Have you ever wondered how your personality traits might determine the
choices you make? And how these traits affect your satisfaction with your
choices? Here's your chance to find out. Read the following scenarios and mark
the one that best describes you:
_______I feel strung out most of the time. Each night before bed I look at
my calendar and start feeling anxious, dreading the next day. I have insomnia
many nights, just thinking about all the things I have to do. Somehow...
Children with cleft palate may have speech problems, even after
surgery to correct the cleft. These problems differ, depending on how severe
the cleft is and whether other facial defects are present. Children who have
problems with speech and hearing may have reading difficulties in school.
Common speech problems include:
Incorrect pronunciation of certain consonants,
such as p, b, t, g, f, v, s, and z.
A lower tone of speech
(hypernasal speech). In most children with cleft palate, their missing soft
palate cannot make contact with the back of the throat during speech. This
causes a constant escape of air into the nose, resulting in hypernasal speech.
About 20% to 30% of children who have had only one surgical procedure to repair
cleft palate have hypernasal speech.1 Additional
surgeries may help children with this or other speech-related problems.
Unusual noises made during speech because of air movement through
the nose. This occurs when a small opening still exists between the nose and
Children with cleft palate are prone to fluid buildup behind their
eardrums and to middle ear infections. These ear problems can cause trouble
with hearing. Middle ear infections occur most often in children younger than 3
years of age.
Children's ears are not fully developed before age 3, and the immature
structures allow fluid to easily build up behind the eardrum. This problem is
worse for babies born with cleft palate, because the muscles of the palate are
not properly formed. The irregularly formed muscles prevent the eustachian
tubes, which connect the inside of the ears to the back of the throat, from
functioning normally during swallowing. Also, hearing defects not caused by
fluid buildup or ear infections may occur along with cleft palate.
Children with cleft palate often have problems when their permanent
teeth erupt. Problems may include missing teeth, excess teeth, or a misshapen
or small jaw. Treatment for dental problems usually begins when children are
between ages 9 and 11 and continues through the teen years.
Some children with cleft palate require surgery during the school
year, resulting in long absences. This can interfere with academic performance
and friendships. Problems with self-esteem can also develop from feeling
self-conscious because of unclear or hypernasal speech or visible scars
(usually because of a
Kuehn DP, Henne LJ (2003). Speech evaluation and
treatment for patients with cleft palate. American Journal of Speech-Language Pathology, 12(1): 103-109.
Primary Medical Reviewer
John Pope, MD - Pediatrics
Specialist Medical Reviewer
Donald R. Mintz, MD - Otolaryngology
January 21, 2010
WebMD Medical Reference from Healthwise
January 21, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this