- perform audiologic follow-up per American Cleft Palate-Craniofacial Association recommendations
- amplification therapies, such as hearing aids or auditory training systems, if persistent hearing loss is present
- insufficient evidence to evaluate electropalatography for treating articulation problems associated with cleft palate
- isolated cleft palate, but not isolated cleft lip, may be associated with increased morbidity and mortality
- higher palatal arch and wider maxillary tuberosity may each be associated with increased risk for postsurgical hypernasality following cleft palate repair
- incomplete cleft palate and Hispanic ethnicity each associated with reduced need for second surgery following isolated cleft palate repair
- may have reduced academic achievement and increased need for special education
- early growth delay in infants with cleft lip with or without cleft palate may not be associated with long-term effect on growth parameters
- feeding complications
- ear disorders
- speech pathology
- dental anomalies
- obstructive sleep apnea
- altered facial and dental appearance associated with negative psychological impact in patients with craniofacial anomalies
- periconceptional multivitamin use (including folic acid supplementation) may reduce risk of oral clefts, with greatest risk reduction seen for women starting multivitamin prior to conception.
Dr Drabkin is a senior clinical writer for DynaMed, a database of comprehensive updated summaries covering more than 3,200 clinical topics, and assistant clinical professor of population medicine at Harvard Medical School.