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Although not all patients will need each type of specialist, the team may include: A surgeon to perform necessary cleft repair surgeries (plastic surgeon, oral/maxillofacial surgeon, and craniofacial surgeon) A pediatrician to monitor overall health and development An otolaryngologist, an ear, nose and throat doctor who specializes in problems that may arise for a child with a cleft An audiologist who assesses hearing A nurse to help with feeding problems and to provide ongoing supervision of the childs health A speech-language pathologist who assists with speech and feeding problems A geneticist to screen patients for craniofacial syndromes and help families understand the chances of having more children with clefts A pediatric dentist and other dental specialists such as a prosthodontist, who makes prosthetic devices for the mouth if needed An orthodontist to straighten teeth and align the jaws A psychologist, social worker or other mental health specialist to support the family and child and to assess adjustment problems The purpose and goal of cleft teams are to ensure that care is provided in a coordinated and consistent manner with the proper sequencing of evaluations and treatments within the framework of the patients overall developmental, medical and psychological needs

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