Sander, Anna K.
[Verfasser:in];
Grau, Elisabeth
[Verfasser:in];
Kloss-Brandstätter, Anita
[Verfasser:in];
Zimmerer, Rüdiger
[Verfasser:in];
Neuhaus, Michael
[Verfasser:in];
Bartella, Alexander K.
[Verfasser:in];
Lethaus, Bernd
[Verfasser:in]
Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?
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Medientyp:
E-Artikel
Titel:
Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?
Beteiligte:
Sander, Anna K.
[Verfasser:in];
Grau, Elisabeth
[Verfasser:in];
Kloss-Brandstätter, Anita
[Verfasser:in];
Zimmerer, Rüdiger
[Verfasser:in];
Neuhaus, Michael
[Verfasser:in];
Bartella, Alexander K.
[Verfasser:in];
Lethaus, Bernd
[Verfasser:in]
Beschreibung:
Objective: The multidisciplinary follow-up of patients with cleft lip with or without palate (CL/P) is organized differently in specializedcenters worldwide. The aim of this study was to evaluate the different treatment needs of patients with different manifestationsof CL/P and to potentially adapt the frequency and timing of checkup examinations accordingly.Design:We retrospectively analyzed the data of all patients attending the CL/P consultation hour at a tertiary care center betweenJune 2005 and August 2020 (n=1126). We defined 3 groups of cleft entities: (1) isolated clefts of lip or lip and alveolus (CL/A),(2) isolated clefts of the hard and/or soft palate, and (3) complete clefts of lip, alveolus and palate (CLP). Timing and type of therapyrecommendations given by the specialists of different disciplines were analyzed for statistical differences.Results: Patients with CLP made up the largest group (n=537), followed by patients with cleft of the soft palate (n=371) and CL±A (n=218). There were significant differences between the groups with regard to type and frequency of treatment recommendations.A therapy was recommended in a high proportion of examinations in all groups at all ages.Conclusion: Although there are differences between cleft entities, the treatment need of patients with orofacial clefts is generallyhigh during the growth period. Patients with CL/A showed a similarly high treatment demand and should be monitored closely.A close follow-up for patients with diagnosis of CL/P is crucial and measures should be taken to increase participation in followupappointments.