Dr. Howard Smith Oncall

Vidcast:  https://www.instagram.com/p/Cw8S-PwR4es/ The percentage of children born with gaps in their palates who had close to normal speech in kindergarten was about 40% higher when their palates were repaired at 6 months of age rather than waiting until their first birthdays.  From European pediatric reconstructive surgeons comes another ground-breaking study just published in the New England Journal of Medicine.  A total of 558 infants at 23 centers in Europe and South America participated. Half were randomly assigned to have their palatal repairs at 6 months and the remainder had them at one year of age.  Speech analysis for both groups was completed at 5 years of age.  Significant air escape during speaking, so called velopharyngeal insufficiency, occurred in 8.9% of the 6 month repair group compared with 15% of the 12 month repair group.  The infants who underwent earlier repair were also 20% more likely to be babbling by a year of age.  This study argues for earlier cleft palate repairs and demonstr