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

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.

Increased Risk of Velopharyngeal Insufficiency in Patients Undergoing Staged Palate Repair.

Objective: To evaluate the association of 2-stage cleft palate (CP) surgery on velopharyngeal insufficiency (VPI) incidence, speech surgeries, and cleft-related surgical burden.

Design: Retrospective cohort with follow-up of 4 to 19 years.

Setting: Academic, tertiary children's hospital.