Cat. II · Screening, Assessment, Eval & Dx5 min read

Speech Sound ProductionVoice, Resonance & Motor Speech

Cleft Palate & Craniofacial Anomalies

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Updated September 2026 · 2 logged changes

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Types of Clefts

Type	Description	Incidence
Cleft lip only	Unilateral or bilateral; does not extend through palate	Less common alone
Cleft lip and palate	Lip + hard and/or soft palate involvement	Most common cleft type
Cleft palate only	Hard and/or soft palate; lip intact	Associated with more syndromes
Submucous cleft	Intact mucosa covering a palatal defect; triad: bifid uvula, zona pellucida (midline translucency), notched posterior hard palate	Often undiagnosed; suspect with hypernasality

High-Yield: Submucous cleft palate presents the classic triad (bifid uvula, zona pellucida, notched hard palate) and may go undetected until speech develops. Always check for it when a child presents with unexplained hypernasality.

The rest of this outline 7

1. Surgical Timeline
2. Speech Characteristics
3. VPI Assessment
4. Differentiate the Leak
5. Feeding Considerations (Pre-Surgical)
6. Team Approach
7. Sources to Know

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