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A craniofacial team is a multi-disciplinary team (MDT) which provides multidisciplinary consultations, diagnosis, treatment planning and procedures for a range of craniofacial anomalies and syndromes. According to the American Cleft Palate-Craniofacial Association (ACPA), the minimum requirements for a team are: Plastic Surgeon, Speech Language Pathologist, Craniofacial Orthodontist. Craniofacial anomalies or syndromes are defined as congenital conditions other than cleft lip/palate, unless cleft lip/palate is a feature of another condition, anomaly or syndrome. ==ACPA basic criteria== The following list outlines 8 basic criteria as defined by the American Cleft Palate-Craniofacial Association, (ACPA) Committee on Team Standards.〔Strauss, R. P. (1998). Cleft palate and craniofacial teams in the united states and canada: A national survey of team organization and standards of care. The Cleft Palate-Craniofacial Journal, 35(6), 473-480〕 Standards for Listing the Craniofacial TeamThe Craniofacial Team (CFT) meets all of the following criteria defined by the ACPA Committee on Team Standards: # The Operation Surgeon(s), Mental Health Professional(s) and Speech-Language Pathologist(s) on the CFT meet face-toface at a scheduled team meeting or conference to evaluate patients with craniofacial anomalies or syndromes at least 6 times per year. The meeting may or may not coincide with CPT meetings. # The CFT evaluated at least 20 patients with craniofacial anomalies or syndromes in the past year. # The CFT assures that each child has health evaluation by a primary care Physician (Pediatrician, Family Physician or General Internist) in the community or on the team. The CPT uses the findings from the health evaluation to guide its treatment planning and team meeting deliberations. A community or team-based primary care Physician evaluates all patients prior to craniofacial surgery. # Craniofacial surgical treatments are adequately documented with facial and intraoral photographs, and appropriate radiographs. # Craniofacial treatment plans and treatment outcomes (results) for patients with craniofacial anomalies or syndromes are discussed at CFT meetings. # The CFT has a Surgeon(s) who attends team meetings and whose education, training and experience have adequately prepared him/her for the diagnosis and treatment of patients requiring craniofacial surgery. # At least one Surgeon on the CFT provided craniofacial surgical treatment (surgical procedures in which the intracranial approach to the midfacial segment—includes the orbit and/or supraorbital rim—is used) for a minimum of 10 patients with craniofacial anomalies or syndromes in the past year. # The CFT has an Orthodontist(s) who attends team meetings and whose education, training and experience have adequately prepared him/her for the orthodontic diagnosis and treatment of patients with craniofacial anomalies or syndromes. # At least one Orthodontis on the CFT provided orthodontic evaluation or treatment for a minimum of 10 patients with craniofacial anomalies or syndromes in the past year. # The CRT has a Speech-Language Pathologist(s) who attends team meetings and whose education, training and experience have adequately prepared him/her for speech and language diagnosis and treatment of patients with craniofacial anomalies or syndromes. # At least one Speech-Language Pathologist on the CFT provided speech therapy and/or a complete speech and language evaluation to a minimum of 10 patients (team or other patients) with craniofacial anomalies or syndromes (or cleft lip/palate) in the past year. The CFT Speech-Language Pathologist performs a structured speech assessment during team evaluations. # The CFT uses clinical speech instrumentation (such as endoscopy, pressure flow, videofluoroscopy, etc.) to assess velopharyngeal function, when indicated. # The CFT has a Mental Health Professional(s) (Psychologist, Social Worker, Developmental Pediatrician, Psychiatrist) who attends team meetings and whose education, training and experience have adequately prepared him/her for the psychological and psychosocial diagnosis and treatment of patients with craniofacial anomalies or syndromes. # The CFT has a Mental Health Professional(s) who evaluates all patients on a regular basis. # The CFT routinely tests or screens patients for learning disabilities and developmental, psychological, and language skills. # The CFT collects school reports and other information relative to learning in school-age patients, when indicated. # The CFT has a nurse or other trained professional whoUpon diagnosis, the patient should be referred to a craniofacial team. In practice, often, it is the pediatrician who diagnoses the child immediately after birth. Within the craniofacial team, the child is referred to the ENT-specialist in case of hearing problems, to the speech pathologist in case of speech problems, etc. Mutual consensus on treatment by different specialists is important.〔Strauss, R. P. (1998). Cleft palate and craniofacial teams in the united states and canada: A national survey of team organization and standards of care. The Cleft Palate-Craniofacial Journal, 35(6), 473-480〕 Team meetings and smaller team consultations are held, by specialists who monitor and supervise a patient for a long period of time or until the team is no longer needed. Multidisciplinary team consultations provide comprehensive and coordinated treatment for an extended period of time (some cleft lip and palate patients require the Craniofacial Team from birth to age 21 years of age. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Craniofacial team」の詳細全文を読む スポンサード リンク
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