Why you should read this article:

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To be aware that orofacial clefts are the most common facial congenital abnormalities in humans

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To read a case study presenting an overview of the care provided for an infant born with a cleft palate

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To recognise the vital role of children’s nurses in supporting family-centred care

Orofacial clefts are the most common facial congenital abnormalities in humans. Their management is complex due to a range of immediate and ongoing challenges. These include breathing, feeding, speech, hearing and dental issues. This article uses a case study approach to outline these challenges for a patient who was born with a cleft palate. The case is followed by a discussion of contemporary evidence-based care. The article focuses on family-centred care and multidisciplinary teamwork, and the author also details the central role of the children’s nurse.