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Comparative and evolutive evaluation of attendance protocols of patients with clef lip and palate

INTRODUCTION: Multidisciplinary Attendance Protocols are attempts for attainment of the best aesthetic and functional results in the treatment of the patients with cleft lip and palate. OBJECTIVES: The present study aims to realize a comparative analysis of the outcomes found in the first and second years after the institution of the multidisciplinary attendance protocol. METHODS: Prospective study, 102 patients with cleft lip and palate were ope-rated in a 12 months period, submitted to a treatment following a pre-determined protocol. The outcomes were analyzed e compared with those results found in 2008. RESULTS: The number of patients assisted and procedures increased 13%. Eight surgical categories were related, palate repair (35.18%) was the most utilized one, followed by lip repair (unilateral and bilateral), keeping the same distribution pattern. Secondary procedures had persisted with high rates (approximately 30%), however the number of complications decreased (no fistulae). CONCLUSION: The standardization of the treatment demonstrated improvement in the found results, even in short period of time. However, systematic analysis of the following years will be realized with intention to get better parameters for the ideal treatment.

Cleft palate; Cleft lip; Practice guideline


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