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Cleft@18-23 study research clinics: a protocol for a multicentre observational study across UK cleft centres to understand variation in outcomes at the end of routine cleft care.

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Exploring Sleep Behavior and Language Outcomes in Children with Cleft Lip and Palate Using Data from a National

Stephanie van Eeden1, Victoria C P Knowland1

  • 1School of Education, Communication and Language Sciences, Newcastle University, Queen Victoria Road, Newcastle upon Tyne, NE1 7RU, UK.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|February 19, 2026
PubMed
Summary

Adequate sleep is linked to better language development in children with cleft lip and palate (CP±L). This highlights the importance of monitoring sleep behaviors for optimal developmental outcomes in this population.

Keywords:
Pierre Robin sequencecleft lip and palatecleft palatelanguage developmentsleep disorders

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Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Speech-Language Pathology

Background:

  • Children with cleft lip and palate (CP±L) may experience unique developmental challenges.
  • Sleep behaviors are crucial for overall child development, including cognitive and language skills.
  • Limited research exists on the specific relationship between sleep and language in the CP±L population.

Purpose of the Study:

  • To investigate the association between sleep behaviors and language development in children with CP±L.
  • To identify if specific cleft phenotypes, such as Robin Sequence (RS) or syndromic diagnoses, influence sleep concerns.
  • To determine the correlation between sufficient sleep and language outcomes across different age points.

Main Methods:

  • Cross-sectional analysis of parent-reported questionnaire data from 1990 children within a national cohort study.
  • Sleep outcomes assessed via parent reports of sufficient sleep and sleep behavior concerns.
  • Language development evaluated using the Ages and Stages Questionnaire (3rd edition) (ASQ-3).

Main Results:

  • Parental concern about sleep was generally low but higher in children with RS and syndromic diagnoses.
  • Sufficient sleep was reported by over 88% of children, though those with RS showed a decline over time.
  • Significant positive correlations were observed between sufficient sleep and language outcomes at 18 months, 3 years, and 5 years, persisting even after controlling for confounders at 5 years.

Conclusions:

  • Sleep behaviors are significantly associated with language development in children with CP±L.
  • Findings underscore the need for further longitudinal and interventional research to elucidate the role of sleep in developmental trajectories.
  • Monitoring sleep is important for supporting language acquisition in children with CP±L.