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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.

Answered by Dr. Deepak Kothari

Education:

MBBS

Professional Bio:

Dr. Deepak Kothari is a skilled Plastic Surgeon specializing in Cosmetology and Hair Transplant Surgery. He combines surgical precision with aesthetic expertise to deliver natural, transformative results. With a patient-focused approach and commitment to innovation, he provides personalized treatments that enhance appearance, restore confidence, and promote overall satisfaction for his patients.

This doctor is not available for online consultations on the platform anymore.

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.

Answered by Dr. Deepak Kothari

Education:

MBBS

Professional Bio:

Dr. Deepak Kothari is a skilled Plastic Surgeon specializing in Cosmetology and Hair Transplant Surgery. He combines surgical precision with aesthetic expertise to deliver natural, transformative results. With a patient-focused approach and commitment to innovation, he provides personalized treatments that enhance appearance, restore confidence, and promote overall satisfaction for his patients.

This doctor is not available for online consultations on the platform anymore.

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 by iCliniq medical review team
Published At September 23, 2016
Reviewed At October 8, 2025

Education:

MBBS

Professional Bio:

Dr. Deepak Kothari is a skilled Plastic Surgeon specializing in Cosmetology and Hair Transplant Surgery. He combines surgical precision with aesthetic expertise to deliver natural, transformative results. With a patient-focused approach and commitment to innovation, he provides personalized treatments that enhance appearance, restore confidence, and promote overall satisfaction for his patients.

This doctor is not available for online consultations on the platform anymore.

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Prep / Recovery Guide

Cleft Palate Surgery Prep and Recovery Guide

How it works

Cleft palate surgery is a significant step in your child's development. Understanding the process, timing, and potential outcomes can help you prepare.

1

Ideal
Timing

2

Speech
Impact

3

Palate
Repair

4

Post-Op
Speech

5

Nasal
Twang

6

Overall
Recovery

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Deepak Kothari is a skilled Plastic Surgeon specializing in Cosmetology and Hair Transplant Surgery. He combines surgical precision with aesthetic expertise to deliver natural, transformative results. With a patient-focused approach and commitment to innovation, he provides personalized treatments that enhance appearance, restore confidence, and promote overall satisfaction for his patients.

This doctor is not available for online consultations on the platform anymore.

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