During the development stages of children with cleft, the Team will address:

• Surgical management
• Dental/orthodontic/prosthodontic management
• Speech and hearing management
• Psychosocial issues

Birth to 3 Years

• Stabilize feeding
• Complete diagnosis/genetics
• Nasal alveolar molding if indicated
• Lip and palate repair
• Repeated speech evaluations and home program for parents
• Audiological and otological management
• Psychosocial consultations

The Preschool Years

• Emphasis on speech and resonance skills
• Dental care and orthodontic observation
• Psychological monitoring of child
• Hearing management
• Lip revision option
• Educational/academic needs

The School Aged Child

• Dental care and orthodontic management
• Bone graft being planned
• Aesthetic revision
• Audiological/otological management
• Educational/academic/psychosocial needs

The Teen Years

• Final lip and nasal revisions
• Bone grafting, if not completed yet
• Speech and resonance needs completed
• Dental care, orthodontic management, possible orthognathic surgery
• Educational/academic and psychosocial issues
• Revisit geneticist