A group of 130 patients with submucous clefts were identified from the records of the University of Pittsburgh Cleft Palate-Craniofacial Center. Many of these patients, 44 percent, remained asymptomatic into adulthood, and none required surgical intervention. A submucous cleft should be repaired in infancy only when feeding problems or unremitting ear disease is observed. The cleft should not be repaired on the theoretical basis of the potential effect of the cleft on the development of communication skills. The development of predictors that will enable professionals' valid management decisions must be developed.
CroftC.B., ShprintzenR.J., DanillfrA., LewinM.L.. The occult submucous cleft palate and the musculus uvulae.Cleft Palate J1978; 15: 150–154.
3.
KaplanE.. The occult submucous cleft palate.Cleft Palate J1975; 12: 356–368.
4.
KaplanE.N., JobeR.P., ChaseR.A.. Flexibility in surgical planning for velopharyngeal incompetence, Cleft Palate J1969; 6: 166–174.
5.
KonoD., YoungL., HoltmannB.. The association of submucous cleft palate and clefting of the primary palate.Cleft Palate J1981; 18: 207–209.
6.
LewinM., CroftC., ShprintzenR.. Velopharyngeal insufficiency due to hypoplasia of the musculus uvulae and occult submucous cleft palate.Plast Reconstr Surg1980; 65: 585–591.
7.
McWilliamsB.J.. The long-term speech results of primary and secondary surgical correction of palatal clefts. In: BardachJ., MorrisH.L., eds. Multi-disciplinary management of cleft tip and palate.Philadelphia: WB Saunders, 1990: 815–819.
8.
Peterson-FalzoneS.J.. Speech disorders related to craniofacial structural defects: Part 2. In: LassN.J., McReynoldsL.V., NorthernJ.L., YoderD.E., eds. Handbook of speech-language pathology and audiology.Toronto: BC Decker, 1988: 478–483.
9.
PruzanskyS.. Personal Communication. In: GrabbW.C., RosensteinS.W., BzochK.R. eds. (1971) Cleft lip and palate.Boston: Little. Brown and Company, 1968.
10.
ShprintzenR., Siegel-SadewitzV., AmatoJ., GoldbergR.. Anomalies associated with cleft lip, cleft palate, or both.Am J Med Genet1985; 20: 585–595.
11.
VelascoM.G., YsunzaA., XochillH., MarquezC.. Diagnosis and treatment of submucous cleft palate: a review of 108 cases.Cleft Palate J1988; 25: 171–173.
KellyA.B.. Congenital insufficiency of the palate.J Laryngol Rhinol Otol1910; 25: 281–358.
18.
LynchJ.B., LewisS.R., BlockerT.G.. Cleft palate not explained by embryology.Plast Reconstr Surg1966; 38: 552–554.
19.
MittsT.F., GarrettW.S., HurwitzD.J.. Cleft of the hard palate with soft palate integrity.Cleft Palate J1981; 18: 204–206.
20.
MossA.L.H., JonesK., PigottR.W.. Submucous cleft palate in the differential diagnosis of feeding difficulties.Arch Dis Child1990; 65: 182–184.
21.
RivronR.P.. Bifid uvula: prevalence and association in otitis media with effusion in children admitted for routine otolaryngological operations.J Laryngol Otol1989; 103: 249–252.
22.
ShprintzenR.J.. Letter to the editor.Pediatrics1985; 75: 1019–1020.
23.
ShprintzenR.J., SchwartzR.H., DanillerA., HochL.Morphologic significance of bifid uvula.Pediatrics1985; 75: 553–561.
24.
SmileyG.R.. A possible genesis for cleft palate formation.Plast Reconstr Surg1972; 50: 390–394.
