The Team Evaluation
The Carle Cleft Lip and Palate Team evaluation includes an audiologic and otologic evaluation, an assessment of speech and oral motor function, a social work review, a complete physical examination, general dental and orthodontic examinations, instructions in oral hygiene, and examinations by surgical team members. Radiologic studies and nasopharyngoscopy examination are obtained when appropriate. Genetic evaluations are also completed.
After all team members have evaluated the patient, a case review staff meeting is held. The team discusses the findings and suggests immediate and long-range recommendations.
A report summarizing the results and treatment recommendations is sent to the parents, agencies involved with the patient and other health professionals providing care for the patient. The coordinator contacts the family to review the findings and recommendations. The coordinator will arrange consultation between the patient and team members to further discuss and explain the treatment recommendations.
The Patient's Treatment
The Carle Cleft Lip and Palate Team provides continuous care for patient beginning at birth and continuing until treatment is complete, often until the patient is 21 years old. With improved diagnostic information, many clefts are identified on prenatal ultrasounds. Families are provided with information during prenatal consultations regarding the diagnosis and treatment objectives. The team is also available to treat adults. The team conducts periodic examinations of the patient and documents progress.