Background: Variable protocols for the management of cleft lip and/or palate (CLP) patients are

currently used. However, to our knowledge, there are no previously published data about cleft

management and practice in Egypt. Materials and Methods: One‑hundred questionnaires were

distributed to cleft surgeons attending the annual meeting of the Egyptian Society of Plastic and

Reconstructive Surgeons in March 2016 to investigate timing, techniques and complications of

cleft surgery. Seventy‑two colleagues returned the questionnaire, and the data were analysed

using Microsoft Excel software. Results: The majority of cleft lip cases are repaired between

3 and 6 months. Millard and Tennison repairs for unilateral cleft lip, while Millard and Manchester

techniques for bilateral cleft lip are the most commonly performed. Cleft palate is usually repaired

between 9 and 12 months with the two‑flap push‑back technique being the most commonly

used. The average palatal fistula rate is 20%. Pharyngeal flap is the method of choice to correct

velopharyngeal incompetence. Polyglactin 910 is the most commonly used suture material in cleft

surgery in the country. Multidisciplinary cleft management is reported only by 16.5% of participants.

Conclusion: Management of CLP in Egypt is mainly dependent on personal preference, not on

constitutional protocols. There is a lack of multidisciplinary approach and patients’ registration

systems in the majority of centres. The establishment of cleft teams from the concerned medical

specialties is highly recommended for a more efficient care of cleft patients.