Cleft Summit 2022: The Impact of a Unified Voice.

ObjectiveThe inaugural Cleft Summit aimed to unite experts and foster interdisciplinary collaboration, seeking a collective understanding of velopharyngeal insufficiency (VPI) management.DesignAn interactive debate and conversation between a multidisciplinary cleft care team on VPI managementSettingA two-hour discussion within a four-day comprehensive cleft care workshop (CCCW).ParticipantsThirty-two global leaders from various cleft disciplinesInterventionsCleft Summit that allows for meaningful interdisciplinary collaboration and knowledge exchange.Main Outcome MeasuresAbility to reach consensus on a unified statement for VPI management.ResultsParticipants agreed that a patient with significant VPI and a dynamic velum should first receive a surgery that lengthens the velum to optimize patient outcome. A global, multicenter prospective study should be done to test this hypothesis.ConclusionThe 1st Cleft Summit successfully distilled global expertise into actionable best-practice guidelines through iterative discussions, fostering interdisciplinary collaboration and paving the way for a transformative multi-center prospective study on VPI care.