Speech Problems Kids with cleft lip have fewer speech problems than those with cleft palate. About 1 in 5 kids with cleft palate have speech complications after surgical repair. Frequently, this means that a child’s voice is normally hypernasal . This happens because the palate doesn’t move sufficiently to prevent air flow from leaking out from the nose. Children with clefts can also have other styles of speech problems that aren’t to the cleft; for example, age-related errors such as saying ‘wed’ instead of ‘red.’ Sometimes, the dental problems linked to the cleft will distort some sounds, particularly ‘s,’ ‘sh,’ ‘ch,’ and ‘j.’ A speech-language pathologist can check a child’s speech and language skills and recommend treatment if needed.BackContinueTreatment Team If your child has a cleft lip and/or palate, your pediatrician will talk to you in regards to a cleft lip and palate treatment team.Before your physician can recommend a treatment, she or he shall perform a thorough evaluation, including a health background, physical exam and diagnostic tests. Your doctor will ask about the level to which your symptoms influence daily living. Sometimes a complete case turns out to be tendonitis rather than carpal tunnel, but only a doctor can make a proper diagnosis. Related StoriesBRCA gene mutations and ovarian malignancy: an interview with Dr Matulonis, Harvard Medical SchoolDeaths from avoidable risk factors: an interview with Dr Ali Mokdad, IHMEAdvances in thoracic operation: an interview with Dan Wildman, VP Global Franchise Technique & Innovation – EthiconThe main purpose of conservative treatment is usually to lessen or eliminate repetitive injury to the median nerve.