Sánchez-Ruiz I, González Landa G, Pérez González V, Díez Rodríguez R, López-Cedrún J L, Miró Viar J, García Miñaur S, de Celis Vara R, Sánchez Fernández L
Servicio de Cirugía Infantil, Hospital de Cruces, Baracaldo, Vizcaya.
Cir Pediatr. 1999 Jan;12(1):4-10.
Collect the team experience in the treatment of children with cleft lip and palate, indicating the evolution of the team composition, advantages and improvement aspects, trying to transmit the need of team treatment.
The Bilbao cleft palate team was created in 1983, since then a cleft palate clinic, a parents group and a unit of velopharyngeal function has been developed. At present the team is composed by: pediatric reconstructor surgeon, speech therapist, orthodontist, dentist, pediatrician, ENT, maxillofacial surgeon, dismorphologyst, geneticist, nursing.
One of the achievements has been the data unification, obtaining speech cephalometrics, photographic dental casts and video images with prospective view. At this time 403 cleft lip and palate children have been intervened, being essential the transdisciplinar team approach between surgeon, speech therapist and orthodontist. The importance of the team coordinator is pointed. The results of an audit of the two stage cleft palate closure in complete unilateral cleft lip and palate have obligated us to vary our surgical policy. The unresolved aspects are the lack of multidisciplinary team recognition at official level and the non existence of orthodontist in staff, without cost coverage of this treatment by public health system.
In our experience the team treatment of cleft lip and palate has resulted in improvement of the clinic results, treatment protocols and training.
收集唇腭裂患儿治疗团队的经验，阐述团队构成的演变、优势及改进方向，传达团队治疗的必要性。
毕尔巴鄂腭裂治疗团队成立于1983年，自那时起发展了腭裂诊所、家长团体及腭咽功能科室。目前团队由小儿重建外科医生、言语治疗师、正畸医生、牙医、儿科医生、耳鼻喉科医生、颌面外科医生、畸形学家、遗传学家、护士组成。
成果之一是数据统一，获取了语音头影测量、牙齿石膏模型照片及前瞻性视频图像。此时已对403例唇腭裂患儿进行了干预，外科医生、言语治疗师和正畸医生之间跨学科团队协作至关重要。指出了团队协调员的重要性。对完全性单侧唇腭裂两阶段腭裂修复术的审核结果促使我们改变手术策略。未解决的问题是官方层面缺乏对多学科团队的认可，且团队中没有正畸医生，公共卫生系统未涵盖该治疗费用。
根据我们的经验，唇腭裂的团队治疗已使临床效果、治疗方案及培训得到改善。
