Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of congenital cleft palate. History includes feeding difficulties, frequent nasal regurgitation, and recurrent otitis media. No history of prior surgical intervention. Family history negative for syndromic associations.
Clinical Examination Findings
Intraoral examination reveals a [complete/incomplete] cleft of the [soft/hard] palate. The defect extends from the [uvula/incisive foramen] to the [hard palate/soft palate]. Mucosal margins are well-defined. Assessment of velopharyngeal function shows [adequate/inadequate] tissue bulk. No evidence of submucous cleft or fistula.
Treatment Protocol
Surgical repair via [Furlow Z-plasty / Palatoplasty] is indicated to restore anatomical continuity and velopharyngeal competence. Post-operative plan includes liquid diet for 2 weeks, strict avoidance of intraoral trauma, and initiation of speech therapy follow-up.