Hopefully the child will communicate any anxiety to sensitive, understanding parents so that appropriate steps can be taken to correct any residual problems. They may be unhappy with their teeth. The young adult should have normal hearing and should no longer be bothered by episodes of otitis media. Secondary surgical procedures to correct nasal escape are usually done in childhood. It is difficult to predict whether a particular teenager will request further surgical procedures.
Every child is unique.
If a teenager wants a change, there are procedures that are well worth considering before growth is completed. The cleft in the gum is usually repaired during the mixed dentition, about age 8-10 years. Orthodontia is part of many young teenager's lives. The orthodontic program resumes during the early teen years. Orthodontia alone may be all that is needed to align the teeth.