Table 3.

Recommended Time-sensitive Prioritisation of Surgical Procedures and Cleft Care Services.

Priority	Surgical procedures	Cleft care services
High	Respiratory access if required in PRS	New-born cleft babies need to be assessed regarding breathing, feeding and hearing, and families need to be counseled appropriately
	Primary cleft palate repair ( + - middle ear tubes)	Ongoing pediatric and nutritional support care (especially for syndromes)
		Dental or ENT Infections (otitis media)
	Mandible distraction if required for nutrition (if integrated in local protocol)	Speech Pathology intervention
Medium	Primary cleft lip reconstruction	Routine Speech, Audiology, Dental, Orthodontic Psychosocial and Surgical assessment and advice
	Secondary speech surgery	Presurgical orthopedics (if used within local protocol)
	Symptomatic fistula repair
	Secondary alveolar bone grafting
Lower	Orthognathic surgery
	Secondary rhinoplasty and revisional cleft lip surgery
	Routine dental procedures