• Pre birth: Diagnosis, Preparation, Education
• Birth: Feeding evaluation & Instructions
• 1^st week of life: NAM therapy begins
• 3-4 months of age: Lip repair & ENT consultation
• 9-11 months of age: Palate repair
• 2 years: Begin yearly speech evaluations
• 4 years: Determine if pharyngeal flap or pharyngoplasty indicated (about 15%)
• 7 Years: Begin orthodontic preparation for alveolar bone graft if needed
• 8 years: Alveolar bone graft, if needed
• 12-14 years: Final orthodontic therapy
• Growth complete, usually 15 to 16 in girls and 17 to 18 in boys: Upper jaw advancement (leFort 1) if necessary, final lip and nasal work.