Adopted by the Craniofacial Society of Great Britain and Ireland on 14th April 2005

Download the recommendations as a Word document click here

Download the recommendations as a pdf file click here

Table 1 - CFS Audit Group Recommendations for Complete Clefts (UCLP & BCLP)

Timing	Models & Photos	Lat Ceph	Speech	Audiology/ Tympanology/ Otoscopy	Satisfaction (p = parents c = children)	Psychology (p = parents c = children)	Dental Health	General growth/ feeding
Birth - 6 weeks					p	p		ht / wt / head circ at birth
Before Primary Surgery	upper model only
12 months					p (after primary surgery)			ht / wt / head circ at birth
18 months						p
5 - 5.11 years					p	p&c	dmfs enamel defects
10 years	(pre-ABG)**				(post-grafting) p&c	p&c
12 years							DMFS enamel defects
15 years						p&c
18 + years or end of treatment					p&c	p&c

** records taken between the ages of 9 - 11 years, in preparation for orthodontic treatment / bone grafting may also be used for audit

Table 2 - CFS Audit Group Recommendations for Isolated Cleft Palate

Timing	Models & Photos	Lat Ceph	Speech	Audiology/ Tympanology/ Otoscopy	Satisfaction (p = parents c = children)	Psychology (p = parents c = children)	Dental Health	General growth/ feeding
Birth - 6 weeks					p	p		ht / wt / head circ at birth
Before Primary Surgery	upper model only
12 months					p (after primary surgery)			ht / wt / head circ at birth
18 months						p
5 - 5.11 years					p	p&c	dmfs enamel defects
10 years	(pre-ABG)**				(post-grafting) p&c	p&c
12 years							DMFS/ DDE
15 / 16 years					p&c	p&c
18 years						p&c

** records taken between the ages of 9 - 11 years, in preparation for orthodontic treatment, may also be used for audit

Table 3 - CFS Audit Group Recommendations for Isolated Cleft Lip + / - cleft of the Alveolus

Timing	Models	Photos	Satisfaction (p = parents c = children)	Psychology (p = parents c = children)	Dental Health	General growth/ feeding
Birth - 6 weeks			p	p		ht / wt / head circ at birth
Before Primary Surgery	upper model only
12 months			p (after primary surgery)			ht / wt / head circ at birth
18 months				p
5 - 5.11 years	*		p	p&c	dmfs enamel defects
10 years	**	*	* (post-grafting) p&c	p&c
12 years					DMFS/ DDE
15 years				p&c
18 + years or end of treatment			p&c	p&c

* for cases involving the alveolus only

** records taken ages of 9 - 11 years in preparation for orthodontic treatment / bone grafting may also be used for audit

Table 4 - Alveolar bone grafting records

	Intra oral radiograph (occlusal centred through cleft)	Photos	Models	Patient satisfaction
Pre-orthodontic preparation
6 months post graft
When canine on cleft side has erupted			*

* end of orthodontic treatment models

Table 5 - Orthognathic surgery records

	Lateral Ceph	Models & Photos	Speech	Patient Satisfaction
Pre-orthodontic preparation
Just before operation	(for surgical plnning)	(for surgical planning)
One year post operation

Table 6 - Orthodontic treatment records

	Models	Lateral Ceph	Photos
Pre-orthodontic treatment		(only if clinically necessary)
Post-orthodontic treatment		(only if clinically necessary)