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The Southwest Washington Maxillofacial Review Board (MFRB), located at the Mary Bridge Children’s Outpatient Center, coordinates treatment for children with cleft lip and/or cleft palate, velopharyngeal insufficiency or other maxillofacial conditions. The Board serves children up to age 21. It focuses on family-centered, community care for children and families from the southwest region of Washington state. Together the team provides a comprehensive approach, offering multifaceted care including surgical, feeding, speech, hearing, dental, orthodontia, and genetic counseling for the pediatric cleft population.

The Seattle Children’s Craniofacial Center diagnoses and treats children with conditions that affect the head and face, such as cleft lip and palate, craniosynostosis, and rare genetic syndromes. It provides comprehensive, team-based care, bringing together specialists from many fields to create personalized treatment plans that may include surgery, therapy, and supportive services.

The Providence Spokane Cleft Lip and Palate Center provides coordinated, family‑centered care for children with cleft lip, cleft palate, and related craniofacial conditions through a multidisciplinary team of specialists. RN Coordinators serve as each family’s primary contact, organizing team reviews, gathering clinical information, and providing clear summaries and resources to guide care. Together, the team offers comprehensive, long‑term support focused on feeding, speech, hearing, dental health, and overall development.

The team follows children with cleft lip and/or palate from birth to age 19 through the full course of medical and dental surgeries, adhering to national standards of care to support the best possible outcomes. Services include comprehensive planning, coordination, and delivery of care through a team‑based approach and a written treatment plan. Team members include plastic surgeons, speech therapists, oral surgeons, orthodontists, otolaryngologists, genetic counselors, pediatric behavioral specialists, social workers, and pediatric dentists trained in nasoalveolar molding to help shape the nose and align the cleft before initial lip repair. The team also collaborates closely with each child’s primary care provider and local Children with Special Health Care Needs Coordinator to ensure clear communication and seamless coordination of all treatment recommendations.