*Optimizing Outcomes in Cleft Surgery DOI: http://dx.doi.org/10.5772/intechopen.89882*

#### **Figure 7.**

*Current Treatment of Cleft Lip and Palate*

**44**

**Figure 6.**

**Figure 5.**

*Each element is scored on a 3-point scale: 2 (excellent), 1 (mild asymmetry), 0 (unsatisfactory). The scores of* 

provide coaching to less experienced surgeons, and results that fall below a standard

The next steps in OS's mission to provide the best quality care to cleft patients in LMICs will be to use the cleft severity index and outcomes evaluation scale to study

*the 4 individual components are then summed for a total score of 0 (lowest) to 8 (highest).*

*Criteria and examples demonstrating each of the 4 grades of the cleft severity index.*

deviation of the average can be investigated for root cause analyses.

*Bell curve of normative surgical outcomes evaluation scores for each of the cleft severities (1 through 4). Dotted line represents the maximum possible score.*

whether certain interventions or models of care delivery improve esthetic outcomes after cleft lip repair. The routine use of these tools in OS's work around the world provides a means of quality control and ensures that patients in LMICs receive the same high level of care as patients in the developed world.
