Achieving Excellence in Cleft Care:

Abstract

Orofacial clefts, comprised largely of cleft lip with or without cleft palate (CL/P) and cleft palate only (CPO) are among the most common congenital anomalies (Figure 1). Because of the anatomic location of the birth defect, a wide range of structural and functional impairments occur that are best managed by a variety of healthcare specialists. Although most associated problems are a result of the defect, some are by iatrogenic means. Moreover, while most issues are managed during childhood, adults with CL/P will often have cleft related treatment needs. The purpose of this article is to describe the issues associated with orofacial clefts, management of these issues, and discuss strategies to achieve excellence in care for our patients and families affected by these conditions throughout their lives. Figure1. Complete bilateral cleft lip and palate. Note eruption of teeth from premaxilla.