Habel A, Sell D, Mars M
Cleft Lip and Palate Unit, Great Ormond Street Hospital for Children NHS Trust, London.
Arch Dis Child. 1996 Apr;74(4):360-6. doi: 10.1136/adc.74.4.360.
The complex nature of treatment for CL/P, a condition that requires a large multidisciplinary team treating patients from birth to maturity, has been outlined. Subjecting centres' outcomes to audit should precede heeding the current siren calls for paediatricians to refer children exclusively to a particular surgical speciality. A growing body of evidence has shown a close correlation between quality of outcome and the availability of high volume centralised care by dedicated teams, as has been proved and accepted for years in other fields such as surgery in infancy, childhood malignancies, and cystic fibrosis.
唇腭裂/腭裂（CL/P）治疗具有复杂性，这种疾病需要一个庞大的多学科团队从患者出生到成年进行治疗，这一点已被概述。在响应目前呼吁儿科医生仅将儿童转诊至某一特定外科专科的警报声之前，应对各中心的治疗结果进行审核。越来越多的证据表明，治疗结果的质量与专业团队提供的高容量集中护理之间存在密切关联，这在婴儿手术、儿童恶性肿瘤和囊性纤维化等其他领域多年来已得到证实和认可。
