| 總結: | Introduction: The management of cleft lip and palate (CLP) patients are complex and
require coordinated care of multidisciplinary team (MDT). In Malaysia, cleft combined
clinic (CCC) only available in small numbers and situated in urban centres. To date, there
were limited number of research conducted to investigate standard of care for CLP
patients among CCC in Malaysia. Objective: The aims of this study is to investigate the
standards of care provided for management of cleft lip and palate (CLP) patients in
Malaysia in comparison to the recommendations made by Clinical Standards Advisory
Group (CSAG) UK 1998. Methods: This is a cross sectional questionnaire-based survey
study. The self-administered postal questionnaire comprises of few components that was
related to the cleft team services which include overall cleft services, team formation,
team members, clinical sessions & infrastructure and audit practice. Results: All
questionnaires were send to three university hospitals which provide cleft services. It was
found that the composition of each cleft team varies through the MDT model in every
centre. Oral & maxillofacial surgeon (OMFS) and orthodontist were the only specialties
that attended most of the time in CCC in all cleft teams. All centres provided complete
treatment for cleft patients starting from baby until adulthood. There was variation in
surgeons that involved in primary lip and palate repair while alveolar bone graft (ABG)
surgery was done mainly by OMFS. None of the cleft team used database for their record
keeping and actively involved in clinical audit program. Conclusions: Management for
CLP patients among university hospital in Malaysia was provided through a MDT model
care as recommended by CSAG UK 1998 with some of the recommendations fulfilled by
the cleft team. However, improvement are needed especially in the area of forming a
database for record keeping and having a routine clinical audit program.
KEYWORDS: Cleft lip and palate, Clinical Standards Advisory Group, Multidisciplinary
team
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