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Care pathway for children born with a cleft lip and palate

18 months
Antenatal diagnosis 10-11 years
Clinic visit to specialist nurse
Contact within 24 hours with Audit records taken
paediatric dentist and Speech
a specialist nurse. Local clinic
& language therapist at local
appointment offered
clinic

12-13 years
3 years
Birth Review in cleft clinic at local
Review
Visit with 24 hrs of referral. site
Speech assessment
Local clinic visit at 4-6 weeks at local clinic

5 -6 years 15 years
Audit records taken Audit records taken
3-4 months Nasal correction if required
at local site
Lip repair In London Genetic counselling offered
1 week later
Seen locally or at home by
specialist nurse 7 year
Reviewed at local clinic Review
at local site
18 years
Orthognathic surgery
performed if required

9-11 years
6-9 months
Alveolar bone grafting in
Palate repair in London
London
Seen locally or at home by
Orthodontic treatment locally 20 years
specialist nurse
Pre-adolescent changing Audit records taken
Reviewed at local clinic
schools day Discharge from service

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