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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.

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