisciplinary management, the value of keeping to sound surgical protocols, and functional techniques in cleft lip and palate surgery. Our study includes the neglected group of children who have bilateral cleft lip and palate, and it conforms to the style of pan-European projects.

Authors+Show Affiliations

Oral and Maxillofacial Surgery, The Dorset Cleft Centre, Poole Hospital NHS Trust, Poole, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11384114

Citation

Webb, A A., et al. "Audit of a Multidisciplinary Approach to the Care of Children With Unilateral and Bilateral Cleft Lip and Palate." The British Journal of Oral & Maxillofacial Surgery, vol. 39, no. 3, 2001, pp. 182-8.
Webb AA, Watts R, Read-Ward E, et al. Audit of a multidisciplinary approach to the care of children with unilateral and bilateral cleft lip and palate. Br J Oral Maxillofac Surg. 2001;39(3):182-8.
Webb, A. A., Watts, R., Read-Ward, E., Hodgkins, J., & Markus, A. F. (2001). Audit of a multidisciplinary approach to the care of children with unilateral and bilateral cleft lip and palate. The British Journal of Oral & Maxillofacial Surgery, 39(3), 182-8.
Webb AA, et al. Audit of a Multidisciplinary Approach to the Care of Children With Unilateral and Bilateral Cleft Lip and Palate. Br J Oral Maxillofac Surg. 2001;39(3):182-8. PubMed PMID: 11384114.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Audit of a multidisciplinary approach to the care of children with unilateral and bilateral cleft lip and palate. AU - Webb,A A, AU - Watts,R, AU - Read-Ward,E, AU - Hodgkins,J, AU - Markus,A F, PY - 2001/6/1/pubmed PY - 2001/7/28/medline PY - 2001/6/1/entrez SP - 182 EP - 8 JF - The British journal of oral & maxillofacial surgery JO - Br J Oral Maxillofac Surg VL - 39 IS - 3 N2 - Cleft lip and palate affects the child in many ways, particularly appearance, dental arch relationships, growth of the face, and speech development. The key to successful care is management in a multidisciplinary team adhering to a well-designed protocol, and careful audit of results. We present the intermediate outcome audit of 15 patients with complete bilateral and unilateral cleft lip and palate whose condition was managed in a multidisciplinary team according to a strict protocol. We give the results observations of operations of a single surgeon's functional primary surgery over a 6-year period in terms of dental arch relationships, cephalometric analyses, aesthetic assessments, and speech analysis. The results show good early facial growth, with dental arch relationships appropriate for the age and group; we found only minor speech discrepancies, with no patients requiring pharyngoplasty. The results show the importance of multidisciplinary management, the value of keeping to sound surgical protocols, and functional techniques in cleft lip and palate surgery. Our study includes the neglected group of children who have bilateral cleft lip and palate, and it conforms to the style of pan-European projects. SN - 0266-4356 UR - https://www.unboundmedicine.com/medline/citation/11384114/Audit_of_a_multidisciplinary_approach_to_the_care_of_children_with_unilateral_and_bilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-4356(00)90574-6 DB - PRIME DP - Unbound Medicine ER -