Maxillofacial Teams

The Children and Youth with Special Health Care Needs Program supports three regional Maxillofacial Teams in Washington State through contracts to coordinate care for infants and children born with oral facial anomalies, like cleft lip and cleft palate.

In each region a nurse serves as Maxillofacial Team Coordinator. Teams include (private sector) medical specialists with expertise in maxillofacial conditions including plastic surgeons, orthodontists, oral surgeons, dentists, speech pathologists, otolaryngologists, social workers, nurses, and others.

The Maxillofacial Team Coordinator works closely with the team members, families and local public health nurses to schedule children for team review, facilitate visits with each specialist as necessary prior to the team review, collect reports of visits to specialists, collect data such as x- rays, photos, or dental slides, and summarize current information and recommendations prior to the team review.

Following the team review, the Team Coordinator ensures a written summary of the reports and recommendations is sent to the family and each specialist involved in the children's treatment plan. Children and their families are present for the team review, allowing both families and specialists the opportunity to interact for the best interests of the children.

The Team Coordinator also works with local hospital staff to be sure each family of a newborn with a cleft or other oral condition gets timely, accurate information about the condition and the resources available for care.

A statewide multidisciplinary workgroup developed Critical Elements of Care Booklet on Cleft Lip and Palate (PDF). This guideline emphasizes the critical importance of team care. It includes a "Summary of Key Interventions by Age" for pediatricians and others who may see only a few children with clefts in their practice.

The Children with Special Health Care Needs Program supports Maxillofacial Teams in Spokane, Tacoma, and Yakima. Teams also operate in Seattle and Portland, Oregon. Children are usually seen by the team serving their area of residence, however parents may choose to continue to be seen by the team initially providing services if they move to another region in the state.

Spokane's Providence Sacred Heart Maxillofacial Review Board serves counties in the East Region:

Adams Columbia Garfield Spokane Whitman
Asotin Ferry Pend Oreille Stevens

The team coordinator for this region is located at:

Providence Sacred Heart Children's Hospital
PO Box 2555
(101 W Eighth Avenue)
Spokane, Washington 99220-2555
FAX 509-474-2801

Tacoma's Southwest Washington Maxillofacial Team serves counties in the Southwest Region:

Clark Grays Harbor Mason Pierce Thurston
Cowlitz Lewis Pacific Skamania Wahkiakum

The team coordinator for this region is located at:

Mary Bridge Children's Hospital and Health Network
PO Box 5299, MS: 316L-1-CHN
(311 South L Street)
Tacoma, Washington 98415-0288
FAX 253-403-4700

Yakima's Central Washington Cleft Palate team serves counties in the Central Region:

Benton Douglas Grant Klickitat Walla Walla
Chelan Franklin Kittitas Okanogan Yakima

The team coordinator for this region is located at:

Children's Village
3801 Kern Road
Yakima, Washington 98902
Toll Free 800-745-1077
FAX 509-574-3210

The Northwest Washington region includes the following counties:

Clallam Jefferson Kitsap Skagit Whatcom
Island King San Juan Snohomish

The team coordinator for this region is located at:

Public Health - Seattle and King County
401 Fifth Avenue, Suite 1000
Seattle, Washington 98104
FAX 206-296-4679

The team coordinator for the Northwest Region works with Craniofacial Center staff at Seattle Children's Hospital to serve children in the Northwest Region.

Children's Craniofacial Center
Seattle Children's Hospital
4800 Sand Point Way NE
Seattle, Washington 98105
FAX 206-987-3824
Toll free: 1-866-987-2000
Website: Craniofacial Center | Seattle Children's Hospital

Portland serves some children residing in Southwest Washington through:

Craniofacial Disorders Program
Oregon Health Sciences University
Child Development and Rehabilitation Center
PO Box 574
Portland, Oregon 97207-0574
FAX 503-279-4447

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