Management of Velopharyngeal Insufficiency in Cleft Patients With and Without Multidisciplinary Team Care.

ABSTRACT:

Objective

To evaluate the effect of an American Cleft Palate-Craniofacial Association (ACPA)-approved multidisciplinary team on velopharyngeal insufficiency (VPI) diagnosis and treatment.

Design

Retrospective cohort setting; tertiary children's hospital patients; children with cleft palate repair identified through procedure codes.

Main outcome measures

Velopharyngeal insufficiency diagnosis was assigned based on surgeon or team assessment. Age at diagnosis and surgery was recorded. Difference in age and rate of VPI diagnosis and surgery was analyzed with t test. Multivariate linear and logistic regression adjusted for confounding variables.

Results

Nine hundred forty patients were included with 71.5% cared for by an ACPA-approved multidisciplinary team.

SUBMITTER: Torrecillas V 

PROVIDER: S-EPMC8631281 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature