Conditions We Treat: Children

Cleft Lip & Palate

Speech therapy addressing the resonance and articulation challenges that can come with a cleft lip or palate, alongside the child's medical care team.

What Is Cleft Lip and Palate?

A cleft lip or cleft palate is a split or opening in the upper lip, the roof of the mouth, or both — it happens when the facial structures don't fully come together while a baby is developing in the womb. It's one of the more common birth differences, and while the exact cause isn't always known, a few things are linked to higher risk: genetics, diabetes during pregnancy, smoking, certain medications, alcohol or drug use during pregnancy, and limited prenatal care.

A toddler boy laughs as he looks up at his smiling motherWith the right team and support, children thrive.

How a Cleft Can Affect a Child

A cleft can touch a few different areas of a child's health and development, beyond just appearance.

  • Feeding — food and liquid can pass into the nose through the opening, so specialized bottles or a custom palate may be needed early on
  • Hearing — fluid tends to build up in the middle ear more often, which sometimes calls for ear tubes to prevent complications
  • Speech — air can escape through the nose while talking (called velopharyngeal insufficiency), which can make speech sound nasal or harder to understand
  • Dental health — a higher risk of cavities, along with missing or misaligned teeth that may need orthodontic care

Prevention During Pregnancy

While a cleft can't always be prevented, a couple of factors during pregnancy are linked to lower or higher risk. Taking folic acid before and during pregnancy has been shown to help reduce the risk of a cleft forming. On the other side, a maternal diet heavy in meat and light on fruit has been associated with a higher likelihood of cleft lip or palate, so a varied, fruit-inclusive diet during pregnancy is generally encouraged.

A pregnant woman takes a prenatal vitamin with a glass of water as her husband smiles beside herPrenatal care and good nutrition matter.

Our Approach to Treatment

Cleft care works best as a team effort — most children are supported by a craniofacial team that includes speech-language pathologists, plastic surgeons, orthodontists, dentists, audiologists, and other specialists, all coordinating around one child's needs.

On the speech side, we typically do a first evaluation between 18 and 24 months, with a follow-up between ages 3 and 5, working toward the goal of speaking clearly and being easily understood by kindergarten age.

A speech therapist and a toddler blow a pinwheel togetherPlayful airflow games build speech skills.

How You Can Help at Home

A few everyday habits support speech development alongside therapy.

  • Encourage early babbling with sounds like "p," "b," "t," and "d"
  • Use familiar words often in songs and games
  • Practice breathing through the mouth rather than the nose during play
  • Keep up a steady stream of conversation during everyday activities
  • Model the correct sound gently rather than repeatedly correcting your child
  • Give your child time to speak without jumping in to finish their sentences
A father and his daughter read a picture book together on a bedReading together every day builds speech and language.

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