Current Practices and Controversies in Management of the Submucous Cleft Palate A review of the published literature on submucous cleft palate was conducted. Specific information sought included definition and prevalence of submucous cleft palate, indications for surgical intervention, ideal age for intervention, evaluation tools for submucous cleft palate, and whether or not surgical repair was indicated for treatment of velopharyngeal insufficiency, ... Article
Article  |   December 14, 2016
Current Practices and Controversies in Management of the Submucous Cleft Palate
Author Affiliations & Notes
  • Lynn Marty Grames
    Cleft Palate and Craniofacial Institute, St. Louis Children's Hospital, St. Louis, Missouri, USA
  • Kamlesh Patel
    Cleft Palate and Craniofacial Institute, St. Louis Children's Hospital, St. Louis, Missouri, USA
  • Disclosures
    Disclosures ×
  • Financial: Lynn Marty Grames and Kamlesh Patel draw salary, in part, in treatment of individuals with overt and submucous cleft palate.
    Financial: Lynn Marty Grames and Kamlesh Patel draw salary, in part, in treatment of individuals with overt and submucous cleft palate.×
  • Nonfinancial: Lynn Marty Grames and Kamlesh Patel have no relevant nonfinancial interests to disclose.
    Nonfinancial: Lynn Marty Grames and Kamlesh Patel have no relevant nonfinancial interests to disclose.×
Article Information
Speech, Voice & Prosodic Disorders / Special Populations / Genetic & Congenital Disorders / Part 2
Article   |   December 14, 2016
Current Practices and Controversies in Management of the Submucous Cleft Palate
Perspectives of the ASHA Special Interest Groups, December 2016, Vol. 1, 59-69. doi:10.1044/persp1.SIG5.59
History: Received June 30, 2016 , Revised September 19, 2016 , Accepted September 26, 2016
Perspectives of the ASHA Special Interest Groups, December 2016, Vol. 1, 59-69. doi:10.1044/persp1.SIG5.59
History: Received June 30, 2016; Revised September 19, 2016; Accepted September 26, 2016

A review of the published literature on submucous cleft palate was conducted. Specific information sought included definition and prevalence of submucous cleft palate, indications for surgical intervention, ideal age for intervention, evaluation tools for submucous cleft palate, and whether or not surgical repair was indicated for treatment of velopharyngeal insufficiency, feeding issues, or ear disease associated with submucous cleft. The research revealed that there is no consistent definition of submucous cleft palate in the published literature, which renders comparison of treatments difficult. In addition, the literature lacks consensus on the indications for submucous cleft palate repair, the effect of repair on ancillary disorders that may exist, and the best methods of evaluation for submucous cleft palate. A consensus conference on the submucous cleft may be valuable in guiding treatment and research going forward.

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