In conclusion, cleft lip and palate disorders are complex disorders affecting speech, hearing and cosmesis. They require evaluation and care by a multidisciplinary team including a pediatrician, reconstructive surgeon, otolaryngologist, speech therapist, audiologist, and a prosthodontist. The coordinated effort of all these specialists is important in their management. She was born in an outside hospital where the cleft was noted at birth. However, the patient was lost to follow-up, and presents for her first evaluation at age two.
Medical history is unremarkable except for a history of recurrent otitis media.
Physical exam revealed bilateral serous otitis media, and a complete cleft of the secondary palate. She underwent palatal pushback repair of her cleft palate, with bilateral myringotomy and tube placement at the same time. Submucous cleft palate. Cleft lip and palate, in Cummings CJ, et al , eds. Normal and cleft palate anatomy.