Submucous Cleft Palate: Evaluation and Treatment Principles for Speech-Language Pathologists

Abstract

PurposeThis clinical focus article intends to provide speech-language pathologists (SLPs) with a review of the literature and practical recommendations for the evaluation and treatment of individuals with submucous cleft palate (SMCP).MethodA review of the literature focused on definition, incidence, and diagnostic recommendations for SMCP was completed. Descriptions of physical and auditory–perceptual features common during evaluation were described in detail. Guiding principles for clinical management related to surgery and/or speech therapy were provided.ResultsSeveral discrepancies in the definition, incidence, and outcomes across SMCP studies were discovered in the literature. The importance of a comprehensive perceptual evaluation, including an oral mechanism examination by an SLP trained in the assessment of individuals with craniofacial anomalies, was emphasized.ConclusionsSMCP is a less understood subtype of cleft palate that presents a unique challenge for clinicians. A trained SLP's comprehensive perceptual evaluation and thorough oral mechanism examination are critical for diagnosis and treatment. SLPs can promote best practice for this population by initiating referrals to an accredited cleft palate–craniofacial team for further evaluation of their speech and assessment of surgical candidacy.