Fig. 1.

Delphi process for developing the unilateral cleft lip assessment tool. Round 1: Unguided generation of ideas, followed by stratification of ideas into core domains—marking, performance, and final outcome. Round 2: Review of aggregate ideas to identify common themes that spanned technique (eg, “Reposition the greater segment inferiorly so peaks of Cupid’s bow are symmetric”), followed by drafting of specific data points and discarding either ideas supported by only one surgeon or those specific to only one technique. Round 3: Review of draft data points, followed by revision to clarify goal of the data point and discarding either points endorsed by only one surgeon or those specific to only one technique.