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Will cleft palate surgery affect speech development?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My daughter is 2 years and 10 days old now. She was detected with a soft cleft palate when she was 1.6 years old. The surgeon asked us to wait for a few months as she needed to be healthier than the current scenario at that time. Now, we consulted the surgeon again, and he said that my daughter can get surgery now.

But we also checked with a few other surgeons as a second opinion, and they questioned us for delaying the operation. They informed us that it should be done normally by around 6 months of age. I want to know:

  1. Are we really late for this surgery?
  2. As of now, she speaks a few words, but it seems a few words are coming from her nose. Will she able to speak properly after surgery?
  3. Also, we are worried about whether she will speak or not. Is it too late for us to take her for surgery?
  4. Another surgeon has diagnosed her with a soft cleft palate and a hard palate. Will they handle both in the same surgery? Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Ideal time that we operate a cleft palate is 11 months. This is to improve speech outcome. If all parameters are normal, then the cleft palate can be corrected at this age too before speech develops. So, there is no need to worry.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I need clarification on the following points as well. Will she be able to speak properly after surgery? How many operations does she need overall?

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Yes, she should talk well if done properly. However, there may be some nasal twang in the voice. The entire palate (soft and hard) will be repaired in one setting.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team

Published At September 23, 2016
Reviewed AtOctober 8, 2025

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