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Assessment of the Mouth01:26

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Related Experiment Video

Updated: May 11, 2026

Method of Studying Palatal Fusion using Static Organ Culture
04:58

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Published on: September 19, 2015

Submucous cleft palate: an often-missed diagnosis.

Kim M Ha1, Heather Cleland, Andrew Greensmith

  • 1Department of Paediatrics, University of Melbourne, Australia.

The Journal of Craniofacial Surgery
|May 30, 2013
PubMed
Summary

Early diagnosis of submucous cleft palate (SMCP) is crucial for preventing speech issues. While surgical repair is successful, delayed diagnosis by physicians leads to significant speech impairment and need for further therapy.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Otolaryngology
  • Speech Pathology

Background:

  • Submucous cleft palate (SMCP) presents with characteristic features, yet diagnosis is often delayed.
  • A significant percentage of patients undergo unrelated surgeries before SMCP is identified.

Purpose of the Study:

  • To investigate the age at diagnosis, clinical characteristics, and symptoms of SMCP.
  • To compare speech outcomes following three distinct surgical repair techniques for SMCP.

Main Methods:

  • Retrospective review of 92 patients diagnosed with SMCP between 1994 and 2008.
  • Analysis of surgical outcomes (need for secondary procedures) and speech assessments (Great Ormond Street Speech Assessment).

Main Results:

  • SMCP diagnosed at a mean age of 3.6 years; 8% were asymptomatic at diagnosis.
  • Abnormal speech (67%), recurrent otitis media with effusions (49%), and hearing loss (47%) were common.
  • Repair after 18 months increased the likelihood of articulatory speech errors and need for speech therapy.

Conclusions:

  • Delayed diagnosis of SMCP is prevalent among physicians, despite evident signs and symptoms.
  • Surgical correction is effective irrespective of technique or age at repair.
  • Earlier recognition of SMCP is essential to prevent long-term speech impairment.